Angina management is poor after percutaneous coronary intervention

Dawkes, Susan; Raeside, Robert; Elliott, Lawrie; Donaldson, Jayne

Abstract

Background and aim: Self-management of coronary heart disease (CHD) is critical after elective percutaneous coronary intervention (PCI). While elective PCIs should reduce patients’ stable angina symptoms, recurring pain is a common problem post-procedure and effective self-management of this seemed poor. The aims of the study were to identify how patients self-managed their angina symptoms after undergoing PCI and to explore barriers to their effectiveness in this.

Methods: This mixed methods study used an explanatory, sequential design. In phase one quantitative data were collected from a convenience sample (n=93) approximately three months after elective PCI using a validated self-administered survey tool. Quantitative data were subject to univariate, bivariate and multi-variate analysis. Phase one findings were used to purposively select ten participants from the original sample for interview in phase two of the study. Thematic analysis was used to analyse qualitative data.

Results: Participants had a mean age of 66.25 years (SE±10.56), were mostly male (n=70/75.3%) and Caucasian (n=80/86%). After PCI, 74.2% (n=69) of participants managed their angina symptoms inappropriately. Around 17% (n=16) would summon an emergency ambulance to help them deal with any recurrence of symptoms, however slight or short-lived. Older age, the existence of co-morbidities, low self-efficacy, lack of support from healthcare providers, less threatening perceptions of CHD and fear compromised participants’ effective self-management of angina symptoms.

Conclusion: Self-management of angina symptoms is sub-optimal after elective PCI and a plethora of factors contribute to that. Careful evaluation of patients’ self-management skills is required to inform effective self-management strategies.

Citation

Dawkes, S., Raeside, R., Elliott, L., & Donaldson, J. (2016, August). Angina management is poor after percutaneous coronary intervention. Poster presented at Cardiac Society of Australia and New Zealand annual conference, Adelaide

• Presentation Conference Type: Poster
• Conference Name: Cardiac Society of Australia and New Zealand annual conference
• Start Date: Aug 4, 2016
• End Date: Aug 7, 2016
• Deposit Date: Apr 5, 2018
• Keywords: Angina management, coronary heart disease,
• Public URL: http://researchrepository.napier.ac.uk/Output/1145005