Perceptions of patients undergoing percutaneous coronary intervention on pre‐operative education in China: A qualitative study

Abstract

Objectives To explore the perceptions of patients undergoing percutaneous coronary intervention (PCI) regarding their pre‐operative health education. Methods A qualitative study using semi‐structured, in‐depth interviews was conducted in one cardiology unit in China from July 2019 to December 2019. Purposeful sampling of 17 patients undergoing PCI was interviewed about their perceptions of pre‐operative health education. Thematic analysis of the transcribed data was then used to identify the themes. Results Four themes emerged from the data:(a) triple roles of pre‐operative education with the categories of relief (reliving fear); burden (leading to stress); and meaningless (changing nothing); (b) family member involvement with the categories of shared responsibility and family members’ duty; (c) facilitators in the process of pre‐operative health education with the categories of emotional support, plain language and individualized pre‐operative education; (d) inhibitors in the process of pre‐operative health education with the categories of contradiction and threatening words. Conclusions Pre‐operative health education for patients undergoing PCI should be aligned with the individual patients’ information‐seeking styles and personal differences, emphasizing individualized patient education. Traditional Chinese philosophy should be considered in the practice of pre‐operative education for patients undergoing PCI, which emphasizes family member involvement; at the same time, patient empowerment and self‐care should also be stressed. In addition, emotional support and plain language from health professionals are important in pre‐operative health education for patients undergoing PCI; contradiction should be avoided, and threatening words should be used with caution and with consideration for cultural variations during pre‐operative education for patients undergoing PCI.

Ações educativas desenvolvidas por enfermeiros para a segurança dos pacientes no perioperatório

“…A relevância da observação do aceite e interesse do paciente em participar ativamente da ação educativa é ressaltada por Rosseto (2013) e vem ao encontro de uma pesquisa desenvolvida por enfermeiros em um departamento de enfermagem na China. Nesta constatou-se a necessidade de alinhar as informações trabalhadas na educação em saúde, dos pacientes submetidos à cirurgia de intervenção coronariana percutânea de forma individualizada, com incentivo e apoio no interesse dos pacientes em participar de todo o processo, a começar pelo pré-operatório (Zhuo et al, 2020).…”

Perceptions of Family Caregivers of Patients with Schizophrenia Towards Antipsychotics Associated Side-Effects in China:A Qualitative Study

“…Chinese people highly respect health professionals, and they often play a subordinate role in doctor-patient contact. [28][29][30] This might lead them to believe that it is useless to focus on the side effects of antipsychotic drugs, since health professionals are able to treat the health problems of their ill relatives. Furthermore, caregivers tend to accept fatalism when they find that the side effects of drugs are beyond their control and they cannot change the outcome.…”

Evaluation of individual education effect on anxiety in elderly candidates for open-heart surgery

“…In some studies, the rate of preparatory anxiety among cardiac patients was reported to be about 80% (17). Cardiology patient education has obtained essential attention in recent years from healthcare providers (20), especially individualized education (21). However, limited studies on this matter are available among elderly patients.…”