Emergency Department education improves patient knowledge of coronary artery disease risk factors but not the accuracy of their own risk perception

Williams, Annette; Lindsell, Christopher J.; Rue, L.E.; Blomkalns, Andra L.

doi:10.1016/j.ypmed.2007.01.011

Cited by 29 publications

(21 citation statements)

References 2 publications

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“…Study subjects who received the intervention program improved their knowledge about cardiac health, and developed higher levels of knowledge than the control group. These findings confirm earlier reports [2,[15][16][17][18] that showed interventional programs produced an increase in subjects' cardiac related knowledge. This is an important indicator for the effectiveness of intervention programs in improving subjects' cardiac related knowledge.…”

Section: The Effect Of Intervention On Knowledgesupporting

confidence: 92%

“…Therefore, several researchers have supported the use of health education in helping people to adopt healthier lifestyles [12][13][14]. Evidence from previous studies [2,[15][16][17][18] showed that providing cardiac related educational programs led to significant improvements in the subjects' knowledge about cardiac risk factors in experimental group, as opposed to the control groups' knowledge.…”

Section: Introductionmentioning

confidence: 99%

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The Effects of a Cardiovascular Disease Prevention Program on Knowledge and Adoption of a Heart Healthy Lifestyle in Jordanian Working Adults

Eshah

Bond

Froelicher

2010

European Journal of Cardiovascular Nursing

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Section: The Effect Of Intervention On Knowledgesupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

The Effects of a Cardiovascular Disease Prevention Program on Knowledge and Adoption of a Heart Healthy Lifestyle in Jordanian Working Adults

Eshah

Bond

Froelicher

2010

European Journal of Cardiovascular Nursing

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“…Unfortunately, the translation of this finding to everyday practice has been limited and only 50 to 75% of PCI patients are adherent to thienopyridines post stent placement 5–7 . Inadequate adherence to medications is a pervasive healthcare problem that increases the risk of preventable hospitalizations 8 , morbidity and mortality 9 .…”

Section: Introductionmentioning

confidence: 99%

Can We Identify Minority Patients at Risk of Nonadherence to Antiplatelet Medication at the Time of Coronary Stent Placement?

Palacio¹,

Vidot²,

Tamariz³

et al. 2017

J Cardiovasc Nurs

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Background Lack of medication adherence is associated with significant morbidity and mortality, particularly among minorities. We aimed to identify predictors of non-adherence to antiplatelet medications at the time of percutaneous coronary intervention (PCI) with stent among African American and Hispanic subjects. Methods We used data collected for a randomized clinical trial that recruited 452 minority subjects from a large U.S. health insurance organization in 2010 post-PCI to compare phone-based motivational interviewing by trained nurses (MINT) to an educational video. The primary outcome was 12-month adherence to antiplatelet medications measured by the claims-based medication possession ratio (MPR). Adequate adherence was defined as MPR>=0.80. Results Over half of sample (age 69.52 ± 8.8 years) was male (57%) and Hispanic (57%). Majority (78%) had a median income below $30,000 and 22% completed high school or higher. Univariate analyses revealed that symptoms of depression (<0.01) and not having a spouse (p=0.03) were associated with inadequate adherence. In multivariate analysis, baseline self-reported adherence (1.4; 95% confidence interval [CI] 1.05–1.89), depressive symptoms (0.49; 95% CI 0.7–0.90), comorbidity (0.89; 95% CI 0.80–0.98) and MINT (3.5; 95% CI 1.9–2.70) were associated with adherence. Conclusions Having multiple comorbidities, depression, suboptimal adherence to medications, and low English proficiency at the time of PCI increase the risk of poor 12-month adherence to antiplatelets among minorities. Identifying these risk factors can guide PCI therapy and the use of evidence-based strategies to improve long-term adherence.

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“…Counselling on lifestyle issues and symptom control is deemed important by patients (Turton 1998). To enable more effective self-care (Corbett et al 2000, McBride 2004, patients also expect to receive more education on health promotion, tailored to meet their individual life situation (Sheahan 2000, Williams et al 2007.…”

Section: Introductionmentioning

confidence: 99%

Experiences of counselling in the emergency department during the waiting period: importance of family participation

Paavilainen

Salminen‐Tuomaala

Kurikka

et al. 2009

Journal of Clinical Nursing

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Aim. To describe patients' experiences of counselling, defined as information giving and advice by nursing staff, in the emergency department. A particular focus was on the waiting period and on the importance of family participation in counselling. Background. Counselling is a widely studied topic in nursing. Too little is known about counselling in emergency departments and especially about participation of family members and suitability of counselling for the patient's life situation. Design. Descriptive quantitative study. Methods. Data were collected by questionnaires from patients (n = 107) visiting a hospital emergency department. The data were subjected to statistical analysis. Results. Forty-two per cent of patients arrived at the emergency department with a family member: spouse or cohabiting partner, mother, father or daughter. Patients were fairly satisfied with the counselling. The presence of a family member was important to the majority of patients (75%). About half of the patients wanted information concerning their illness, condition and treatment to be given to their family members. Those visiting the department with a family member were more satisfied with counselling and felt that it promoted their participation in care. Conclusion. It is to encourage patients' family members to participate in counselling situations in emergency departments. However, the type of information passed on to family members should be carefully discussed and prepared. Relevance to clinical practice. Patients' family members seem to be important partners in counselling situations. The presence of family members supports patients in the emergency department during the waiting period and helps them orientate in their situation. When family members are present, issues which patients wish to discuss should be carefully planned. Family presence should be encouraged in emergency departments.Key words: acute care, counselling, emergency care, emergency department, family nursing Accepted for publication: 9 July 2008 BackgroundAcute illness may give rise to feelings of helplessness, uncertainty and fear in patients when they arrive at the emergency department. An acute illness amidst unfamiliar surroundings and medical equipment can cause stress (Fredriksen & Ringsberg 2007). Acute illness often comes on suddenly and is characterised by unpredictability and uncontrollability. Patients' perceptions are also influenced by how much the illness changes their life situation. The more feelings of relinquishment and loss they experience, the more anxious and vulnerable they are. A perceived lack of control over the situation and separation from family are also perceived as threatening (Fredriksen & Ringsberg 2007 Because of the patient's vulnerability, the nursing staff providing patient counselling in the emergency department need to show special sensitivity (Towle & Weston 2006). In this study counselling is defined as information giving and advice concerning illness and care.Acutely ill patients expect to receive safe care. They...

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Emergency Department education improves patient knowledge of coronary artery disease risk factors but not the accuracy of their own risk perception

Cited by 29 publications

References 2 publications

The Effects of a Cardiovascular Disease Prevention Program on Knowledge and Adoption of a Heart Healthy Lifestyle in Jordanian Working Adults

The Effects of a Cardiovascular Disease Prevention Program on Knowledge and Adoption of a Heart Healthy Lifestyle in Jordanian Working Adults

Can We Identify Minority Patients at Risk of Nonadherence to Antiplatelet Medication at the Time of Coronary Stent Placement?

Experiences of counselling in the emergency department during the waiting period: importance of family participation

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