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Published on: March 27, 2018
Coronary Heart Disease Patients' Knowledge, Attitudes, and Practices Regarding Coronary Artery Bypass Grafting
Wentong Dong1, Bin Yang1, Xianjie Li1
1Zhengzhou Seventh People's Hospital & Henan Provincial Key Laboratory of Cardiac Remodeling and Transplantation, Zhengzhou Seventh People's Hospital Affiliated to Xinxiang Medical College, Zhengzhou, Henan, People's Republic of China.
Insights
Coronary heart disease patients show insufficient knowledge but positive attitudes and proactive practices toward coronary artery bypass grafting (CABG). Enhancing patient education on CABG is crucial for improving outcomes.
Area of Science:
- Cardiology
- Health Psychology
- Surgical Outcomes
Background:
- Coronary heart disease (CHD) is a major global cause of death.
- Coronary artery bypass grafting (CABG) is a key treatment for complex CHD.
- Limited data exists on patient knowledge, attitudes, and practices (KAP) regarding CABG.
Purpose of the Study:
- To assess the KAP of CHD patients concerning CABG.
- To identify factors influencing patient understanding and engagement with CABG.
Main Methods:
- A cross-sectional study involving 427 CHD patients.
- Utilized a self-designed KAP questionnaire with high internal consistency (Cronbach's α = 0.921).
- Data collected between September 2023 and January 2024.
Main Results:
- Mean knowledge, attitude, and practice scores were 6.03, 43.03, and 37.7, respectively.
- Patients with CABG experience or plans had higher knowledge and attitude scores.
- Positive correlations found between knowledge, attitude, and practice; attitude independently predicted proactive practice.
Conclusions:
- CHD patients demonstrate inadequate knowledge but favorable attitudes and proactive practices towards CABG.
- Healthcare providers should focus on patient education to improve CABG knowledge.
- Leveraging positive attitudes and behaviors can enhance patient adherence and outcomes.
Background:
Coronary heart disease (CHD) is a leading cause of mortality worldwide. Coronary artery bypass grafting (CABG) is a recognized effective treatment, particularly for patients with complex multivessel disease. However, there is limited research on the knowledge, attitudes, and practices (KAP) of CHD patients toward this surgery.
Aim:
This study aimed to investigate the KAP of CHD patients regarding CABG.
Methods:
A cross-sectional study was conducted from September 13, 2023 to January 25, 2024 at the Cardiology and Cardiothoracic Surgery Departments of Zhengzhou Seventh People's Hospital through the dissemination of a self-designed KAP questionnaire, which demonstrated good internal consistency with a Cronbach's α coefficient of 0.921 in the pilot test.
Results:
A total of 427 participants (mean age 58.05 ± 13.2 years; 62.53% male) were enrolled. Among them, 151 (35.36%) had undergone or are scheduled for CABG. The mean knowledge, attitude, and practice scores were 6.03±2.16, 43.03±6.61, and 37.7±5.51, respectively. Participants with CABG experience or plans exhibited significantly higher attitude and knowledge scores compared to those without. Correlation analyses showed that there were significant positive correlations between knowledge and attitude (r = 0.128, P = 0.008) as well as practice (r = 0.202, P < 0.001). Also, there was a correlation between attitude and practice (r = 0.654, P < 0.001). Multivariate analyses showed that attitude score (OR = 1.294, 95% CI: [1.226-1.367], P < 0.001), marital status other than married (OR = 2.32, 95% CI: [1.048-5.136], P = 0.038) were independently associated with proactive practice.
Conclusion:
CHD patients exhibited insufficient knowledge, positive attitudes and proactive practices regarding CABG. Healthcare professionals should prioritize patient education initiatives aimed at enhancing knowledge regarding CABG, while also reinforcing and leveraging positive attitudes and proactive behaviors to optimize patient outcomes and treatment adherence.
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