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The Effect of the Secondary Prevention Education Program on the Knowledge Level of Patients Diagnosed with Myocardial Infarction

Year 2005, Volume: 12 Issue: 2, 14 - 25, 01.06.2005

Abstract

This study was carried out as quasi-experimental to determine effect of the secondary prevention education program on patient's knowledge level who had myocardial infarction. This study was conducted at Zonguldak Social Insurance Regional Hospital in between July 2002 and December 2002, and at outpatient's home in the vicinity of Zonguldak in between July 2002 and April 2003. The sample of study was composed of 36 patients. The data were collected by using personal information, secondary prevention questionnaire and secondary prevention education program evaluation forms. The program was started at the hospital and then continued with education and discussion sessions by visiting the patients at their homes after discharge. At the end of this education program it has been found out that mean score of patient's knowledge increased significantly in each and overall sessions with respect to the beginning of the program. Following the program, information, education methods and instruments in all sessions and duration of the education sessions that was included in secondary education program were found to be sufficient by all of the patients within this study. Consequently, it has been found that secondary prevention education program increased the knowledge level related to secondary prevention of the patients who had myocardial infarction.

References

  • Moher M, Yudkin P, Wright L, Turner R, Fuller A, Schofield T, Mant D. Cluster randomised controlled trial to compare three methods of promiting secondary prevention of coronary heart disease in primary care. British Medical Journal 2001;322 (7298): 1338-1345.
  • Wright FL, Wiles RA, Moher M. Patiens ‘and practice nurses’ percepcitions of secondary preventive care for establıshed. Journal of Clinical Nursing 2001; 10(2): 180-189.
  • Smith SC. The challenge of risk reduction therapy for cardiovascular disease. American Family Physician 1997; 55(2): 491-501.
  • Carlsson CM, Cornes M, McBride PE, Stein JH. Managging dyslipidemia in older adults. J Am Geriatric Soc 1999;47:1458-1465.
  • Campbell NC, Thain J, Deans HG, Ritchie LD, Rawles JM . Secondary prevention in coronary heart disease: baseline survey of provision in general practice. BMJ 1998a;316 (9):1430- 1433.
  • McCarney R, Shapley M, Goodwin R, Croft P. The introducion of a routine monitoring system in primary care for patients with a first episode of cardiovascular disease. Journal of Advenced Nursing 2000; 31(6): 1376-1382.
  • Thomas TS. İmproving care with nurse case managers: practical aspects of designing lipid clinics. Am. J. Cardiol 1997; 80(88): 62H-65H.
  • Jolly K, Bradley F, Sharp S, Smith H, Thompson S, Kinmonth AL, Mant D for The SHIP Collaborative Group. Randomised controlled trial of follow up care in general practice of patients with myocardial infarction and angina: Final results of the Southampton heart integrated care. BMJ 1999; 318: 706-711.
  • Goodman H. Patient’s perceptions of their education in first six weeks followiong discharge after cardiac surgery. Journal of Advenced Nursıng 1997; 25: 1241-1251.
  • Robinson KR. Envisioning a network of care for at-risk patients after myocardial infarction. The journal of Cardiovascular Nursing 1999;14 (1):75-88.
  • Ades PA. Cardiac rehabilitation and secondary prevention of coronary heart disease. The New England Journal of Medicine 2001; 345(12): 892-902.
  • Zernike W. Henderson A. Evaluating the effectiveness of two teaching strategies for patients diagnosed with hypertension. Journal of Clinical Nursing 1998;7 (1):37-45.
  • Carlsson R, Lindberg G, Westin L, Israelsson B. Influence of coronary nursing management follow up on lifestyle after acute myocardial infarction. Heart 1997; 77: 256-259.
  • Campbell NC,Thain J, Deans HG, Ritchie LD, Rawles JM, Squar JL. Secondary prevention clinics for coronary heart disease: randomised trial of effect on health. BMJ 1998b; 316: 1434-1437.
  • Edwardson SR. The cosequences and opportunities of shortened lengths of stay for cardiovascular patients. The journal of cardiovascular Nursing 1999;14 (1):1-11.
  • Lisspers J, Hoffman-Bang C, Nordlander R, Ryden L, Sundin Ö, Öhman A, Nygren A. Multifactorial evaluation of a program for lifestyle behavior change in rehabilitation and secondary prevention of coronary artery disease. Scand Cardivasc J 1998; 33: 9-16.
  • DeBusk RF, Miller NH, Superko R, Dennis CA, Thomas RJ, Lew HT, Berger III WE, Haller RS, Rompf J, Gee D, Kraemer HC, Bandura A, Ghandour G, Clark M, Shah RV, Fisher L, Taylor B. A case–management system for coronary risk factor modification after acute myocardial infarction. Ann İntern Med 1994; 120: 721-729.
  • Fleury J, Moore SM. Family-centered care after acute myocardial infarction. The journal of cardiovascular Nursing 1999;13 (3):73-82.
  • Dougherty CM, Johnson-CrowleyNR, Lewis FM, Thompson EA. Theoretical development of Nursing interventions for sudden cardiac arrest survivors using social cognitive theory. Adv Nurs Sci 2001; 24 (1):78-86.
  • Thompson DR. and Lewin RJP. Management of the post-myocardial infarction patient: rehabilitation and cardiac neurosis. Heart 2000; 84: 101-105.
  • Cleophas TJ, de Jong SJ, Niemeyer MG, Tavenier P, Zwinderman K, Kuypers CL. Cahanges in life – style in men under sixty years of age before and after acute myocardial infarction: a case-control study. Angiology-The Journal of Vascular Diseases 1993; 44(10): 761-768. 22.
  • Naylor MD, Brooten D, Campbell R, Jacobsen BS, Mezey MD, Pauly MV, Schwartz JS. Comprehensive
  • discaharge planning and home follow- up of hospitalized elders. JAMA 1999; 281(7): 613-620.
  • Antman EM, Braunwald E. Acute myocardial infarction, Harrison’s Principles of Internal Medicine 2001; 15 (1): 1386-1399.

