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Knowledge and prevalence of risk factors for coronary artery disease in patients after the first and repeated
Krzysztof Wójcicki1, Róża Krycińska1, Tomasz Tokarek2
12nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland
Insights
Education during percutaneous coronary intervention (PCI) hospitalization does not improve patient knowledge of coronary artery disease (CAD) risk factors. Many patients undergoing PCI do not attend cardiac rehabilitation, correlating with poor risk factor control.
Area of Science:
- Cardiology
- Public Health
- Health Education
Background:
- Percutaneous coronary intervention (PCI) is a common treatment for coronary artery disease (CAD).
- PCI patients often exhibit poor adherence to lifestyle changes and do not attend cardiac rehabilitation.
- Existing post-PCI education may be insufficient for improving patient outcomes.
Purpose of the Study:
- To assess the impact of in-hospital education during PCI on patients' knowledge and self-reported control of CAD risk factors.
- To evaluate the correlation between PCI, cardiac rehabilitation attendance, and risk factor management.
Main Methods:
- A 56-item questionnaire was used to collect data on CAD risk factor knowledge and control.
- The study included 200 patients undergoing PCI, divided into pre-PCI and prior-PCI groups.
- Knowledge and risk control scores were compared between groups, and correlations were analyzed.
Main Results:
- No significant difference in knowledge or risk control scores was found between pre-PCI and prior-PCI groups.
- Knowledge of CAD risk factors did not correlate with the actual prevalence of these factors.
- 50% of patients with prior PCI did not attend cardiac rehabilitation, which was linked to poor risk factor control (P = 0.001).
Conclusions:
- Current educational interventions during PCI hospitalization are inadequate for enhancing patient knowledge and promoting lifestyle modifications.
- Improved strategies are needed to increase cardiac rehabilitation attendance and improve risk factor control in PCI patients.
Background:
Percutaneous coronary intervention (PCI) is an effective method for the treatment ofcoronary artery disease (CAD) that allows for a short hospital stay and fast recovery. It has been shown that PCI is a predictor of nonattendance at cardiac rehabilitation and correlates with poor adherence to lifestyle changes.
Aims:
The study was conducted to evaluate the influence of education offered during PCI‑related hospitalization on knowledge, awareness, and prevalence of self‑reported risk factors for CAD.
Methods:
We collected data using a self‑designed 56‑item questionnaire. Questions assessed the knowledge of CAD risk factors and the level of their control. The maximal knowledge score was 31 points and the maximal control score, 15 points.
Results:
The study group consisted of 200 consecutive patients undergoing PCI. Patients with a history of PCI performed at least 8 weeks prior to their current hospitalization were included in the prior‑PCI group (64%), whereas the pre‑PCI group comprised patients with no history of revascularization (36%). The median (interquartile range [IQR]) knowledge score was 19 (12.5-23) points in the pre‑PCI and 21 (12.5-24) points in the prior‑PCI group (P = 0.35). The median (IQR) risk control score was 5 (4.5-7) points in the pre‑PCI and 6 (4-8) points in the prior‑PCI group (P = 0.4). There was no correlation between the level of knowledge and the actual prevalence of CAD risk factors. We found that 50% of the prior‑PCI patients did not attend any rehabilitation, which correlated with poor control of CAD risk factors (P = 0.001).
Conclusions:
Currently used models of postprocedural education do not have an adequate effect on patient knowledge and do not bring recommended lifestyle changes.
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