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Effectiveness of therapeutic education in patients with myocardial infarction
Affiliations- Department of Health Promotion, Collegium Medicum, Nicolaus Copernicus University, Lukasiewicza St., Bydgoszcz, Poland
open access
Abstract
Introduction. Notwithstanding the development of modern diagnostic-therapeutic techniques, cardiovascular diseases still pose a grave health, social, and economic issue. Patients hospitalised for acute coronary syndrome should, in addition to establishing an optimal pharmacotherapy, be made aware of how to prevent this disease and recognise it using its typical symptoms and signs. Objective. The objective of the study was to evaluate the effectiveness of educational intervention based on educational brochures in patients with myocardial infarction with regard to socio-demographic factors and baseline patients’ knowledge.
Material and methods. The single-centre, prospective, observational study was conducted in a cohort of 248 patients with myocardial infarction (women n = 72, men n = 176), hospitalised between May 2015 and July 2016. Consistently with the results of univariate analysis, multivariate analysis identified age (–3.73/10 years; p < 0.0006) and the level of education (10.37; p < 0.0001) as independent factors influencing patients’ prehospital knowledge.
Results. According to multivariate analysis of the level of knowledge following the educational intervention, the only factors affecting the process of learning were age (–2.04/10 years; p < 0.03) and remaining in a steady relationship (9.7; p = 0.0003). Among factors influencing the increase of knowledge, only the level of education was of statistical significance (–6.09; p < 0.02).
Conclusions. The educational brochure proved to be an effective tool for therapeutic education, allowing minimisation of the disparities between the examined groups and improvement of the breadth of patients’ knowledge.
Abstract
Introduction. Notwithstanding the development of modern diagnostic-therapeutic techniques, cardiovascular diseases still pose a grave health, social, and economic issue. Patients hospitalised for acute coronary syndrome should, in addition to establishing an optimal pharmacotherapy, be made aware of how to prevent this disease and recognise it using its typical symptoms and signs. Objective. The objective of the study was to evaluate the effectiveness of educational intervention based on educational brochures in patients with myocardial infarction with regard to socio-demographic factors and baseline patients’ knowledge.
Material and methods. The single-centre, prospective, observational study was conducted in a cohort of 248 patients with myocardial infarction (women n = 72, men n = 176), hospitalised between May 2015 and July 2016. Consistently with the results of univariate analysis, multivariate analysis identified age (–3.73/10 years; p < 0.0006) and the level of education (10.37; p < 0.0001) as independent factors influencing patients’ prehospital knowledge.
Results. According to multivariate analysis of the level of knowledge following the educational intervention, the only factors affecting the process of learning were age (–2.04/10 years; p < 0.03) and remaining in a steady relationship (9.7; p = 0.0003). Among factors influencing the increase of knowledge, only the level of education was of statistical significance (–6.09; p < 0.02).
Conclusions. The educational brochure proved to be an effective tool for therapeutic education, allowing minimisation of the disparities between the examined groups and improvement of the breadth of patients’ knowledge.
Keywords
therapeutic education, myocardial infraction, educational brochure
About this articleTitle
Effectiveness of therapeutic education in patients with myocardial infarction
Journal
Issue
Article type
Original article
Pages
89-96
Published online
2018-01-31
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2238
Article views/downloads
1107
DOI
Bibliographic record
Medical Research Journal 2017;2(3):89-96.
Keywords
therapeutic education
myocardial infraction
educational brochure
Authors
Piotr Michalski
Agata Kosobucka
Łukasz Pietrzykowski
Michał Kasprzak
Katarzyna Buszko
Karolina Obońska
Tomasz Fabiszak
Aldona Kubica
References (27)- Nichols M, Townsend N, Scarborough P, et al. Cardiovascular disease in Europe 2014: epidemiological update. Eur Heart J. 2014; 35(42): 2950–2959.
- Wojtyniak B. Choroby układu krążenia jako priorytet zdrowia publicznego. In: Strzelecki Z, Szymborski J. ed. Zachorowalność i umieralność na choroby układu krążenia a sytuacja demograficzna Polski. Rządowa Rada Ludnościowa, Warszawa 2014: 81–100.
- Gierlotka M, Zdrojewski T, Wojtyniak B, et al. Incidence, treatment, in-hospital mortality and one-year outcomes of acute myocardial infarction in Poland in 2009-2012--nationwide AMI-PL database. Kardiol Pol. 2015; 73(3): 142–158.
- Jankowski P, Niewada M, Bochenek A, et al. Optymalny Model Kompleksowej Rehabilitacji i Wtórnej Prewencji. Kardiologia Polska. 2013; 71(9): 995–1003.
- Kubica A, Grześk G, Grąbczewska Z. Choroby układu sercowo - naczyniowego — wyzwanie dla promocji zdrowia. Cardiovascular Forum. 2006; 11: 44–47.
