Mary Boyde1, Kylee Grenfell2, Rob Brown2, Sam Bannear2, Naomi Lollback2, Jane Witt2, Leanne Jiggins2, Leanne Aitken3. 1. Princess Alexandra Hospital, Cardiology Department, Brisbane, Queensland, Australia; The University of Queensland, School of Nursing and Midwifery, Brisbane, Queensland, Australia. Electronic address: mary.boyde@health.qld.gov.au. 2. Princess Alexandra Hospital, Cardiology Department, Brisbane, Queensland, Australia. 3. Centre for Health Practice Innovation, Griffith Health Institute, Griffith University, Brisbane, Queensland, Australia; Princess Alexandra Hospital, Intensive Care Unit, Brisbane, Queensland, Australia.
Abstract
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. Crown
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. Crown
Authors: Hayden Riley; Samuel Headley; Peter K Lindenauer; Sarah Goff; Heidi Szalai; Diann E Gaalema; Quinn R Pack Journal: J Cardiopulm Rehabil Prev Date: 2019-05 Impact factor: 2.081
Authors: Negin Niksadat; Sakineh Rakhshanderou; Reza Negarandeh; Ali Ramezankhani; Ali Vasheghani Farahani; Mohtasham Ghaffari Journal: Arch Public Health Date: 2022-01-04
Authors: Michelle C Rogerson; Alun C Jackson; Hema S Navaratnam; Michael R Le Grande; Rosemary O Higgins; Joanne Clarke; Barbara M Murphy Journal: JMIR Res Protoc Date: 2021-12-23