Symptom Experience and Symptom Management of Post Percutaneous Coronary Intervention among Patients with Coronary Artery Disease

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Wattikorn Munjit
Rapin Polsook


            The objective of the descriptive comparative research was to explore symptom experience and symptom management of post percutaneous coronary intervention among patients with coronary artery disease. A total of 423 patients with coronary artery disease post percutaneous coronary intervention were selected from the cardiology outpatient department in tertiary public hospitals, Bangkok. Research instruments consisted of the Demographic data form, Symptom Experience questionnaires, and Symptom Management questionnaires. Their KR-20 and Cronbach’s alpha coefficients of symptom experience questionnaires in 4 dimensions; presence, frequency, severity and distress were 0.85, 0.85, 0.87 and 0.86, respectively, and the symptom management questionnaires in using effective dimension were 0.90 and 0.91, respectively. Data were analyzed using descriptive statistics, Independent t-test, and one-way ANOVA. The findings were presented as follows:
            Symptom of post percutaneous coronary intervention was 52.7%. The most commonly reported symptom was fatigue (67.7%). Legs swelling was found to be the most frequent symptom ( ± SD = 3.13 ± 1.19), and poor appetite was found to be the most severe and distressing symptom ( ± SD = 3.05 ± .97, and 3.05 ± .97, respectively). Rest (sitting and lying down) can be best used for fatigue management (86.1%) ( ± SD = 4.05 ± 0.96). Gender was the only variable that significantly differ from the symptom experience at a p-value of .05 (t = 2.59, df = 100.49, p = .01)


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Benjamin EJ, Muntner P, Bittencourt MS. Heart disease and stroke statistics-2019 update: a report from the American Heart Association. Circulation 2019;139(10):e56-e528.

Virani SS, Alonso A, Aparicio HJ, Benjamin EJ, Bittencourt MS, Callaway CW, et al. Heart disease and stroke statistics 2021 update: a report from the American Heart Association. Circulation: Cardiovascular Quality Outcomes; 2021: CIR.0000000000000950.

ICT MOPH. Mortality rate Cardiovascular disease 2020. Nonthaburi: Office of the permanent secretary of MOPH; 2020. (in Thai).

The Heart Association of Thailand under the Royal Patronage of H.M. The King. Thai acute coronary syndromes guidelines 2020. Bankok: Nextstep D-sign Limited Partnership; 2020. (in Thai).

Piva CD, Vaz E, Moraes MAG, Silvia, Linch nFdC, Souza ENd. Discomfort reported by patients after cardiac catheterization using the femoral or radial approaches. Revista Brasileira de Cardiologia Invasiva 2014;22(1):36-40.

Barker AL, Peeters G, Morello RT, Norman R, Ayton D, Lefkovits J, et al. Symptoms and feelings valued by patients after a percutaneous coronary intervention: a discrete-choice experiment to inform development of a new patient-reported outcome. BMJ open 2018;8(10):e023141.

Thanakitworabool J. Recovery health behavior patient with post acute myocardial infarction. [Master’s Thesis, Faculty of Nursing]: Christian University of Thailand; 2011. (in Thai).

Chang CC, Chen YC, Ong ET, Chen WC, Chang CH, Chen KJ, et al. Chest pain after percutaneous coronary intervention in patients with stable angina. Clinical Interventions in Aging 2016;11:1123.

Qintar M, Grantham JA, Sapontis J, Gosch KL, Lombardi W, Karmpaliotis D, et al. Dyspnea among patients with chronic total occlusions undergoing percutaneous coronary intervention: prevalence and predictors of Dyspnea among patients with chronic total occlusions undergoing percutaneous coronary intervention: prevalence and predictors of improvement. Circulation: Cardiovascular Quality Outcomes 2017;10(12):e003665.

Méa D, Pilla C, Bettinelli LA, Pasqualotti A. Anxiety and depression symptoms in adults and elderly in post-percutaneous coronary intervention. Acta Colombiana de Psicología 2018;21(2):236-57.

Phromsont W, Aungsuroch Y, Polsook R. Factors predicting depression among post-acute myocardial infarction patients. Royal Thai Navy Medical Journal 2019;46(3):592-606. (in Thai).

