Patients' perception of their experience of primary percutaneous intervention for ST segment elevation myocardial
1University of Victoria School of Nursing, HSD A422, PO Box 1700 STN CSC, Victoria, BC V8W 2Y2.
Insights
Patients undergoing primary percutaneous intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) have varied experiences. Healthcare providers should assess patient perceptions and health literacy to improve education.
Area of Science:
- Cardiology
- Patient Experience Research
- Health Education
Background:
- ST-segment elevation myocardial infarction (STEMI) is commonly treated with primary percutaneous intervention (PCI).
- Primary PCI has shown to reduce hospitalization duration for STEMI patients.
- Understanding patient perspectives on PCI is crucial for optimizing care.
Purpose of the Study:
- To explore and synthesize patient perceptions of primary percutaneous intervention (PCI) for ST-segment elevation myocardial infarction (STEMI).
- To identify discrepancies between patient and healthcare professional views on the PCI experience.
Main Methods:
- A literature review was conducted, critiquing and grading 10 relevant papers.
- Included studies comprised original research and other relevant sources.
Main Results:
- Significant variability exists in how STEMI patients perceive their primary PCI experience.
- A misalignment was found between patient and healthcare professional perceptions of the PCI event and associated language.
- Patient understanding and educational needs regarding PCI vary considerably.
Conclusions:
- Nurses should assess individual patient perceptions and health literacy levels post-PCI.
- Tailoring patient and family education content and language is essential for effective interventions.
- Addressing the patient-provider perception gap can enhance the overall recovery experience for STEMI patients.
Abstract:
Many patients experiencing ST segment elevation myocardial infarction (STEMI) are currently treated with primary percutaneous intervention (PCI). This relatively new procedure has reduced the time patients with the diagnosis of STEMI spend in hospital. In this literature review we explore patients' perceptions of their experience of receiving primary percutaneous intervention (PCI) as a treatment for STEMI. We critiqued and graded for relevance 10 papers that included original research and other sources. Key findings indicate that there is considerable variability in how patients treated for STEMI perceive the experience of PCI. Further, there is a misalignment between some patients' perceptions and health professionals' perceptions of this experience related to the event as well as the language used to speak of it. Thus, we recommend that nurses assess patients' perception of the experience and patients' health literacy level, then tailor the content and language of patient and family education to ensure an effective educative intervention.
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