Authors
Jennifer LaMay Öztan, Patricia Rissmiller, Tanya Cohn
Published in
The Journal of cardiovascular nursing. Aug 12, 2026. Epub Aug 12, 2026.
Abstract
Over 900,000 percutaneous coronary interventions (PCI) are performed annually in the United States; however, gaps in discharge education persist. Inadequate teaching contributes to early readmissions, with up to 19% of readmissions occurring within 30 days. Video-based education has been associated with improved comprehension, but its role in PCI discharge teaching has not been established.
The investigators evaluated whether leveraging smartphone technology to deliver video-based discharge education alongside standard post-PCI instructions reduced hospital readmissions. Secondary outcomes were improved patient knowledge, satisfaction, medication adherence, lifestyle changes, and cardiac rehabilitation participation.
This study was conducted at a 705-bed academic medical center between May and August 2025 and included 81 patients who underwent PCI (40 standard education and 41 smartphone video group). The sample was 80.2% male (n = 65) and 19.8% female (n = 16), with a mean age of 69.2 years. All patients received written materials. The intervention group viewed 8 videos on their smartphones before discharge. Collected data included demographics, knowledge assessments, satisfaction surveys, 14-day follow-up adherence assessments, and 30-day readmission reviews.
The smartphone video group demonstrated lower 14-day hospitalization rates (0% vs. 15.4%, P = .01), 30-day readmissions (5% vs. 20%, P = .04), higher medication adherence (97.5% vs. 74.4%, P = .03), better understanding of instructions (P = .04), and increased dietary modifications (P = .04). Patient knowledge scores, cardiac rehabilitation enrollment, and satisfaction rates were similar.
Videos accessed via smartphone technology are a practical, patient-centered adjunct to PCI discharge teaching that improve self-management behaviors and reduce early readmissions.
PMID:
42585557
Bibliographic data and abstract were imported from PubMed on 13 Aug 2026.
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