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Early education and counselling of patients with acute coronary syndrome. A pilot study for a randomized controlled trial.
- Source :
-
European Journal of Cardiovascular Nursing . Jun2016, Vol. 15 Issue 4, p213-222. 10p. - Publication Year :
- 2016
-
Abstract
- Background: At time of discharge, patients with acute coronary syndrome often have a knowledge deficit regarding their disease, further treatment and necessary behavioural changes. It is well known that self-efficacy as a prerequisite for behavioural changes can be influenced by patient education. This study investigated whether an individualized education programme starting early in the cardiac care unit enhanced self-efficacy and rehabilitation programme attendance, and was feasible and satisfying for patients. Methods and design: In a pilot randomized controlled trial, 40 patients with acute coronary syndrome were enrolled. The intervention group received in addition to standard care an early individual needs-oriented educational session in the cardiac care unit and subsequently one on the ward addressing risk factors, medication and self-management as well as referral to a rehabilitation programme by a nurse. Self-efficacy was assessed twice, at attendance in a rehabilitation programme six weeks after discharge. The participants’ satisfaction with the intervention was assessed qualitatively. Results: When controlling for anxiety and depression, the intervention group showed significant better self-efficacy scores on the ability to control the symptoms (p=0.034). When controlling additionally for age, no significant differences could be detected. The attendance of a rehabilitation programme was higher in the intervention group. The participants in the intervention group reported high satisfaction with the early education. Conclusion: Early education seems to benefit patients with acute coronary syndrome. In light of increased confidence to control one’s symptoms and the higher attendance in rehabilitation programmes, as well as a high satisfaction with the intervention, a full powered study will be pursued. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 14745151
- Volume :
- 15
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 115682631
- Full Text :
- https://doi.org/10.1177/1474515114556713