Hispanic patients in the United States had increased incidence of cardiovascular disease as compared to non-Hispanic whites. The purpose of this project was to implement an evidence-based educational program to improve the health knowledge of adult Hispanic patients who have had percutaneous coronary intervention (PCI) living in a community in the desert southwest. An educational improvement program on medication comprehension was in need to improve the healthcare continuum for adult Hispanics at risk post-PCI. Non-adherence to dual anti-platelet therapy (DAPT) could have resulted in stent thrombosis, a potentially fatal event. The human caring theory and the cultural care theory were the theoretical frameworks for this project. Adult Hispanic patients at a cardiac catheterization lab in the southern United States near the border were screened and 12 out of 33 eligible patients were enrolled. The questionnaires were conducted pre-procedure, followed by an investigator administered educational program. The same questionnaire was given to post-PCI patients prior to discharge to measure improvement in knowledge post-education. There was a statistically significant difference in the pre-/post-education scores following the education program with a p-value of < 0.05. This improved understanding could increase medication adherence to DAPT medication for post-PCI patients, thereby reducing morbidity and mortality for these patients by reducing stent thrombosis rates. Inexpensive and highly efficacious, education should be emphasized as part of any procedural preparation.
|Advisor:||Zeimendorf, Amanda, Johnston, Joyce|
|School:||Grand Canyon University|
|Department:||College of Nursing and Health Care Professions|
|School Location:||United States -- Arizona|
|Source:||DAI-A 80/05(E), Dissertation Abstracts International|
|Subjects:||Medicine, Health education, Hispanic American studies|
|Keywords:||Adherence, Cardiac catheterization, Coronary intervention, Dual anti-platelet therapy, Hispanic, Medication|
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