Nursing Research

Running head: Angioplasty for heart attack

Research Summary
Primary angioplasty for heart attack: Mismatch between expectations and reality?

Grand Canyon University
NRS 433V Intro to Nursing Research
February 18, 2011

Angioplasty for Heart attacks, expectations and reality
The expectations and reality can be mismatched depending on the persons experience during a heart attack and the treatment received. The purpose of this paper is to provide a summary on the recent article in the Journal of Advanced Nursing, Primary angioplasty for heart attack: mismatch between expectations and reality (Astin, Closs, McLenachan, Hunter, & Priestley, 2009), in which nursing researchers documented an evaluation patient’s experience with primary angioplasty and assess their perception of their illness during early recovery.
      Percutaneous coronary intervention (PCI) has transformed the way we treat coronary artery disease. PCI is used to describe balloon angioplasty, which is where a catheter is inserted peripherally and directly into the coronary circulatory under x-ray fluoroscopy to restore coronary blood flow.   PCI has taken the place of bypass surgery as treatment for revascularization in patients with coronary artery disease. Primary PCI (P-PCI) is used to treat evolving ST elevation myocardial infarctions. There are several advantages to using P-PCI including mortality is reduced by one-third, reinfarction by half, and stroke by two-thirds.   The patient’s hospital stay is shorter by two days compared to other treatment options. There is little known about patients’ experiences of this treatment option. Recent policy’s call for clinical practice and management to be patient centered, to achieve this we need to understand their hospitalization experiences and how features of the experience influence how they make sense of their condition.
      The purpose of this study was to see how patient’s expectations compared to reality.   There is not much research...