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Patients' responses to the angioplasty experience: a qualitative study
M Gulanick1, A Bliley, B Perino
1Niehoff School of Nursing, Loyola University Chicago, Ill, USA.
Patients undergoing percutaneous transluminal coronary angioplasty (PTCA) report varied experiences, with many feeling positive about care but some expressing significant dissatisfaction. Understanding these patient perspectives is crucial for improving cardiac procedure support.
Area of Science:
- Cardiology
- Patient Experience Research
- Qualitative Health Research
Background:
- Coronary angioplasty procedures have seen a tenfold increase.
- Research has primarily focused on efficacy and post-procedure recovery.
- The patient's intra-procedural experience remains under-examined.
Purpose of the Study:
- To explore and describe the patient's unique perspective during coronary angioplasty.
- To identify key themes and factors influencing the patient experience.
Main Methods:
- Qualitative methodology utilizing focus-group interviews.
- 45 patients who underwent percutaneous transluminal coronary angioplasty were interviewed.
- Data analysis employed a constant comparative method.
Main Results:
- Positive themes included satisfaction with comfort, hospital care, and provider competence.
- Negative themes encompassed unmet needs, dehumanization, and lack of control.
- A wide spectrum of patient experiences was identified.
Conclusions:
- Patient experiences during coronary angioplasty are diverse, ranging from highly positive to deeply negative.
- Healthcare providers need awareness of potential negative reactions to intervene effectively.
- Addressing patient comfort, support, and control can enhance the angioplasty experience.
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