Knowledge and attitude toward postoperative antithrombotic management and prevention in patients with coronary revascularization: a cross-sectional study

Chunlu Liu; Haijun Zhang; Liming Yang; Lihua Chen; Changhao Zu; Fangfang Wang; Yunjia Dai; Haiyan Zhao

doi:10.3389/fcvm.2024.1388164

Knowledge and attitude toward postoperative antithrombotic management and prevention in patients with coronary revascularization: a cross-sectional study

Front Cardiovasc Med. 2024 May 17:11:1388164. doi: 10.3389/fcvm.2024.1388164. eCollection 2024.

Authors

Chunlu Liu^#¹, Haijun Zhang^#¹, Liming Yang², Lihua Chen¹, Changhao Zu¹, Fangfang Wang¹, Yunjia Dai¹, Haiyan Zhao¹

Affiliations

¹ Department of Cardiology, Kailuan General Hospital, Tangshan, China.
² Department of Cardiology, Tangshan Gongren Hospital, Tangshan, China.

^# Contributed equally.

Abstract

Background: This study aimed to explore the knowledge and attitude (KA) toward postoperative antithrombotic management and prevention among coronary artery disease (CAD) patients who underwent coronary revascularization.

Methods: This cross-sectional study enrolled CAD outpatients and inpatients between May and December 2023 at Kailuan Medical Group at Tangshan. Basic demographic characteristics and KA scores were collected through a self-made questionnaire.

Results: This study included 523 valid questionnaires. The mean knowledge and attitude scores were 13.20 ± 6.20 (range: 0-26) and 43.68 ± 6.01 (range: 21-50), respectively, indicating poor knowledge and favorable attitude. Multivariable logistic regression analysis showed that junior high school education (OR = 2.160, P = 0.035), high school or technical school education (OR = 2.356, P = 0.039), and monthly average income >5,000 RMB (OR = 3.407, P = 0.002) were independently associated with knowledge. Knowledge (OR = 1.095, P = 0.002), BMI ≥ 24.0 kg/m² (OR = 0.372, P = 0.011), junior high school (OR = 3.699, P = 0.002), high school or technical school (OR = 2.903, P = 0.028), high associate degree or above education (OR = 6.068, P = 0.014), monthly average income 3,000-5,000 RMB (OR = 0.296, P = 0.005), monthly average income > 5,000 RMB (OR = 0.225, P = 0.021), with hypertension (OR = 0.333, P = 0.003), blood tests every 2-3 weeks (OR = 10.811, P = 0.011), blood tests every month (OR = 4.221, P = 0.024), and blood tests every 2-3 months (OR = 3.342, P = 0.033) were independently associated with attitude.

Conclusion: CAD patients who underwent coronary revascularization had poor knowledge but favorable attitudes toward postoperative antithrombotic management and prevention. The study underscores the need for targeted education, especially for individuals with lower education and income levels, ultimately improving patient compliance and cardiovascular outcomes.

Keywords: antiplatelet drugs; attitude; cross-sectional study; knowledge; myocardial infarction.

Grants and funding

The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.