Role of patient education in the perception and acceptance of home monitoring after recent implantation of cardioverter defibrillators: the EDUCAT study.

Autor: Laurent G; Service de rythmologie et d'insuffisance cardiaque, centre hospitalier universitaire Le Bocage, 2, boulevard de Lattre-Tassigny, BP 77908, 21079 Dijon cedex, France. Electronic address: gabriel.laurent@chu-dijon.fr., Amara W; Centre hospitalier intercommunal de Montfermeil, Montfermeil, France., Mansourati J; Hôpital de la Cavale-Blanche, Brest, France., Bizeau O; Centre hospitalier régional Orléans-La-Source, Orléans, France., Couderc P; Clinique cardiologique d'Aressy, Aressy, France., Delarche N; Centre hospitalier de Pau, Pau, France., Garrigue S; Clinique Saint-Augustin, Bordeaux, France., Guyomar Y; Centre hospitalier Saint-Philibert, Lomme, France., Hermida JS; Centre hospitalier universitaire d'Amiens, Amiens, France., Moïni C; Hôpital privé d'Antony, Antony, France., Popescu E; Centre hospitalier Jacques-Monod, Le Havre, France.
Jazyk: angličtina
Zdroj: Archives of cardiovascular diseases [Arch Cardiovasc Dis] 2014 Oct; Vol. 107 (10), pp. 508-18. Date of Electronic Publication: 2014 Sep 11.
DOI: 10.1016/j.acvd.2014.06.009
Abstrakt: Background: Much attention is being paid to the education of and provision of medical information to patients, to optimize their understanding and acceptance of their disease.
Aims: To ascertain the impact of educating recent recipients of an implantable cardioverter defibrillator (ICD) on their perception and acceptance of a home monitoring (HM) system.
Methods: Questionnaire 1, completed one month after ICD implantation, was designed to assess: the quality of patient preparation for HM; patient comprehension of HM; and patient anxiety experienced during its installation. The comprehension questions were assigned a score of -2 for an incorrect answer, +1 for a correct answer and 0 for neither (total score ranging from -40 to +20). Questionnaire 2, completed six months after ICD implantation, assessed patient acceptance of and anxiety about HM.
Results: The registry included 571 patients (mean age 63.9±12.8 years; 83% men; 76% of ICDs implanted for primary prevention) followed by HM for 6.2±1.2 months. Questionnaire 1 was completed by 430 (75.3%) patients and questionnaire 2 by 398 (69.7%) patients. Younger patients had a better comprehension of HM than older patients. High-quality training conditions improved the comprehension score, and a positive association was observed between anxiety and acceptance levels and the comprehension score. The 80±20% mean data transmission rate (days of transmission/days of follow-up ratio) was unrelated to the comprehension scores.
Conclusion: A clear understanding was associated with a higher acceptance of HM, although it was unrelated to the data transmission rate.
(Copyright © 2014 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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