Iverson A, Stanberry L, Garberich R, Antos A, Sandoval Y, Burke MN, et al. Impact of sleep deprivation on the outcomes of percutaneous coronary intervention 2018;92(6):1118-25.

Dodd M, Janson S, Facione N, Faucett J, Froelicher ES, Humphreys J, et al. Advancing the science of symptom management. J Adv Nurs 2001;33(5):668-76.

Suksamai J, Nipatsiripol Y, Daengsri T,Samai T. A clinical nursing practice guideline on reducing back pain in patients after PCI. Siriraj Nursing Journal 2011;4(1):56-64. (in Thai).

Suwanratsamee W. Symptom experiences, symptom management, and functional status in patients with heart failure. [Master’s Thesis, Faculty of Nursing]. Mahidol University; 2012. (in Thai).

Phaisantum P, Duangpaeng S, Kunsongkeit W. Experiences of lifestyle modification among patient with acute myocardial infarction post Coronary stent placement. Thai Journal of Cardio-Thoracic Nursing 2018;29(1):96-109. (in Thai).

Su SF, Liao YC, Wu MS. Age and pain as predictors of discomfort in patients undergoing transfemoral percutaneous coronary interventions. Heart & Lung 2018;47(6):576-83.

Ayton DR, Barker AL, Peeters GM, Berkovic DE, Lefkovits J, Brennan A, et al. Exploring patient-reported outcomes following percutaneous coronary intervention: a qualitative study. Health Expectations 2018;21(2):457-65.

Ben-Yehuda O, Kazi DS, Bonafede M, Wade SW, Machacz SF, Stephens LA, et al. Angina and associated healthcare costs following percutaneous coronary intervention: a real-world analysis from a multi-payer database. Catheterization Cardiovascular Interventions 2016;88(7):1017-24.

Aldwin CM, Igarashi H, Gilmer DF, Levenson MR. Health, illness, and optimal aging: biological and psychosocial perspectives: Springer Publishing Company; 2017.

Dabbagh A. Postoperative pain management in adult cardiac surgery. In: Dabbagh A, Esmailian F, Aranki S, editors. Postoperative critical care for adult cardiac surgical patients 2nd ed. Cham: Springer International Publishing; 2018. p. 527-63.

Aroonsan P. Cardiovascular nursing. 11th ed. Khon Kaen: Klungnana Vitthaya Press; 2017. (in Thai).

Cochran WG. Sampling techiques. New York: John Wiley & Sons; 1977.

Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E. Braunwald's heart disease: a textbook of cardiovascular medicine. 11th ed. Philadelphia: Elsevier Health Sciences; 2019.

Farzam K, Jan A. Beta blockers. Treasure Island (FL): StatPearls Publishing LLC.; 2021.

Soh SE, Barker AL, Ayton DR, Ahern S, Morello R, Lefkovits J, et al. What matters most to patients following percutaneous coronary interventions? a new patient-reported outcome measure developed using Rasch analysis. PloS one 2019;14(9):e0222185.

Ritpetch N. Relationships among symptom clusters, self – management, health value, sense of coherence, and health - related quality of life in patients with percutaneous coronary intervention. [Master’s Thesis, Faculty of Nursing]. Chulalongkorn University; 2012. (in Thai).

Jing YY, Luan DC, Li LD. Vagal baroreflex activation resulting in acute coronary stent thrombus associated with myocardial infarction: a case report. J BMC Cardiovascular Disorders 2014;14(1):131.

Davis MP, Walsh D. Mechanisms of fatigue. J Support Oncol 2010;8(4):164-74.

Kronkasem A, Wattanakitkrileart D, Pongthavornkamol K, Kanoksin A. Fatigue experience, symptom management strategies, and functional status in patients with congestive heart failure. Journal of Nursing Science 2014;32(4):35-42. (in Thai).

Eltumi HG, Tashani OA. Effect of age, sex and gender on pain sensitivity: a narrative review. The Open Pain Journal 2017;10(1).

Orem DE, Taylor SG, Renpenning KM. Nursing concepts of practice. 5th ed. St. Louis : Mosby; 1995.