Sự khác biệt giữa mong đợi và kiến thức chung nhận được của người bệnh phẫu thuật tim mạch có kế hoạch tại Bệnh viện Hữu nghị Việt Đức

Cardiovascular diseases represent a significant health burden globally and in Vietnam, frequently necessitating elective surgical interventions. For patients undergoing such complex procedures, effective patient education is crucial for successful recovery, informed decision-making, and self-management. Understanding the congruence between patients' anticipated informational needs and the knowledge expectations they actually receive is paramount for optimizing care delivery. This study aims to preliminarily investigate this gap among elective cardiovascular surgery patients at Viet Duc University Hospital, highlighting critical areas where current informational provision may fall short.

Healthcare professionals (nurses, doctors, patient educators) involved in cardiovascular surgery and patient care, hospital administrators, and health policy makers interested in improving patient education and outcomes in surgical settings.

This cross-sectional descriptive study, conducted at Viet Duc University Hospital from October 2024 to March 2025, aimed to quantify the gap between expected and received knowledge among 143 elective cardiovascular surgery patients and identify related factors. Patients completed validated scales for expected knowledge upon admission and received knowledge at discharge across six domains: physiological, experiential, social, financial, functional, and ethical. The findings revealed that a substantial proportion (62.2%) of patients experienced unmet knowledge expectations. While information provision was generally adequate in the physiological, experiential, social, and financial aspects, it was notably insufficient concerning functional and ethical aspects of care. Furthermore, fulfillment of knowledge expectations was significantly associated with patients' marital/cohabitation status and employment in the health sector (p < 0.05). These results highlight a critical need for enhanced and targeted patient education programs for cardiovascular surgery patients. Specific attention should be directed towards improving patients' understanding of post-operative functional recovery and ethical considerations. By addressing these identified gaps, healthcare providers at Viet Duc University Hospital can develop more effective, patient-centered informational support strategies, ultimately enhancing patient autonomy, improving adherence to care plans, and optimizing overall recovery outcomes. This research underscores the importance of a comprehensive approach to patient education, tailored to specific informational deficits.