Key result
Post-PCI patients maintain proactive self-management, but attitudes decline despite improving knowledge after 12 months.
Why the study?
This study aimed to investigate knowledge, attitude, and practice regarding postoperative health self-management among patients undergoing percutaneous coronary intervention.
Cross-Sectional (n=500)
No
In post-PCI patients, while knowledge of self-management improves over time, patient attitudes and motivation decline after 12 months, highlighting the need for sustained long-term support.
Answers are grounded in this paper and cite their sources.
Attitude decline after 12 months may signal need for ongoing support; hypothesis-generating for strategies to sustain post-PCI motivation.
OBJECTIVES: This study aimed to investigate the knowledge, attitude and practice (KAP) regarding postoperative health self-management among patients undergoing percutaneous coronary intervention. DESIGN: A cross-sectional survey was conducted. SETTING: The study took place at Shanxi Bethune Hospital within the Department of Cardiology, encompassing both inpatient and outpatient settings. PARTICIPANTS: A total of 500 patients who had undergone coronary interventional procedures participated in the survey. INTERVENTIONS: Demographic information and KAP scores were obtained using a self-administered questionnaire. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the KAP scores, while secondary outcomes included correlations between KAP components and the duration since procedure. RESULTS: The participants were categorised based on procedure timing: 118 (23.6%) within 3 months, 130 (26.0%) within 3-6 months, 158 (31.6%) within 6-12 months and 94 (18.8%) at least 12 months postprocedure. Median KAP scores were knowledge 28 (26, 29), attitude 56 (53, 59) and practice 52 (48, 54). Positive correlations were found between knowledge and attitude (r=0.096, p<0.001), knowledge and practice (r=0.300, p<0.001) and attitude and practice (r=0.440, p<0.001). Attitude declined over time (r=-0.122, p=0.006). Knowledge scores improved, especially regarding coronary heart disease basics (p=0.032) and treatment-related items (p=0.01). CONCLUSIONS: Patients demonstrated adequate knowledge, positive attitudes and proactive practices towards postprocedure self-management. The unique contribution of this study lies in analysing four distinct postoperative time intervals, which revealed a divergence between improving knowledge and declining attitudes after 12 months. This underscores the need for sustained support, especially during the early postprocedure period (3-6 months) and for patients with lower education levels, to enhance long-term adherence and health outcomes.
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Li et al. (2026) conducted a cross-sectional in Post-percutaneous coronary intervention (n=500). Time since percutaneous coronary intervention was evaluated on Knowledge, attitude and practice (KAP) scores. Patients demonstrated adequate knowledge, positive attitudes, and proactive practices towards post-PCI self-management, with knowledge improving but attitudes declining after 12 months.
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