Patients undergoing primary percutaneous coronary intervention (PPCI) as a treatment for acute myocardial infarction (AMI) perceive their illness as an acute event over which they have little control compared to other AMI patients receiving different treatment modalities

Ahmed Al Smadi , Paul Slater, M Alnimri, Donna Fitzsimons

Research output: Contribution to conferenceAbstract

Abstract

Background: Treatment approaches for AMI
patients differ according to presentation, and
there is uncertainty in the literature as to whether
this impacts on patients’ understanding of their
diagnosis.
Aim: This study is designed to compare three
groups of patients receiving different treatments
for AMI; ST Elevation Myocardial Infarction (STEMI)
treated by PPCI, STEMI treated by thrombolytic
therapy, and Non ST Elevation Myocardial Infarction
(NSTEMI) treated by medication, to determine
if treatment modality impacts on IP evaluated
using the Illness Perception Questionnaire (IPQ-R)
covering seven subscales.
Method: A quantitative repetitive measures research
design was used to survey a purposive sample of
206 patients in Queen Alia Heart Institute in Jordan
distributed across three AMI treatment groups, at
the time of admission, and six months later (n=186),
between October 2011 and August 2012.
Results: Using a Repetitive ANOVA test, significant
differences between the IP of PPCI patients and
other two groups were observed in six subscales;
Timeline Acute/Chronic, Timeline Cyclical,
Treatment Control, Emotional Representations,
Consequences and Personal Control factor. PPCI
patients had significantly lower mean scores on
all IPQ dimensions at follow-up except Treatment
Control which was significantly higher.
Discussion: This study demonstrates significant
differences in IP between PPCI patients and the
other two groups offered alternative treatment
for AMI. Patients in PPCI group perceive their
illness as an acute event over which they have
little control. Previous research showed that the
IP of AMI patients is a predictor of their functional
status, return to work, depression, attendance of
cardiac rehabilitation and the lifestyle changes
necessary to prevent further disease progression.
Conclusion: PPCI has been shown in the literature
to offer superior clinical outcomes for AMI
patients. However, given the differences in illness
perception demonstrated here, we may need to
offer additional advice and support to this group
of ‘fast tracked’ patients.
Original languageEnglish
Pages100-100
Number of pages1
Publication statusPublished - 2013
EventRoyal College of Nursing International Research Conference - Belfast, United Kingdom
Duration: 20 Mar 2013 → …

Conference

ConferenceRoyal College of Nursing International Research Conference
CountryUnited Kingdom
CityBelfast
Period20/03/2013 → …

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