Sublingual Nitroglycerine Practices in Patients with Coronary Artery Disease in Australia

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dc.contributor.author Gallagher Robyn en_US
dc.contributor.author Belshaw Julie en_US
dc.contributor.author Kirkness Ann en_US
dc.contributor.author Roach Kellie en_US
dc.contributor.author Sadler Leonie en_US
dc.contributor.author Warrington Darrell en_US
dc.contributor.editor en_US
dc.date.accessioned 2011-02-07T06:24:35Z
dc.date.available 2011-02-07T06:24:35Z
dc.date.issued 2010 en_US
dc.identifier 2009002031 en_US
dc.identifier.citation Gallagher Robyn et al. 2010, 'Sublingual Nitroglycerine Practices in Patients with Coronary Artery Disease in Australia', Lippincott Williams & Wilkins, vol. 25, no. 6, pp. 480-486. en_US
dc.identifier.issn 0889-4655 en_US
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/13771
dc.description.abstract Background and Research Objective: Sublingual nitroglycerin (SLNTG) medications are a recommended treatment for people with coronary artery disease (CAD); however, prescription and knowledge may be suboptimal. This study set out to determine how often SLNTG is prescribed and the knowledge and factors associated in patients with CAD. Subjects and Methods: Patients (n = 142) were recruited from cardiac rehabilitation and surveyed regarding SLNTG prescription and key knowledge areas related to SLNTG in those prescribed (n = 89). Multiple regression analysis was used to determine independent predictors of knowledge. Results and Conclusions: Despite having CAD, 37% were not prescribed SLNTG, and of those prescribed, only 43% received related instruction. Knowledge of SLNTG was low at a mean 7.11 (SD, 2.05) points of a possible 14. Most participants (96%) knew to use SLNTG to treat chest pain/discomfort, and no participant described inappropriate symptoms for treatment. Although most patients (80%) knew to have the SLNTG available at all times, only 46% did so in reality. One in 5 participants reported that they would not call an ambulance if chest pain was unrelieved by SLNTG. Participants had more SLNTG knowledge if they were married, were male, and had been instructed about SLNTG and had less knowledge if their hospital discharge diagnosis included angina. The reporting of calling an ambulance for unrelieved symptoms was increased by having more knowledge of SLNTG, but decreased if participants had prior use of SLNTG, were married, or had more comorbidities. Consideration of prescription for SLNTG and related instruction, particularly for their chest-pain action plan, needs to be provided more systematically for patients with CAD. en_US
dc.language en_US
dc.publisher Lippincott Williams & Wilkins en_US
dc.relation.isbasedon http://dx.doi.org/10.1097/JCN.0b013e3181dc82ac en_US
dc.title Sublingual Nitroglycerine Practices in Patients with Coronary Artery Disease in Australia en_US
dc.parent Journal of Cardiovascular Nursing en_US
dc.journal.volume 25 en_US
dc.journal.number 6 en_US
dc.publocation United States en_US
dc.identifier.startpage 480 en_US
dc.identifier.endpage 486 en_US
dc.cauo.name NMH.Faculty of Nursing, Midwifery and Health en_US
dc.conference Verified OK en_US
dc.for 111000 en_US
dc.personcode 879925;0000034258;0000021905;0000034259;0000059371;0000059372 en_US
dc.percentage 000100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords cangina, chest pain, knowledge, prescription, sublingual glyceryl trinitrate en_US
dc.staffid Northern Sydney Central Coast Area Health Service;Royal North Shore Hospital;Northern Sydney Central Coast Area Health Service en_US


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