Key result
Greater illness acceptance correlates moderately with higher hospital discharge readiness in post-PCI patients.
Why the study?
Patient education is essential to prevent recurrent cardiovascular events and reduce mortality after MI, prompting evaluation of how post-MI hospital discharge readiness associates with illness acceptance and sociodemographic or clinical factors.
Cross-Sectional (n=102)
No
Nearly half of patients discharged after myocardial infarction and PCI have low readiness for hospital discharge, which is strongly associated with lower acceptance of illness, older age, lower education, and lack of family support.
Answers are grounded in this paper and cite their sources.
May inform discharge planning after PCI for MI; cross-sectional data leaves open whether acceptance interventions improve readiness.
Myocardial infarction (MI) is a common cause of cardiovascular deaths. Education of patients with myocardial infarctions essential to prevent further cardiovascular events and reduce the risk of mortality. The study aimed to evaluate the associations between patients' readiness for hospital discharge after myocardial infarction, acceptance of illness, social, demographic, and clinical factors. The study used a cross-sectional design and included 102 patients, who were hospitalized for myocardial infarction after percutaneous coronary intervention (PCI). Two questionnaires were used: The Readiness for Hospital Discharge After Myocardial Infarction Scale (RHD-MIS) and Acceptance of Illness Scale (AIS). Low readiness characterized nearly half of patients (47.06%), 27.45% of patients showed an intermediate level of readiness, while 25.49% of patients had high readiness. Readiness for hospital discharge was higher among younger patients, respondents living in relationships, living with a family, with tertiary or secondary education, and professionally active. Acceptance of illness was higher among male patients, respondents living in relationships, and family, with secondary education and professionally active. The AIS score positively correlated with readiness for hospital discharge.
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Hydzik et al. (2021) conducted a cross-sectional in Myocardial infarction treated with percutaneous coronary intervention (n=102). Acceptance of illness (AIS score), demographic, and clinical factors was evaluated on Readiness for hospital discharge assessed by The Readiness for Hospital Discharge After Myocardial Infarction Scale (RHD-MIS) (p=<0.001). Acceptance of illness positively correlated with readiness for hospital discharge among post-PCI myocardial infarction patients, of whom 47.06% had low readiness.
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