Pre-admission education/counselling for patients undergoing coronary angioplasty: impact on knowledge and risk factors

Abstract

This study aimed to evaluate whether a pre-procedural education/counselling program can improve knowledge and coronary risk factors in 130 patients (65 experimental; 65 comparison) approximately four months after having percutaneous transluminal coronary angioplasty (PTCA). Knowledge and physical activity levels (p = 0.00) improved for both groups from pre-PTCA to the follow-up. Further, the experimental group showed favourable change in total cholesterol level (p = 0.02) at follow-up. That participation in the intervention did not improve knowledge or risk factor prevalence may reflect the adequacy of standard ward care, the influence of factors not under the control of the study or the overall experience of PTCA. Limitations of educational programs without follow-up sessions are discussed and alternate rehabilitation approaches suggested.