Abstract 20263: Improving Symptom Recognition and Symptom Interpretation in Women Who Have Experienced an Acute Coronary Syndrome Event: Results of a Feasibility Study Testing a Nurse-Delivered Educational and Skill Building Intervention
Introduction: The type of symptoms a woman experiences during an acute coronary syndrome (ACS) event influences symptom recognition and interpretation. Women who experience intense, abrupt, “typical” symptoms are more likely to correctly attribute symptoms to a cardiac etiology and seek care in a timely manner. However women with less intense, intermittent, evolving symptoms have greater difficulty recognizing and interpreting symptoms and thus delay seeking medical attention.
Purpose: A single group pre- post- test design was used to evaluate the feasibility and acceptability of a nurse-delivered intervention designed to improve symptom recognition and interpretation in women with recurrent ACS symptoms.
Method: Women who had been hospitalized for an ACS event received a personalized education and skill building intervention that was conceptually framed by the investigator’s prior research. Three in-person sessions were followed by 2 phone sessions for reinforcement. Outcomes and acceptability were evaluated at a close out visit approximately 2 months after the index event.
Results: All but one woman who was approached about the study agreed to participate. Nine of the 10 women enrolled completed all study sessions and data collection within an average of 55 days. Mean knowledge scores increased by 7.4% as measured by the ACS Response Index. Attitudes towards symptom recognition and help-seeking increased by 2.4 while beliefs towards expectations and actions increased by 3.2. In addition, the women were highly pleased with the intervention with satisfaction scores averaging 1.39 on a 4 point Likert Scale with “1” as “strongly agree” and “4” as “strongly disagree”. All nine women who completed the study stated they would recommend other women join the study.
Conclusion: The intervention was feasible and acceptable to the women in the study. Results support further testing and refinement of the intervention in a longitudinal randomized control to determine efficacy and sustainability of the intervention.
- Cardiovascular nursing
- Acute coronary syndromes
- Nursing patient education
- Patient education/teaching psychosocial aspects
- Symptom management
Author Disclosures: L.L. Davis: Research Grant; Modest; Sigma Theta Tau International. Other Research Support; Modest; Grant P20MD002289 (Wallace, PI) from NIMHD/NIH.
- © 2016 by American Heart Association, Inc.