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Patient Educ Couns. 2016 Mar;99(3):455-461. doi: 10.1016/j.pec.2015.10.007. Epub 2015 Oct 23.

Perceiving one's heart condition to be cured following hospitalization for acute coronary syndromes: Implications for patient-provider communication.

Author information

1
Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA. Electronic address: molly.waring@umassmed.edu.
2
Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA; Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01605, USA; Meyers Primary Care Institute, 425 Lake Avenue North, Worcester, MA 01605, USA. Electronic address: david.mcmanus@umassmed.edu.
3
Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01605, USA. Electronic address: stephenie.lemon@umassmed.edu.
4
Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01605, USA. Electronic address: joel.gore@umassmemorial.org.
5
Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA; Evidera, 430 Bedford Street, Suite 300, Lexington Office Park, Lexington, MA 02420, USA. Electronic address: milena.anatchkova@umassmed.edu.
6
Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA. Electronic address: richard.mcmanus@umassmed.edu.
7
Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA. Electronic address: arlene.ash@umassmed.edu.
8
Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA. Electronic address: robert.goldberg@umassmed.edu.
9
Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA. Electronic address: catarina.kiefe@umassmed.edu.
10
Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA; School of Pharmacy, Northeastern University, 360 Huntington Avenue, R218 TF, Boston, MA 02115, USA. Electronic address: j.saczynski@neu.edu.

Abstract

OBJECTIVE:

We examined the proportion of patients perceiving their heart condition to be cured following hospitalization for ACS and identified characteristics associated with these perceptions.

METHODS:

We conducted a prospective cohort study of adults hospitalized with ACS (N=396). Patient interviews during hospitalization and one week post-discharge provided demographic and psychosocial characteristics. Medical records provided clinical characteristics. At one week, patients who rated "My heart condition is cured" as "definitely true" or "mostly true" were considered to perceive their heart condition cured.

RESULTS:

Participants were aged 60.7 (SD:11.0) years, 26.5% female, and 89.0% non-Hispanic white; 16.7% had unstable angina, 59.6% NSTEMI, and 23.7% STEMI. One week post-discharge, 30.3% perceived their heart condition to be cured. Characteristics associated with cure perceptions were older age (OR=2.2; 95% CI: 1.2-4.0 for ≥65 years vs <55 years), male sex (OR=2.4; 95%CI: 1.3-4.2), history of hypertension (OR=1.8; 95%CI: 1.1-3.1), history of stroke (OR=4.2; 95%CI: 1.1-16.7), no history of CHD (OR=2.8; 95%CI: 1.6-4.9), and receipt of CABG during hospitalization (OR=4.8, 95%CI: 1.9-12.0 vs medical management).

CONCLUSION:

One week post-discharge, 3 in 10 patients perceived their heart condition to be cured.

PRACTICE IMPLICATIONS:

Conversations with patients should frame ACS as a chronic disease and dispel cure perceptions.

KEYWORDS:

Acute coronary syndromes; Cure perceptions

PMID:
26519237
PMCID:
PMC4779389
[Available on 2017-03-01]
DOI:
10.1016/j.pec.2015.10.007
[Indexed for MEDLINE]
Free PMC Article

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