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. 2017 Oct 16:16:59.
doi: 10.1186/s12912-017-0254-y. eCollection 2017.

Long-term effects of nurse-led individualized education on middle-aged patients with acute coronary synrome: a quasi-experimental study

Jae Lan Shim  1 , Seon Young Hwang  2
Affiliations

Long-term effects of nurse-led individualized education on middle-aged patients with acute coronary synrome: a quasi-experimental study

Jae Lan Shim et al. BMC Nurs. .

Abstract

Background: This study examined the long-term effects of nurse-led, individualized education on self-efficacy, self-care compliance, and health-related quality of life (HRQoL) in middle-aged patients with new-onset acute coronary syndrome.

Methods: A quasi-experimental pretest-posttest design was used in the study. A cardiovascular nurse provided individualized education to the intervention group (n = 32), and self-efficacy, self-care compliance, and HRQoL at baseline and 3 and 12 months after discharge were compared to those of a control group (n = 30). Patients were recruited from a cardiovascular care unit at a university hospital between 2012 and 2013. Repeated measures analysis of variance was used to compare time-related changes.

Results: There was no significant difference in self-efficacy between the 2 groups over a fixed period (F = 3.47, p = 0.067) and showed no interaction between the 2 groups (F = 0.45, p = 0.636). However, significant differences were found in the main and interaction effects between the 2 groups and changes in self-care compliance over the follow-up period differed significantly between the 2 groups (F = 28.72, p < 0.001). Changes in mental HRQoL over the follow-up period differed significantly between the 2 groups (F = 33.34, p < 0.001) and significant interaction effect (F = 4.40, p = 0.040).

Conclusions: Structured nurse-led education should be provided to middle-aged patients with new-onset acute coronary syndrome, as part of routine predischarge education, to increase self-care compliance and mental HRQoL and prevent secondary adverse events.

Trial registration: Trial registration number (TRN) is KCT0002454. The study was registered retrospectively with registration date July 9, 2017.

Keywords: Acute coronary syndrome; Patient education; Quality of life; Self-care compliance; Self-efficacy.

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Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the research ethics committee at Chonnam National University hospital (IRB No**** 2011–093). Written informed consent was obtained from all participants, and participants received written contracts, which stated they could withdraw from participation at any time during the study.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Flow chart of the study design and data collection
Fig. 2
Fig. 2
Changes in self-efficacy, self-care, physical and mental health-related QoL between the two groups across time
See this image and copyright information in PMC

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References

    1. Khera S, Kolte D, Gupta T, Subramanian KS, Khanna N, Aronow WS, et al. Temporal trends and sex differences in revascularization and outcomes of ST-segment elevation myocardial infarction in younger adults in the United States. J Am Coll Cardiol. 2015;66(18):1961–72. doi: 10.1016/j.jacc.2015.08.865 - PubMed
    1. Pappalardo A, Mamas MA, Imola F, Ramazzotti V, Manzoli A, Prati F, et al. Percutaneous coronary intervention of unprotected left main coronary artery disease as culprit lesion in patients with acute myocardial infarction. JACC. 2011;4(6):618–626. - PubMed
    1. Statistics Korea. 2016 annual report on the causes of death statistics, Seoul. 2015. https://kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=download. Accessed 27 Sept 2015.
    1. Korea Health Insurance Review & Assessment Service. Result of acute myocardial infarction evaluation in 2013, Seoul http://m.hira.or.kr/cms/reportinfo/1322009_14250.html. Accessed 23 Dec 2013.
    1. Lee BJ, Go JY, Kim AR, Chun SM, Park M, Yang DH, et al. Quality of life and physical ability changes after hospital-based cardiac rehabilitation in patients with myocardial infarction. Ann Rehabil Med. 2017;41(1):121–8. doi: 10.5535/arm.2017.41.1.121 - PMC - PubMed

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