Cargando…

Exploring patient‐reported outcomes following percutaneous coronary intervention: A qualitative study

BACKGROUND: Percutaneous coronary intervention (PCI) is a common cardiac procedure used to treat obstructive coronary artery disease. Patient‐centred care is a priority in cardiovascular health having been shown to increase patient satisfaction, engagement with rehabilitation activities and reduce a...

Descripción completa

Detalles Bibliográficos
Autores principales: Ayton, Darshini R., Barker, Anna L., Peeters, Geeske M. E. E., Berkovic, Danielle E., Lefkovits, Jeffrey, Brennan, Angela, Evans, Sue, Zalcberg, John, Reid, Christopher, Stoelwinder, Johannes (Just), McNeil, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5867323/
https://www.ncbi.nlm.nih.gov/pubmed/29130585
http://dx.doi.org/10.1111/hex.12636
_version_ 1783308948658454528
author Ayton, Darshini R.
Barker, Anna L.
Peeters, Geeske M. E. E.
Berkovic, Danielle E.
Lefkovits, Jeffrey
Brennan, Angela
Evans, Sue
Zalcberg, John
Reid, Christopher
Stoelwinder, Johannes (Just)
McNeil, John
author_facet Ayton, Darshini R.
Barker, Anna L.
Peeters, Geeske M. E. E.
Berkovic, Danielle E.
Lefkovits, Jeffrey
Brennan, Angela
Evans, Sue
Zalcberg, John
Reid, Christopher
Stoelwinder, Johannes (Just)
McNeil, John
author_sort Ayton, Darshini R.
collection PubMed
description BACKGROUND: Percutaneous coronary intervention (PCI) is a common cardiac procedure used to treat obstructive coronary artery disease. Patient‐centred care is a priority in cardiovascular health having been shown to increase patient satisfaction, engagement with rehabilitation activities and reduce anxiety. Evidence indicates that patient‐centred care is best achieved by routine collection of patient‐reported outcomes (PROs). However, existing patient‐reported outcome measures (PROMs) have limited the patient involvement in their development. AIMS: To identify and explore outcomes, patients perceive as important following PCI. METHODS: A qualitative design was adopted. Eight focus groups and five semi‐structured interviews were conducted with 32 patients who had undergone PCI in the previous 6 months. Outcomes were identified and mapped under the U.S. Food and Drug Administration (FDA) patient‐reported outcome (PROs) domains of feeling (physical and psychological outcomes), function and evaluation. Inductive and deductive analysis methods were used with open, axial and thematic coding. RESULTS: Consistent with prior studies, patients identified feeling and function outcomes such as reductions in physical and psychological symptoms and the ability to perform usual activities as important. Participants also identified a range of new outcomes, including confidence to return to usual activities and evaluation domains such as adverse effects of medications and the importance of patient communication. CONCLUSION: The findings of this research should be considered in the design of a cardiac PROM for PCI patients. A PROM which adequately assesses these outcomes can provide clinicians and hospital staff with a foundation in which to address these concerns or symptoms.
format Online
Article
Text
id pubmed-5867323
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-58673232018-04-01 Exploring patient‐reported outcomes following percutaneous coronary intervention: A qualitative study Ayton, Darshini R. Barker, Anna L. Peeters, Geeske M. E. E. Berkovic, Danielle E. Lefkovits, Jeffrey Brennan, Angela Evans, Sue Zalcberg, John Reid, Christopher Stoelwinder, Johannes (Just) McNeil, John Health Expect Original Research Papers BACKGROUND: Percutaneous coronary intervention (PCI) is a common cardiac procedure used to treat obstructive coronary artery disease. Patient‐centred care is a priority in cardiovascular health having been shown to increase patient satisfaction, engagement with rehabilitation activities and reduce anxiety. Evidence indicates that patient‐centred care is best achieved by routine collection of patient‐reported outcomes (PROs). However, existing patient‐reported outcome measures (PROMs) have limited the patient involvement in their development. AIMS: To identify and explore outcomes, patients perceive as important following PCI. METHODS: A qualitative design was adopted. Eight focus groups and five semi‐structured interviews were conducted with 32 patients who had undergone PCI in the previous 6 months. Outcomes were identified and mapped under the U.S. Food and Drug Administration (FDA) patient‐reported outcome (PROs) domains of feeling (physical and psychological outcomes), function and evaluation. Inductive and deductive analysis methods were used with open, axial and thematic coding. RESULTS: Consistent with prior studies, patients identified feeling and function outcomes such as reductions in physical and psychological symptoms and the ability to perform usual activities as important. Participants also identified a range of new outcomes, including confidence to return to usual activities and evaluation domains such as adverse effects of medications and the importance of patient communication. CONCLUSION: The findings of this research should be considered in the design of a cardiac PROM for PCI patients. A PROM which adequately assesses these outcomes can provide clinicians and hospital staff with a foundation in which to address these concerns or symptoms. John Wiley and Sons Inc. 2017-11-12 2018-04 /pmc/articles/PMC5867323/ /pubmed/29130585 http://dx.doi.org/10.1111/hex.12636 Text en © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research Papers
Ayton, Darshini R.
Barker, Anna L.
Peeters, Geeske M. E. E.
Berkovic, Danielle E.
Lefkovits, Jeffrey
Brennan, Angela
Evans, Sue
Zalcberg, John
Reid, Christopher
Stoelwinder, Johannes (Just)
McNeil, John
Exploring patient‐reported outcomes following percutaneous coronary intervention: A qualitative study
title Exploring patient‐reported outcomes following percutaneous coronary intervention: A qualitative study
title_full Exploring patient‐reported outcomes following percutaneous coronary intervention: A qualitative study
title_fullStr Exploring patient‐reported outcomes following percutaneous coronary intervention: A qualitative study
title_full_unstemmed Exploring patient‐reported outcomes following percutaneous coronary intervention: A qualitative study
title_short Exploring patient‐reported outcomes following percutaneous coronary intervention: A qualitative study
title_sort exploring patient‐reported outcomes following percutaneous coronary intervention: a qualitative study
topic Original Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5867323/
https://www.ncbi.nlm.nih.gov/pubmed/29130585
http://dx.doi.org/10.1111/hex.12636
work_keys_str_mv AT aytondarshinir exploringpatientreportedoutcomesfollowingpercutaneouscoronaryinterventionaqualitativestudy
AT barkerannal exploringpatientreportedoutcomesfollowingpercutaneouscoronaryinterventionaqualitativestudy
AT peetersgeeskemee exploringpatientreportedoutcomesfollowingpercutaneouscoronaryinterventionaqualitativestudy
AT berkovicdaniellee exploringpatientreportedoutcomesfollowingpercutaneouscoronaryinterventionaqualitativestudy
AT lefkovitsjeffrey exploringpatientreportedoutcomesfollowingpercutaneouscoronaryinterventionaqualitativestudy
AT brennanangela exploringpatientreportedoutcomesfollowingpercutaneouscoronaryinterventionaqualitativestudy
AT evanssue exploringpatientreportedoutcomesfollowingpercutaneouscoronaryinterventionaqualitativestudy
AT zalcbergjohn exploringpatientreportedoutcomesfollowingpercutaneouscoronaryinterventionaqualitativestudy
AT reidchristopher exploringpatientreportedoutcomesfollowingpercutaneouscoronaryinterventionaqualitativestudy
AT stoelwinderjohannesjust exploringpatientreportedoutcomesfollowingpercutaneouscoronaryinterventionaqualitativestudy
AT mcneiljohn exploringpatientreportedoutcomesfollowingpercutaneouscoronaryinterventionaqualitativestudy