PERCEIVED SIDE-EFFECTS AND BENEFITS OF CORONARY ANGIOPLASTY IN THE EARLY RECOVERY PERIOD

OBJECTIVE: To examine patients' perceptions of the side effects and th e treatment benefit of percutaneous transluminal coronary angioplasty (PTCA) in the early postdischarge recovery period, and to determine wh ether selected demographic and clinical variables were associated with perceptions of side effects and treatment benefit. DESIGN: Descriptiv e, correlational study. SAMPLE: Convenience sample of 62 subjects, wit h a mean age of 62 years (SD 11 years), 77% of whom were men, who had undergone successful, elective PTCA. RESULTS: Fifty-two percent of sub jects reported side effects 2 weeks after PTCA. The most frequently re ported side effect (22.5%) was discomfort in the groin site. Seventy-n ine percent of subjects reported PTCA made things better, and 5% repor ted that PTCA made things worse. The most commonly reported benefit of PTCA was relief of chest pain. Age, sex, and a history of previous PT CA were not related to reported side effects or reported benefits. Sub jects who experienced chest pain since the time of hospital discharge were less likely to report that PTCA was beneficial. CONCLUSION: More emphasis should be placed on helping patients who are candidates for a PTCA to predict and to manage treatment side effects and to have real istic expectations concerning the trajectory of recovery from PTCA. Fu rther research is needed to examine the impact of patients' uncertaint y concerning treatment benefit or perceptions of no treatment benefit in the early recovery period on intermediate and long-term PTCA recove ry outcomes.