Review Article

Health behaviours of rural Australians following percutaneous coronary intervention: a systematic scoping review


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Michelle Butland1
MAcuteCareN *

Katina Corones-Watkins2 PhD, Lecturer and Early Career Researcher

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Alaina D Evanson3
MN, Clinical Nurse Educator

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Marie Cooke4
PhD, Professor of Nursing


1, 2, 4 School of Nursing and Midwifery, Griffith University, Australia

3 Rural & Remote, Mount Waddington, Vancouver Island Health Authority

ACCEPTED: 31 March 2019

early abstract:

Background: Following a percutaneous coronary intervention (PCI), emphasis is placed on healthy lifestyle modification by means of secondary prevention. The literature suggests Australians have difficulty within the period following a PCI, particularly the rural cohort. Despite having a higher incidence of cardiac disease, there is minimal evidence on secondary prevention within the rural Australian population. Therefore, there is a clear need for a comprehensive review to gather literature of the health behaviours of this population post-PCI.

Methods: A scoping review was undertaken to obtain literature within 2007-2017. The following databases were searched January 2018: The Cochrane Library, The Cumulative Index to Nursing and Allied Health Literature, PubMed Central, Embase, ProQuest, and PsycINFO. Search strings were derived from three topics: behaviours, rural, and PCI.

Results: Ten publications met the inclusion criteria. Over half the studies were of a quantitative design, along with one qualitative study. Overall, there was minimal published literature on the rural Australian population. Three key themes were identified from the literature: referral and attendance to cardiac rehabilitation; isolation; and transitioning difficulties.

Conclusions: The systematic scoping review highlights the need for future research to determine strategies to improve healthy behaviours of rural Australians post-PCI.