Evaluation of the impact of educational interview for patients who have received a cardiac valvular replacement - 09/01/21
, J. Guihaire 3, 4, L. Gutermann 1
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Résumé |
Introduction |
Valvular replacement (VR) is commonly performed for severe valvular disease. Thrombosis and endocarditis represent the two main complications after VR. Patient education is essential to prevent these risks.
Purpose |
To assess the impact of an educational interview (EI) on the knowledge of patients who have benefited from VR.
Methods/Population/study design |
Adult patients with a prosthetic valve (PV), were enrolled in a prospective, controlled, monocentric study.
Intervention |
EI carried out by a pharmacist considering specific risks related to the PV and safety skills. A booklet containing essential information was given to the patient.
Intervention allocation |
The EI was conducted at baseline in the intervention group. A follow up was carried out two months after VR (M2) to assess the patients’ knowledge. The control group only benefited from follow-up at M2 without baseline EI.
Outcome measures |
The assessment of the patients’ knowledge score using a weighted survey (/100) and the patients’ satisfaction regarding the EI.
Statistics |
A T-Student test was used to compare the knowledge score between the two groups.
Results |
82 patients were included (41 per group) from June to September 2019 with a mean age of 75±12 years (57% man). Baseline characteristics were comparable between the 2 groups. At M2, the knowledge score was significantly higher in the intervention group (58±25 versus 22±19; P<0.001). A significant better awareness was observed for the need of long-term medical follow-up and for prevention infective endocarditis (dentist visits, antibiotic prophylaxis card, wound disinfection). 79% of the patients were satisfied with the EI.
Conclusion |
This study underlines the benefit of an EI on the improvement of patients’ knowledge regarding risk management and safety skills after VR. Further studies are warranted to assess long-term incidence of PV-related adverse events in this population.
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Vol 13 - N° 1
P. 127-128 - janvier 2021 Retour au numéro
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