Key result
Long-term post-PCI self-management remains moderate or poor, particularly among men and less educated patients.
Why the study?
Self-management plays an important role in health outcomes following PCI, but there is a lack of research on self-management status at the long-term stage after PCI in Chinese patients with CHD.
Cross-Sectional
No
Long-term self-management in Chinese patients >2 years post-PCI is only average, highlighting the need for targeted secondary prevention education, particularly for males and those with lower education.
Answers are grounded in this paper and cite their sources.
Highlights potential gaps in sustained post-PCI self-management; leaves open whether targeted education improves outcomes in men and less-educated patients.
BACKGROUND: The self-management of risk reduction in coronary heart disease (CHD) plays an important role in mediating health outcomes following percutaneous coronary intervention (PCI), but there is a lack of research on self-management status in the long-term stage after PCI in Chinese patients with CHD. Hence, this study investigated the self-management status in the long-term stage (>2 years) after PCI in patients with CHD. The results could provide a reference for the development of targeted interventions. METHODS: This cross-sectional study administered a questionnaire survey on self-management in patients with CHD who underwent PCI (convenience sampling) and had been discharged from our medical center for >2 years, excluding the patients with severe hepatic or renal dysfunction or tumor. Data about cardiovascular risk factors, including body mass index (BMI), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), and self-management status, were collected. The Coronary Artery Disease Self-Management Scale (CSMS) was used to assess patient self-management. RESULTS: The total CSMS score was 69.5±11.0, suggesting that the patients' self-management level was average. The scores for life management, emotion management, and disease management were 87.4±9.7, 77.6±7.7, and 57.5±11.0, respectively. Significant differences were noted in the patients' self-management scores according to occupation, education level, residence, and sex (all P<0.05). The self-management ability of farmers, primary school-educated, and male participants was relatively low. Moreover, cardiovascular risk factors were positively correlated with the emotion and disease management scores. CONCLUSIONS: CHD patients' self-management status in the long-term stage after PCI was moderate or poor. Medical staff should provide targeted guidance and education (for example, effective guidance on smoking cessation, first aid training, repeated disease education, and use of electronic devices to improve medication compliance) to improve the self-management level for the secondary prevention of CHD.
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Zhu et al. (2022) conducted a cross-sectional in Coronary heart disease post-PCI. Self-management assessment was evaluated on Total Coronary Artery Disease Self-Management Scale (CSMS) score.
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