Tímarit hjúkrunarfræðinga - 2021, Page 72

Secondary prevention and improved treatment
have resulted in an increased number of people
living with coronary heart disease (CHD) in need of
patient education from healthcare professionals.
The aim of this study was to describe the disease-
related knowledge and educational needs of CHD
patients at hospital discharge.
This cross-sectional study was conducted in
2017-2018. The participants were adults admitted
to Icelandic hospitals because of acute coronary
syndrome, percutaneous coronary interveniton,
or coronary artery bypass grafting surgery.
Data were collected at hospital discharge from
medical records, physical measurements, and
questionnaires. Disease-related knowledge
was assessed with the Coronary Artery Disease
Education Questionnaire-short version (CADE-Q-
SV) consisting of 20 assertions categorized into five
subscales. The possible scores for the total list are
0-20 and 0-4 for each subscale. The participants
were also asked to evaluate their educational needs
regarding 15 items about CHD on a four-point scale
(1 = very little need to 4 = very high need).
The mean total knowledge score of the participants
(N = 445; 80% males; mean age 64.1 years [SD
9.1]) was 13.6 (sf 3.3). The highest scores were for
nutrition (M 3.2; SD 10.0) and the lowest were for CHD
psychosocial risk factors (M 2.4; SD 1.0) (p < 0.001).
Education, smoking, self-confidence, age, and prior
CHD-related hospitalization explained 16% of the
variation in knowledge (F 14.223; R2 0.159; p < 0.001).
Over 70% of patients had a high or very high need for
education regarding the disease and its treatment.
At hospital discharge, CHD patients’ disease-
related knowledge was acceptable. However,
their educational needs were still high and remain
important to fulfill. When providing patient education
nurses need to recognize that age, education, prior
CHD hospitalization, smoking, and self-confidence
are factors that can affect how patient education
translates into knowledge. Nurses’ follow-up in
outpatient clinics and, to a greater extent telehealth
could be feasible options for fulfilling patients’
educational needs after discharge.
Aim
ENGLISH SUMMARY
Educational needs and disease-related
knowledge of patients with coronary heart
disease: Cross-sectional study at hospital
discharge
Method
Results
Key words:
Coronary heart disease, information needs,
knowledge, patient education, self-care
Correspondent:
audurket@landspitali.is
Conclusion
Educational needs and disease-related knowledge
Ketilsdottir, A., Halldorsdottir, H., Sigurlasdottir, K., Ingadottir, B. and Svavarsdóttir, M. H.