Sekonder Koruma Eğitim Programının Miyokard İnfarktüsü Geçiren Hastaların Bilgi Düzeyine Etkisi

Year 2005, Volume: 12 Issue: 2, 14 - 25, 01.06.2005

Abstract

Bu çalışma, sekonder koruma eğitim programının miyokard infarktüsü geçiren hastaların sekonder korunmaya yönelik bilgi düzeylerine etkisini belirlemek amacıyla yarı deneysel olarak yapılmıştır. Araştırma, Temmuz 2002- Aralık 2002 tarihleri arasında Zonguldak Sosyal Sigortalar Kurumu Bölge Hastanesi ve Temmuz 2002-Nisan 2003 tarihlerinde Zonguldak ili belediye sınırları içinde ikamet eden hastaların evlerinde yapılmıştır. Araştırmanın örneklemini 36 hasta oluşturmuştur. Verilerin toplamasında kişisel bilgi, sekonder koruma soru ve eğitim programını değerlendirme formları kullanılmıştır. Eğitim programının uygulanması hastanede başlatılmış ve hasta taburcu olduktan sonra ev ziyaretleriyle eğitim ve tartışma oturumlarına devam edilmiştir. Eğitim programının sonunda öncesine göre hastaların aldıkları toplam bilgi puan ortalamalarının önemli oranda arttığı bulunmuştur. Program sonunda hastaların tamamı eğitim programını, verilen bilgi, kullanılan eğitim yöntemleri, kullanılan gereçler ve süre yönünden yeterli bulmuştur. Sonuçta, sekonder koruma eğitim programının miyokard infarktüsü geçiren hastaların sekonder korunmaya yönelik bilgi puan ortalamalarını önemli derecede arttırdığı saptanmıştır.

