Key result
Among 31 patients and 23 family members, same-day discharge following percutaneous coronary intervention was perceived as a preferred option due to comfort, despite some communication challenges.
Why the study?
The study explored the perceptions and experiences of PCI patients discharged the same day or kept overnight, along with their family members, regarding same-day discharge.
What are the perceptions and experiences of patients and their families regarding same-day discharge versus overnight stay following percutaneous coronary intervention?
What are the perceptions and experiences of patients and their families regarding same-day discharge versus overnight stay following percutaneous coronary intervention?
While same-day discharge after PCI is generally preferred by patients and families for convenience, improved communication and transition support are needed to address feelings of vulnerability and ensure understanding of chronic disease management.
Answers are grounded in this paper and cite their sources.
Patient preference for same-day PCI discharge may guide planning; leaves open safety validation and communication improvements in larger studies.
OBJECTIVE: To explore perceptions and experiences of patients discharged the same day (or not) and their family members towards same-day discharge following percutaneous coronary intervention. DESIGN AND METHODS: A qualitative interpretative design. Semi-structured phone interviews were conducted with consented patients who underwent percutaneous coronary intervention, and their family members (n = 23). Data were analysed using a content analysis approach. SETTING: This study was undertaken in the cardiac services department of an Australian tertiary hospital. MAIN OUTCOME MEASURES: Perceptions and experiences of same-day discharge. FINDINGS: A total of 31 patients and 23 family members were interviewed. Two categories emerged from the analysis: communication challenges with hospital staff and perceptions of same-day discharge. Family members were often not provided discharge instructions, and some same-day discharged patients felt vulnerable following discharge. When asked, most participants perceived same-day discharge as a preferred option because of its comfort and convenience. Some expressed uncertainty towards same-day discharge due to feeling anxious and apprehensive. Others misperceived same-day discharge as a signal that their heart problem was fixed without realising their underlying chronic health conditions. CONCLUSION: Most patients and family members perceived same-day discharge as a preferred option. However, strategies are needed to support their transition from hospital to home, therefore, recognising and improving their long-term disease management.
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Chen et al. (2020) studied Percutaneous coronary intervention (n=54). Same-day discharge vs. Kept overnight was evaluated on Perceptions and experiences of same-day discharge. Among 31 patients and 23 family members, same-day discharge following percutaneous coronary intervention was perceived as a preferred option due to comfort, despite some communication challenges.
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