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Knowledge and attitude toward postoperative antithrombotic management and prevention in patients with coronary
Chunlu Liu1, Haijun Zhang1, Liming Yang2
1Department of Cardiology, Kailuan General Hospital, Tangshan, China.
Insights
Coronary artery disease patients undergoing revascularization show poor knowledge but favorable attitudes towards antithrombotic management. Targeted education is crucial for improving patient compliance and cardiovascular outcomes.
Area of Science:
- Cardiology
- Vascular Medicine
- Patient Education
Background:
- Postoperative antithrombotic management is critical for patients with coronary artery disease (CAD) after revascularization.
- Understanding patient knowledge and attitudes is essential for optimizing treatment adherence and clinical outcomes.
Purpose of the Study:
- To explore the knowledge and attitudes (KA) of CAD patients regarding postoperative antithrombotic management and prevention following coronary revascularization.
Main Methods:
- A cross-sectional study was conducted with 523 CAD outpatients and inpatients.
- Data on demographic characteristics and KA scores were collected using a self-made questionnaire.
Main Results:
- Patients exhibited poor knowledge (mean score: 13.20 ± 6.20) but favorable attitudes (mean score: 43.68 ± 6.01) toward antithrombotic management.
- Lower education levels and higher income were associated with better knowledge.
- Knowledge, BMI, education level, income, hypertension, and blood test frequency influenced patient attitudes.
Conclusions:
- CAD patients require enhanced education on postoperative antithrombotic strategies.
- Interventions should target individuals with lower educational attainment and income to improve understanding and adherence.
- Improved patient knowledge is vital for better compliance and enhanced cardiovascular health post-revascularization.
Background:
This study aimed to explore the knowledge and attitude (KA) toward postoperative antithrombotic management and prevention among coronary artery disease (CAD) patients who underwent coronary revascularization.
Methods:
This cross-sectional study enrolled CAD outpatients and inpatients between May and December 2023 at Kailuan Medical Group at Tangshan. Basic demographic characteristics and KA scores were collected through a self-made questionnaire.
Results:
This study included 523 valid questionnaires. The mean knowledge and attitude scores were 13.20 ± 6.20 (range: 0-26) and 43.68 ± 6.01 (range: 21-50), respectively, indicating poor knowledge and favorable attitude. Multivariable logistic regression analysis showed that junior high school education (OR = 2.160, P = 0.035), high school or technical school education (OR = 2.356, P = 0.039), and monthly average income >5,000 RMB (OR = 3.407, P = 0.002) were independently associated with knowledge. Knowledge (OR = 1.095, P = 0.002), BMI ≥ 24.0 kg/m2 (OR = 0.372, P = 0.011), junior high school (OR = 3.699, P = 0.002), high school or technical school (OR = 2.903, P = 0.028), high associate degree or above education (OR = 6.068, P = 0.014), monthly average income 3,000-5,000 RMB (OR = 0.296, P = 0.005), monthly average income > 5,000 RMB (OR = 0.225, P = 0.021), with hypertension (OR = 0.333, P = 0.003), blood tests every 2-3 weeks (OR = 10.811, P = 0.011), blood tests every month (OR = 4.221, P = 0.024), and blood tests every 2-3 months (OR = 3.342, P = 0.033) were independently associated with attitude.
Conclusion:
CAD patients who underwent coronary revascularization had poor knowledge but favorable attitudes toward postoperative antithrombotic management and prevention. The study underscores the need for targeted education, especially for individuals with lower education and income levels, ultimately improving patient compliance and cardiovascular outcomes.
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