References

  • Moher M, Yudkin P, Wright L, Turner R, Fuller A, Schofield T, Mant D. Cluster randomised controlled trial to compare three methods of promiting secondary prevention of coronary heart disease in primary care. British Medical Journal 2001;322 (7298): 1338-1345.
  • Wright FL, Wiles RA, Moher M. Patiens ‘and practice nurses’ percepcitions of secondary preventive care for establıshed. Journal of Clinical Nursing 2001; 10(2): 180-189.
  • Smith SC. The challenge of risk reduction therapy for cardiovascular disease. American Family Physician 1997; 55(2): 491-501.
  • Carlsson CM, Cornes M, McBride PE, Stein JH. Managging dyslipidemia in older adults. J Am Geriatric Soc 1999;47:1458-1465.
  • Campbell NC, Thain J, Deans HG, Ritchie LD, Rawles JM . Secondary prevention in coronary heart disease: baseline survey of provision in general practice. BMJ 1998a;316 (9):1430- 1433.
  • McCarney R, Shapley M, Goodwin R, Croft P. The introducion of a routine monitoring system in primary care for patients with a first episode of cardiovascular disease. Journal of Advenced Nursing 2000; 31(6): 1376-1382.
  • Thomas TS. İmproving care with nurse case managers: practical aspects of designing lipid clinics. Am. J. Cardiol 1997; 80(88): 62H-65H.
  • Jolly K, Bradley F, Sharp S, Smith H, Thompson S, Kinmonth AL, Mant D for The SHIP Collaborative Group. Randomised controlled trial of follow up care in general practice of patients with myocardial infarction and angina: Final results of the Southampton heart integrated care. BMJ 1999; 318: 706-711.
  • Goodman H. Patient’s perceptions of their education in first six weeks followiong discharge after cardiac surgery. Journal of Advenced Nursıng 1997; 25: 1241-1251.
  • Robinson KR. Envisioning a network of care for at-risk patients after myocardial infarction. The journal of Cardiovascular Nursing 1999;14 (1):75-88.
  • Ades PA. Cardiac rehabilitation and secondary prevention of coronary heart disease. The New England Journal of Medicine 2001; 345(12): 892-902.
  • Zernike W. Henderson A. Evaluating the effectiveness of two teaching strategies for patients diagnosed with hypertension. Journal of Clinical Nursing 1998;7 (1):37-45.
  • Carlsson R, Lindberg G, Westin L, Israelsson B. Influence of coronary nursing management follow up on lifestyle after acute myocardial infarction. Heart 1997; 77: 256-259.
  • Campbell NC,Thain J, Deans HG, Ritchie LD, Rawles JM, Squar JL. Secondary prevention clinics for coronary heart disease: randomised trial of effect on health. BMJ 1998b; 316: 1434-1437.
  • Edwardson SR. The cosequences and opportunities of shortened lengths of stay for cardiovascular patients. The journal of cardiovascular Nursing 1999;14 (1):1-11.
  • Lisspers J, Hoffman-Bang C, Nordlander R, Ryden L, Sundin Ö, Öhman A, Nygren A. Multifactorial evaluation of a program for lifestyle behavior change in rehabilitation and secondary prevention of coronary artery disease. Scand Cardivasc J 1998; 33: 9-16.
  • DeBusk RF, Miller NH, Superko R, Dennis CA, Thomas RJ, Lew HT, Berger III WE, Haller RS, Rompf J, Gee D, Kraemer HC, Bandura A, Ghandour G, Clark M, Shah RV, Fisher L, Taylor B. A case–management system for coronary risk factor modification after acute myocardial infarction. Ann İntern Med 1994; 120: 721-729.
  • Fleury J, Moore SM. Family-centered care after acute myocardial infarction. The journal of cardiovascular Nursing 1999;13 (3):73-82.
  • Dougherty CM, Johnson-CrowleyNR, Lewis FM, Thompson EA. Theoretical development of Nursing interventions for sudden cardiac arrest survivors using social cognitive theory. Adv Nurs Sci 2001; 24 (1):78-86.
  • Thompson DR. and Lewin RJP. Management of the post-myocardial infarction patient: rehabilitation and cardiac neurosis. Heart 2000; 84: 101-105.
  • Cleophas TJ, de Jong SJ, Niemeyer MG, Tavenier P, Zwinderman K, Kuypers CL. Cahanges in life – style in men under sixty years of age before and after acute myocardial infarction: a case-control study. Angiology-The Journal of Vascular Diseases 1993; 44(10): 761-768. 22.
  • Naylor MD, Brooten D, Campbell R, Jacobsen BS, Mezey MD, Pauly MV, Schwartz JS. Comprehensive
  • discaharge planning and home follow- up of hospitalized elders. JAMA 1999; 281(7): 613-620.
  • Antman EM, Braunwald E. Acute myocardial infarction, Harrison’s Principles of Internal Medicine 2001; 15 (1): 1386-1399.
There are 24 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Yrd.doç.dr. Zöhre Irmak This is me

Doç.dr. Hatice Fesli This is me

Publication Date June 1, 2005
Submission Date July 29, 2014
Published in Issue Year 2005 Volume: 12 Issue: 2

Cite

Vancouver Irmak YZ, Fesli DH. Sekonder Koruma Eğitim Programının Miyokard İnfarktüsü Geçiren Hastaların Bilgi Düzeyine Etkisi. JOHUFON. 2005;12(2):14-25.