Health Promotion Model-Based Health Education Program in Acute Coronary Syndrome Patient: An Experimental Study

Yıl 2024, Cilt: 14 Sayı: 1, 60 - 69, 28.03.2024

Aynur Kaynar Şimşek Şule Alpar Ecevit Bülent Mutlu Hatice Bulut

https://doi.org/10.33808/clinexphealthsci.1161048

Öz

Objective: This study was conducted to examine the effect of a Health Promotion Model-based health education program on increasing the health-promoting behaviors of acute coronary syndrome patients.
Methods: This is an experimental study that used a pretest-posttest design with a control group. The sample consisted of 101 patients hospitalized with the diagnosis of acute coronary syndrome in Turkey. The data were collected by using a Patient Monitoring Form and the Health Promoting Lifestyle Profile-II. While the patients in the control group received routine procedures, the patients in the experimental group were included in the health education program.
Results: The health promoting-behaviors of the control group were found to be higher than those of the experimental group in the first follow-up (p<0.001). In the last follow-up, on the other hand, it was found that the experimental group's health-promoting behaviors and smoking cessation rate were higher than the control group. Additionally, the experimental group's LDL levels, rehospitalization rates and percutaneous coronary intervention rates were found to be lower than the control group (p <0.05).
Conclusion: The Health Promotion Model-based health education program was found to be an effective method in increasing health-promoting behaviors and smoking cessation rates, and controlling LDL levels in acute coronary syndrome patients. It had a positive effect on reducing the rate of rehospitalization and percutaneous coronary intervention.

Anahtar Kelimeler

Acute coronary synrome, health-promoting behaviors, patient education, secondary protection

