Do Illness Perception Predict Perceived Learning Needs Among Patients Treated With Percutaneous Coronary Intervention.

Dimens Crit Care Nurs

Ala Ashour, PhD, RN, is an assistant professor at the Faculty of Nursing, Department of Adult Health Nursing, The Hashemite University, Zarqa, Jordan. Ahmed Al-Smadi, PhD, RN, is an associate professor at the Faculty of Health Sciences, American University of Madaba, Madaba, Jordan. Loai Tawalbeh, PhD, RN, is an associate professor at the Princess Salma Faculty of Nursing, Al al-Bayt University, Al-Mafraq, Jordan. Ali Alshraifeen, PhD, RN, is an assistant professor at the Faculty of Nursing, Department of Adult Health Nursing, The Hashemite University, Zarqa, Jordan. Sami Al-Rawashdeh, PhD, RN, is an assistant professor at the Faculty of Nursing, Community and Mental Health Nursing Department, The Hashemite University, Zarqa, Jordan. Besher Gharaibeh, PhD, RN, is an associate professor at the Faculty of Nursing, Jordan University of Science & Technology, Irbid, Jordan.

Published: April 2021

AI Article Synopsis

  • The study investigates how coronary heart disease (CHD) patients' perceptions of their illness affect their perceived learning needs after undergoing percutaneous coronary intervention (PCI).
  • A group of 208 patients was surveyed before hospital discharge, revealing they were primarily concerned about their illness, felt low control over their treatment, and reported high learning needs.
  • Results indicated that lower perceptions of personal and treatment control, along with a higher awareness of symptoms, significantly predicted greater perceived learning needs, suggesting a need for tailored health education programs for these patients.

Article Abstract

Background: The number of coronary heart disease (CHD) patients treated with percutaneous coronary intervention (PCI) has increased. The illness perception (IP) of PCI recipients needs to be evaluated. Yet, little is known whether patients' IP predicts perceived learning needs among patients treated with PCI.

Objective: The aim of this study was to assess patients' IP and to examine its influence on perceived learning needs post PCI.

Methods: A cross-sectional design was used. A convenience sample of 208 patients who had undergone first-time PCI participated in the study. Data were collected before patients were discharged from the hospital using the Brief Illness Perception Questionnaire and the Percutaneous Coronary Intervention Learning Need Scale.

Results: Patients were highly concerned about their illness and perceived high consequences and symptoms related to CHD. They perceived low levels of personal and treatment control over their illness. Patients reported high learning needs. Multiple linear regression showed that low perception of personal control (P < .037), treatment control (P < .041), and high perception of disease symptoms (P < .018) significantly predicted high perceived learning needs.

Conclusion: Hence, the patients' IP influences perceived learning needs, which may be included in routine clinical assessments. Tailored health education programs are needed for patients treated with PCI; such a program should target patients who perceived low levels of personal and treatment control over illness and have a high perception of symptoms.

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Source
http://dx.doi.org/10.1097/DCC.0000000000000436DOI Listing

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