What have our patients learnt after being hospitalised for an acute myocardial infarction?

Boyde, Mary, Grenfell, Kylee, Brown, Rob, Bannear, Sam, Lollback, Naomi, Witt, Jane, Jiggins, Leanne and Aitken, Leanne (2014) What have our patients learnt after being hospitalised for an acute myocardial infarction?. Australian Critical Care, 28 3: 134-139. doi:10.1016/j.aucc.2014.05.003

Author Boyde, Mary
Grenfell, Kylee
Brown, Rob
Bannear, Sam
Lollback, Naomi
Witt, Jane
Jiggins, Leanne
Aitken, Leanne
Title What have our patients learnt after being hospitalised for an acute myocardial infarction?
Journal name Australian Critical Care   Check publisher's open access policy
ISSN 1036-7314
Publication date 2014-06-23
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.aucc.2014.05.003
Open Access Status
Volume 28
Issue 3
Start page 134
End page 139
Total pages 6
Publisher Elsevier Ireland Ltd
Collection year 2014
Language eng
Subject 2907 Emergency
2906 Critical Care
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.
Keyword Cardiovascular disease
Cardiovascular nursing
Consumer health information
Health education
Myocardial infarction
Patient education
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online ahead of print 23 June 2014.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
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