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Allvarliga brister i rådgivning till koronarsjuka patienter efter ballongvidgning: patienter undervärderar levnadsvanors betydelse, visar enkätstudie
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Uppsala University, Sweden.
PCI-Centrum, Sweden.
Falu hospital, Sweden.
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2014 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 111, no 42Article in journal (Refereed) Published
Abstract [en]

In a questionnaire 1073 patients from 29 randomly selected Swedish hospitals who had undergone percutaneous coronary intervention (PCI) were asked what they considered to be the cause of their coronary disease, how they experienced the information given by the medical staff and in which way had they adopted a heart-healthy lifestyle. The main outcomes were; A majority attributed the cause of the disease to non-modifiable factors, i.e. age and heredity. Merely one in four patients had perceived the information in a correct way: they still carried the coronary disease and needed to adapt their lifestyle. Half of the patient population had increased their physical activity and likewise merely half had changed their food habits. Half of the tobacco users had quit after PCI. Thus the results of this study shows that there is ample space for improving the present care of post-PCI patients.

Abstract [sv]

En enkätstudie gjordes bland 1 073 koronarsjuka patienter från 29 slumpvis utvalda sjukhus med frågor om vad man ansåg orsakade sjukdomen, hur information från sjukvården uppfattades och om man förändrat levnadsvanorna efter ballongvidgningen (PCI). 

Det finns en anmärkningsvärd brist på kunskap om betydelsen av levnadsvanor för förbättrad hjärt–kärlhälsa: majoriteten tror att sjukdomen orsakas främst av faktorer som inte kan påverkas, som ärftlighet och ålder. 

Endast var fjärde patient har uppfattat informationen de fick på sjukhuset på ett riktigt sätt: att de fortfarande hade en hjärt–kärlsjukdom och att de behövde ändra sina levnadsvanor. 

Hälften av patienterna hade ökat den fysiska aktiviteten och hälften hade ändrat matvanorna. Bland tobaksbrukare hade hälften slutat efter PCI.  

Studiens resultat motiverar ett genomgripande förbättringsarbete inom eftervården vid akuta hjärthändelser.

Place, publisher, year, edition, pages
2014. Vol. 111, no 42
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:lnu:diva-59181Scopus ID: 2-s2.0-84908274630OAI: oai:DiVA.org:lnu-59181DiVA, id: diva2:1057696
Available from: 2016-12-19 Created: 2016-12-19 Last updated: 2019-08-27Bibliographically approved

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