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What have our patients learnt after being hospitalised for an acute myocardial infarction?
MedLine Citation:
PMID:  24970011     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Education for hospitalised patients is an important aspect of care for people who have an acute cardiovascular event.
OBJECTIVE: To investigate the cardiovascular risk factor behaviours of patients together with their acute coronary syndrome (ACS) knowledge, attitudes and beliefs following admission to hospital for an acute myocardial infarction.
METHODS: Patients diagnosed with an acute myocardial infarction participated in an observational study. Patients completed a questionnaire consisting of cardiovascular risk factor behaviour questions and the ACS Response Index prior to discharge and at follow-up 10 weeks later.
RESULTS: Of the 135 participants enrolled, 114 (84%) completed follow-up, 70% were males; mean age was 63 (±11.6) years. The median length of hospital stay was 3 days (IQR 1) and the time to follow-up after discharge was 10 weeks. Self-reported risk factor behaviours improved significantly for diet (p<0.001) and smoking cessation (p=0.023) following discharge. At discharge 39% of patients had inadequate knowledge of ACS symptoms. The ACS Response Index improved significantly after discharge for attitudes (p=0.004) and beliefs (p=0.008). Despite 85% of patients indicating they would attend cardiac rehabilitation only 30% had commenced a programme at follow-up.
CONCLUSION: Patients reported implementing a number of healthy lifestyle changes following discharge including smoking cessation and healthy eating. Attitudes and beliefs regarding ACS showed a significant improvement following discharge. More than one third of patients had inadequate knowledge at discharge, suggesting current education practices may not be meeting the needs of patients with a myocardial infarction.
Authors:
Mary Boyde; Kylee Grenfell; Rob Brown; Sam Bannear; Naomi Lollback; Jane Witt; Leanne Jiggins; Leanne Aitken
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-6-23
Journal Detail:
Title:  Australian critical care : official journal of the Confederation of Australian Critical Care Nurses     Volume:  -     ISSN:  1036-7314     ISO Abbreviation:  Aust Crit Care     Publication Date:  2014 Jun 
Date Detail:
Created Date:  2014-6-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9207852     Medline TA:  Aust Crit Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Crown Copyright © 2014. Published by Elsevier Ltd. All rights reserved.
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