title: CABG and PTCA patients' expectations of informational support in health- related quality of life themes and adequacy of information in 1-year follow-up.
abstract: The purpose of this study was to describe coronary artery bypass grafting (CABG) and percutaneous transluminal coronary angioplasty (PTCA) patients' need for nursing informational support in health-related (HRQoL) items before and after coronary artery procedures. As well we present the adequacy of informational support from patients' viewpoint. The study sample (N=625) consisted of consecutive male (N=439) and female (N=176) patients with CAD who were treated with elective CABG or PTCA. The data were collected by structured interview before coronary artery procedures and by mailed questionnaires 6 and 12 months afterwards in 1999-2001. Patients in both groups reported needing the most information about recovery and psychosocial functioning before and after the treatments. Single HRQoL items identified that the expectations of women and men differed during the follow-up period. Women in the PTCA group needed more informational support than men before procedures, while men needed more support afterwards. Our results suggest that the content of informational support is different for male and female patients before and after the coronary artery procedures. The effects of nursing interventions and instruments for measuring change in patients' outcome resulting from nursing interventions should be developed further.
authors.affiliation: Department of Nursing Science, University of Kuopio, P.O. Box 1627, FIN-70211 Kuopio, Finland. eija.kattainen@dnainternet.net
authors.forename: Eija
authors.initials: E
authors.lastname: Kattainen
authors.forename: Pirkko
authors.initials: P
authors.lastname: Meriläinen
authors.forename: Veikko
authors.initials: V
authors.lastname: Jokela
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000451:nursing / Q000523:psychology; D001294:Attitude to Health; D001026:Coronary Artery Bypass / Q000451:nursing / Q000523:psychology; D005163:Factor Analysis, Statistical; D005260:Female; D005387:Finland; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D010353:Patient Education as Topic / Q000592:standards*; D011182:Postoperative Care / Q000379:methods / Q000451:nursing / Q000523:psychology / Q000592:standards; D011300:Preoperative Care / Q000379:methods / Q000451:nursing / Q000523:psychology / Q000592:standards; D011788:Quality of Life; D012737:Sex Factors; D012944:Social Support; D011795:Surveys and Questionnaires