Risk Factoretailored Small Group Education for Patients with First-time Acute Coronary Syndrome.
10.1016/j.anr.2015.07.005
- Author:
Seon Young HWANG
1
;
Jin Shil KIM
Author Information
1. College of Nursing, Hanynag University, Seoul, South Korea. seon9772@hanyang.ac.kr
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
acute coronary syndrome;
education;
patient;
patient compliance;
self-care;
self-efficacy
- MeSH:
Acute Coronary Syndrome/*nursing/*psychology;
Adaptation, Psychological;
Adult;
Aged;
Female;
Humans;
Male;
Middle Aged;
*Multimedia;
*Patient Education as Topic;
Patient-Centered Care/methods;
Republic of Korea;
Risk Factors;
Self Care/*methods;
Self Efficacy;
Stress, Psychological/*nursing;
Teaching/*methods
- From:Asian Nursing Research
2015;9(4):291-297
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The purpose of this study was to evaluate the effects of a risk factoretailored small group education on anxiety and depressive symptoms, self-efficacy and self-care compliance in patients with first-time acute coronary syndrome (ACS) for 12-month follow-up. METHODS: A quasi-experimental pretest and post-test design was used. Patients were recruited from a national university hospital from 2010 to 2011 in Korea. The group education consisted of a 60-minute long video developed using multimedia contents including voice-recorded texts, flash animation, and video clips, with nurses' dialogue. The intervention group (n = 34) participated in group education using the multimedia video in a small group of patients with similar risk factors, and received periodic telephone counseling and text messages. The control group (n = 40) received usual care and counseling upon request. RESULTS: Depressive symptoms decreased, and self-efficacy and self-care compliance in the areas of medication, exercise, and healthy diet practice significantly increased in patients in the intervention group, compared with those in the control group. CONCLUSIONS: Risk factoretailored small group education and periodic text message were an effective strategy for decreasing depression, and increasing self-efficacy and long-term compliance with lifestyle changes in patients with first-time ACS. We suggested that risk factoretailored small group education need to be given for first-time ACS patients for psychological support and behavioral change in clinical practice. It is also comparable to individual approach to encourage psychological and behavioral change.
