Perceptions of patients undergoing percutaneous coronary intervention on pre-operative education in China: A qualitative study

Qiqi Zhuo; Hongmin Liang; Yangjuan Bai; Qiulan Hu; Ardani Latifah Hanum; Mingfang Yang; Yanjiao Wang; Wei Wei; Lan Ding; Fang Ma

doi:10.1111/hex.13156

Perceptions of patients undergoing percutaneous coronary intervention on pre-operative education in China: A qualitative study

Health Expect. 2021 Feb;24(1):121-130. doi: 10.1111/hex.13156. Epub 2020 Nov 13.

Authors

Qiqi Zhuo¹, Hongmin Liang¹, Yangjuan Bai², Qiulan Hu³, Ardani Latifah Hanum¹, Mingfang Yang⁴, Yanjiao Wang⁵, Wei Wei⁶, Lan Ding⁷, Fang Ma¹

Affiliations

¹ Department of Nursing, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
² Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
³ ICU in Geriatric Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
⁴ Urology Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
⁵ Psychiatric Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
⁶ Neurosurgery Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
⁷ General Surgery Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China.

Abstract

Objectives: To explore the perceptions of patients undergoing percutaneous coronary intervention (PCI) regarding their pre-operative health education.

Methods: A qualitative study using semi-structured, in-depth interviews was conducted in one cardiology unit in China from July 2019 to December 2019. Purposeful sampling of 17 patients undergoing PCI was interviewed about their perceptions of pre-operative health education. Thematic analysis of the transcribed data was then used to identify the themes.

Results: Four themes emerged from the data:(a) triple roles of pre-operative education with the categories of relief (reliving fear); burden (leading to stress); and meaningless (changing nothing); (b) family member involvement with the categories of shared responsibility and family members' duty; (c) facilitators in the process of pre-operative health education with the categories of emotional support, plain language and individualized pre-operative education; (d) inhibitors in the process of pre-operative health education with the categories of contradiction and threatening words.

Conclusions: Pre-operative health education for patients undergoing PCI should be aligned with the individual patients' information-seeking styles and personal differences, emphasizing individualized patient education. Traditional Chinese philosophy should be considered in the practice of pre-operative education for patients undergoing PCI, which emphasizes family member involvement; at the same time, patient empowerment and self-care should also be stressed. In addition, emotional support and plain language from health professionals are important in pre-operative health education for patients undergoing PCI; contradiction should be avoided, and threatening words should be used with caution and with consideration for cultural variations during pre-operative education for patients undergoing PCI.

Keywords: China; percutaneous coronary intervention; pre-operative health education; qualitative research.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

China
Humans
Perception
Percutaneous Coronary Intervention*
Preoperative Care
Qualitative Research