Coronary angioplasty: impact on risk factors and patients' understanding of the severity of their condition.
OBJECTIVE
To explore self-reported changes in coronary risk factors by patients three to nine months following coronary artery angioplasty.


METHODS
Descriptive survey.


METHODS
Two hundred and thirty four patients, three to nine months after elective angioplasty. Patients were self-selected from a convenience sample of all patients undergoing angioplasty within a six-month period in two major metropolitan hospitals in Melbourne.


METHODS
Self-reported responses to questions exploring patient's risk factor reduction and understanding of their condition.


RESULTS
Two hundred and thirty four (41.7%) out of 560 questionnaires were returned. Forty percent of subjects reported the recurrence of chest pain and 42% believed they no longer had coronary artery disease. 85% of respondents reported making at least one modification to their risk factors and stress was the most common risk factor identified.


CONCLUSIONS
Coronary artery angioplasty is one of the most common elective interventions for coronary artery disease. It restores blood flow in the diseased vessel but cannot treat the underlying disease processes. Although the majority of patients had altered their lifestyle and reduced at least one risk factor, 40% of patients in this study had a recurrence of chest pain and 42% believed their condition had been cured. Diet modification, increased exercise and stress reduction were the top three changes in lifestyle reported. The findings suggest there is a major need for better health education and follow-up for patients after coronary artery angioplasty.
School of Nursing, Australian Catholic University, St. Patrick's Campus, Victoria, Australia. m.campbell@patrick.acu.edu.au
Michelle
M
Campbell
Colin
C
Torrance
D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000706:statistics & numerical data*; D002637:Chest Pain / Q000453:epidemiology; D003324:Coronary Artery Disease / Q000453:epidemiology* / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012307:Risk Factors; D017678:Sex Distribution; D012959:Socioeconomic Factors; D014739:Victoria / Q000453:epidemiology