- Kubica A, Pufal J, Moczulska B, et al. Skuteczność edukacji zdrowotnej u osób hospitalizowanych w klinice kariologii. Psychiatr Prakt Ogólnolek. 2005; 5: 61–68.
- Kubica A, Kasprzak M, Obońska K, et al. Discrepancies in assessment of adherence to antiplatelet treatment after myocardial infarction. Pharmacology. 2015; 95(1-2): 50–58.
- Kubica A, Kasprzak M, Obońska K, et al. Impact of health education on adherence to clopidogrel and clinical effectivness of antiplatelet treatment in patients after myocardial infarction. Folia Medica Copernicana. 2015; 3: 154–159.
- Kubica A, Olejarczyk E, Jurek A, et al. Wpływ wybranych czynników ryzyka na poziom wiedzy i skuteczność edukacji zdrowotnej u osób z zawałem serca. Czynniki Ryzyka. 2008; 2: 10–18.
- Kubica A, Pufal J, Moczulska B, et al. Ocena wiedzy dotyczącej profilaktyki i objawów choroby niedokrwiennej serca u osób hospitalizowanych w klinice kardiologii. Psychiatr Prakt Ogólnolek. 2004; 4(3): 135–141.
- Kubica A, Jurek A, Olejarczyk E, et al. Wybrane czynniki demograficzno-społeczne a skuteczność edukacji zdrowotnej prowadzonej na podstawie broszur edukacyjnych u osób z ostrym zawałem serca. Folia Cardiologica. 2008; 3(4): 199–207.
- Baberg HT, Jäger D, Kahrmann G, et al. Health promotion and cardiovascular risk factors. The level of knowledge among 510 inpatients of an acute coronary care unit. Med Klin (Munich). 2000; 95(2): 75–80.
- Kirk-Gardner R, Steven D. Hearts for Life: a community program on heart health promotion. Can J Cardiovasc Nurs. 2003; 13(1): 5–10.
- Brown JPr, Clark AM, Dalal H, et al. Patient education in the management of coronary heart disease. Cochrane Database Syst Rev. 2011(12): CD008895.
- Haidinger T, Zweimüller M, Stütz L, et al. Effect of gender on awareness of cardiovascular risk factors, preventive action taken, and barriers to cardiovascular health in a group of Austrian subjects. Gend Med. 2012; 9(2): 94–102.
- Lechowicz M, Wiliński J, Kameczura T, et al. Awareness of cardiovascular risk factors in ambulatory cardiology patients. Folia Med Cracov. 2015; 55(2): 15–22.
- Awad A, Al-Nafisi H. Public knowledge of cardiovascular disease and its risk factors in Kuwait: a cross-sectional survey. BMC Public Health. 2014; 14: 1131.
- Dorner TE, Stronegger WJ, Hoffmann K, et al. Socio-economic determinants of health behaviours across age groups: results of a cross-sectional survey. Wien Klin Wochenschr. 2013; 125(9-10): 261–269.
- Albarqouni L, Smenes K, Meinertz Th, et al. Patients' knowledge about symptoms and adequate behaviour during acute myocardial infarction and its impact on delay time: Findings from the multicentre MEDEA Study. Patient Educ Couns. 2016; 99(11): 1845–1851.
- Zaman MJ, Patel A, Jan S, et al. Socio-economic distribution of cardiovascular risk factors and knowledge in rural India. Int J Epidemiol. 2012; 41(5): 1302–1314.
- Giardina EGV, Mull L, Sciacca RR, et al. Relationship between cardiovascular disease knowledge and race/ethnicity, education, and weight status. Clin Cardiol. 2012; 35(1): 43–48.
- Winkleby MA, Flora JA, Kraemer HC. A community-based heart disease intervention: predictors of change. Am J Public Health. 1994; 84(5): 767–772.
- Di Chiara T, Scaglione A, Corrao S, et al. Association between low education and higher global cardiovascular risk. J Clin Hypertens (Greenwich). 2015; 17(5): 332–337.
- Mochari H, Ferris A, Adigopula S, et al. Cardiovascular disease knowledge, medication adherence, and barriers to preventive action in a minority population. Prev Cardiol. 2007; 10(4): 190–195.
- Ghisi GL, Abdallah F, Grace SL, et al. A systematic review of patient education in cardiac patients: do they increase knowledge and promote health behavior change? Patient Educ Couns. 2014; 95(2): 160–174.
- Yarnell J, Yu S, McCrum E, et al. PRIME study group. Education, socioeconomic and lifestyle factors, and risk of coronary heart disease: the PRIME Study. Int J Epidemiol. 2005; 34(2): 268–275.
- Filippidis FT, Schoretsaniti S, Dimitrakaki C, et al. Trends in cardiovascular risk factors in Greece before and during the financial crisis: the impact of social disparities. Eur J Public Health. 2014; 24(6): 974–979.