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OBJECTIVES. To identify the learning needs of patients with cardiac disease and the aspects of the disease and anesthetic and surgical procedures about which Brazilian patients have the greatest gaps in knowledge.
METHODS. Eighty preoperative patients answered a General Evaluation Questionnaire, a Questionnaire to Evaluate Patient Knowledge, and the Mini-Mental State Exam.
FINDINGS. Fifty-nine patients had learning needs. More than 50% of the patients were mistaken or unable to answer questions about the disease, and the goals of and type of surgery to be performed and anesthesia to be used.
CONCLUSIONS. Most patients had poor performance on the questionnaire that assessed their knowledge about coronary artery disease and its treatment.
PRACTICE IMPLICATIONS. This study can contribute to health professionals' assessment of patients' knowledge.
Search terms: Coronary disease, knowledge, nursing, patient care, process assessment
OBJETIVOS. Identificar as necessidades de aprendizagem de pacientes com doença cardíaca e os aspectos da doença arterial coronariana e da revascularização do miocárdio do nos quais os pacientes brasileiros apresentam conhecimento deficiente.
MÉTODO. Oitenta pacientes responderam o Questionário para avaliação geral, o Questionário para avaliar o conhecimento e o Mini-Exame do Estado Mental.
RESULTADOS. Cinqüenta e nove pacientes apresentaram necessidade de aprendizagem. Mais de 50% dos pacientes erraram ou não souberam responder as questões referentes ao nome da doença, aos sinais e sintomas de complicação da doença, aos objetivos e tipo de cirurgia e anestesia.
CONCLUSÃO. Muitos pacientes nao apresentaram bom desempenho no questionãrio para medir conhecimento em relação à Doença Arterial Coronária e seu tratamento.
IMPLICAÇÕES PRÁTICAS. Este estudo poderá contribuir para a avaliação do conhecimento dos pacientes por profissionais da saúde.
Palavras-chave: Assistência ao paciente, avaliação de processos, conhecimento, doença das coronárias, enfermagem
© (2010) The Authors, Journal compilation © (2010)
NANDA International
doi: 10.1111/j.1744-618X.2010.01155.X
Introduction
Coronary artery disease (CAD) is a serious disease, and the prevention of complications associated with CAD depends largely on the control of modifiable risk factors (Centers for Disease Control and Prevention [CDC], 2005). Controlling these factors requires behavioral and lifestyle changes that, in turn, are achieved through patient education and knowledge. Various studies have shown the importance of patients' knowledge about a disease and its treatment and their educational level in influencing the effectiveness of self-care behaviors and therapeutic compliance (Artinian, Magnan, Sloan,...