Self-care behaviour and factors associated with patient outcomes following same-day discharge percutaneous coronary intervention.
BACKGROUND
The demand for percutaneous coronary intervention (PCI) exerts constant pressure on health care systems to meet the growing needs of patients. The practice of same-day discharge PCI has emerged as a medically safe option to optimize resource utilization and improve access to care.


OBJECTIVE
The purpose of this study was to describe elective same-day discharge PCI patients' self-care behaviour in the two to five days following their procedure, and the factors associated with cardiac self-efficacy (CSE) and self-care agency (SCA).


METHODS
Using a cross-sectional correlational design, 98 consecutive patients were contacted by telephone, following PCI, and asked about their CSE, SCA, and adherence to discharge recommendations. Associations between selected variables were explored through multiple regression analysis.


RESULTS
The findings revealed a high degree of adherence to discharge recommendations, although participants' appreciation of the long term management of their chronic disease was limited. Factors associated with lower levels of CSE and SCA included the burden of having additional chronic co-morbidities, living alone and lacking social support, and a positive screening for psychosocial distress.


CONCLUSIONS
Same-day discharge PCI presents a sustainable option for delivery of care for most patients. Some clients may require additional support to manage the transition between acute intervention and chronic disease management.
Lauck
Sandra
S
School of Nursing, University of British Columbia, Vancouver, BC, Canada V6T 1Z3. slauck@providencehealth.bc.ca
Johnson
Joy L
JL
Ratner
Pamela A
PA
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000451:nursing* / Q000534:rehabilitation*; D003266:Continuity of Patient Care; D003327:Coronary Disease / Q000451:nursing / Q000534:rehabilitation / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D010353:Patient Education as Topic; D011594:Psychometrics; D019145:Rehabilitation Nursing; D012648:Self Care; D012944:Social Support