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Dissertation/Thesis Abstract

Education of Anti-Platelet Medication to Improve Adherence for the Hispanic Patient Post Percutaneous Coronary Intervention
by Terrones, Tracy Lee, D.N.P., Grand Canyon University, 2018, 128; 13425392
Abstract (Summary)

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.

Indexing (document details)
Advisor: Zeimendorf, Amanda, Johnston, Joyce
Commitee: Wiley, Luz
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
Publication Number: 13425392
ISBN: 978-0-438-77385-1
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