Destekleyen Kurum

None

Proje Numarası

None

Kaynakça

• Knuti J, Wijns W, Saraste A, Capodanno D, Barbato E, Funck-Brentano C, Prescott E, Storey RF, Deaton C, Cuisset T, Agewall S, Dickstein K, Ed vardsen T, Escaned J, Gersh BJ, Svitil P, Gilard M, Hasdai D, Hatala R, Mahfoud F, Masip J, Muneretto C, Valgimigli M, Achenbach S, Bax JJ. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. European Heart Journal. 2020; 41(3): 407-77. DOI: 10.1093/eurheartj/ehz425.
• Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, Cooney MT, Corrà U, Cosyns B, Deaton C, Graham L, Hall MS, Hobbs FDR, Løchen M, Löllgen H, Marques-Vidal P, Perk J, Prescott E, Redon J, Richter DJ, Sattar N, Smulders Y, Tiberi M, Worp HB, Dis I, Verschuren WMM, Binno S. 2016 European guidelines on cardiovascular disease prevention in clinical practice. European Heart Journal. 2016; 37(29): 2315–2381. DOI: 10.1093/eurheartj/ehw106.
• Cowper PA, Knight JD, Davidson-Ray L, Peterson ED, Wang TY, Mark DB. Acute and 1-year hospitalization costs for acute myocardial ınfarction treated with percutaneous coronary ıntervention: results from the TRANSLATE-ACS registry. J Am Heart Assoc. 2019; 16;8(8): e011322. DOI:10.1161/JAHA.118.011322.
• Bailey RR, Phad A, McGrath R, Tabak R, Haire-Joshu D. Prevalence of 3 healthy lifestyle behaviors among us adults with and without history of stroke. Prev Chronic Dis.2019; 16:180409. DOI: http://dx.doi.org/10.5888/pcd16.180409
• Pender NJ, Murdaugh CL and Parsons MA. Individual models to promote health behavior. In: health promotion in nursing practice. 7st ed. United States of America, Pearson Education. 2015. p. 27-56.
• Rizzuto D, Mossello E, Fratiglioni L, Santoni G, Wang H. Personality and survival in older age: The role of lifestyle behaviors and health status. Am J Geriatr Psychiatry. 2017; 25(12): 1363-1372. DOI:10.1016/j.jagp.2017.06.008
• Fors A, Ulin K, Cliffordson C, EkmanI, Brink E. The cardiac self-efficacy scale, a useful tool with potential to evaluate person-centred care. Eur J Cardiovasc Nurs. 2015;14(6): 536-543. DOI: 10.1177/1474515114548622.
• Steca P, Monzani D, Greco A, Franzelli C, Magrin ME, Miglioretti M, Sarini M, Scrignaro M, Vecchio L, Fattirolli F, D’Addario M. Stability and change of lifestyle profiles in cardiovascular patients after their first acute coronary event. PLoS One. 2017; 12(8)1-17: e0183905. DOI: 10.1371/journal.pone.0183905.
• Siudak Z, Pers M, Dusza K, Franczak I, Zegzda A, Bechta M, Kwiatkowska A, Knutelska A, Zemla B, Kubiak A, Zarzycka M, Kudelko-Blacha N, Koźmińska P, Oleksy M, Dudek D. The efficacy of an education-based secondary outpatient prevention programme after acute coronary syndrome hospitalisations and treatment in Poland. The patient club initiative. Kardiologia Polska 2016; 74(2): 185–191. DOI: 10.5603/KP.a2015.0225
• Lee C, Lai C, Lee M, Su F, Yeh T, Cheng L, Hsieh M, Wu Y, Liu Y, Wu C. Reinforcement of patient education improved physicians’ adherence to guideline recommended medical therapy after acute coronary syndrome. PLoS One. 2019; 14(6): e0217444. DOI: 10.1371/journal.pone.0217444.
• Eshah NF. Predischarge education improves adherence to a healthy lifestyle among Jordanian patients with acute coronary syndrome. Nursing and Health Sciences, 2013;15: 273–279. DOI: 10.1111/nhs.12018
• Şimşek AK, Alpar ŞE. Obtaining of healthy life behaviors in patients with acute coronary syndrome, Turk J Cardiovasc Nurs. 2020; 11: 31–36. DOI: 10.5543/khd.2020.80299
• Ezika EA. Use of case stories to explore the contextual application of cardiovascular health knowledge in Nigeria. Health Education Journal. 2020; 79(5): 1–9. DOI:10.1177/0017896919897411
• Brown JPR, Clark AM, Dalal H, Welch K, Taylor RS. Patient education in the management of coronary heart disease. Cochrane Database Syst Rev. 2011; 7(12): CD008895. DOI: 10.1002/14651858.CD008895.
• Anderson L, Brown JPR, Clark AM, Dalal H, Rossau HK, Bridges C, Taylor RS. Patient education in the management of coronary heart disease. Cochrane Database Syst Rev. 2017; 6(6): CD008895. DOI: 10.1002/14651858.
• Çövener Ç, Oçakçı AF. Tip 1 diyabet yönetimi: bir hemşirelik modeli örneği. Hemşirelikte Eğitim ve Araştırma Dergisi. 2013; 10 (1): 30-37. (Turkish)
• Altundağ S. Talasemi Hastalığında Hemşirelik Kuramları. Gümüşhane Üniversitesi Sağlık Bilimleri dergisi. 2016; 5(3): 133-138. (Turkish)
• Ersin F, Bahar Z. Effects of nursing ınterventions planned with the health promotion models on the breast and cervical cancer early detection behaviors of the women. International Journal of Caring Sciences. 2017; 10(1): 421-432.
• Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: Development and psychometric characterizations. Nursing Research. 1987; 36(2): 76-81.
• Bahar Z, Beşer A, Gördes N, Ersin F, Kıss A. Healthy life style behavior scale II: A reliability and validity study. C.Ü. Hemşirelik Yüksekokulu Dergisi.2008; 12: 1-13.
• Kim Y, Lee E. The association between elderly people’s sedentary behaviors and their health related quality of life: Focusing on comparing the young-old and the old-old. Health and Quality of Life Outcomes.2019; 17(131): 2-9. DOI:10.1186/s12955-019-1191-0
• Abdo NM, Mortada EM, El Seifi OS. Effect of knowledge about cardiovascular diseases on healthy lifestyle behavior among freshmen of Zagazig University: An ıntervention study. the open public health journal. 2019; 12: 300-308. DOI:10.2174/1874944501912010300
• Bulduk B, Aktaş MC. Akut miyokart infarktüsü sonrası gelişen ruhsal bozukluklar. JAREN. 2017; 3: 24-27. DOI: 10.5222/jaren.2017.1005 (Turkish)
• Suissa K, Larivière J, Eisenberg MJ, Eberg M, Gore GC, Grad R, Joseph L, Reynier PM, Filion KB. Efficacy and safety of smoking cessation ınterventions in patients with cardiovascular disease a network meta-analysis of randomized controlled trials. Circ Cardiovasc Qual Outcomes. 2017; 10: e002458. DOI:10.1161/CIRCOUTCOMES.115.002458
• Yudi MB, Clark DJ, Farouque O, Andrianopoulos N, Ajani AE, Brennan A, Lefkovits J, Freeman M, Hiew C, Selkrig LA, O'Brien J, Dart AM, Reid CM, Duffy SJ. 2019 Trends and predictors of recurrent acute coronary syndrome hospitalizations and unplanned revascularization after index acute myocardial infarction treated with percutaneous coronary intervention. American Heart Journal. 2019; 212: 134-143. DOI: 10.1016/j.ahj.2019.02.013
• Liu XL, Wu CJ, Willis K, Shi Y, Johnson M. The impact of inpatient education on self-management for patients with acute coronary syndrome and type 2 diabetes mellitus: A cross-sectional study in China. Health Educatıon Research. 2018; 33: 389–401. DOI: 10.1093/her/cyy023