Ghisi Gabriela Lima de Melo, Abdallah Flavia, Grace Sherry L, Thomas Scott, Oh Paul
Exercise Sciences Department, Faculty of Kinesiology & Physical Education, University of Toronto, Toronto, Canada; Cardiac Rehabilitation and Prevention Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.
Cardiac Rehabilitation and Prevention Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.
Patient Educ Couns. 2014 May;95(2):160-74. doi: 10.1016/j.pec.2014.01.012. Epub 2014 Jan 30.
(1) To investigate the impact of education on patients' knowledge; (2) to determine if educational interventions are related to health behavior change in cardiac patients; and (3) to describe the nature of educational interventions.
A literature search of several electronic databases was conducted for published articles from database inception to August 2012. Eligible articles included cardiac patients, and described delivery of educational interventions by a healthcare provider. Outcomes were knowledge, smoking, physical activity, dietary habits, response to symptoms, medication adherence, and psychosocial well-being. Articles were reviewed by 2 authors independently.
Overall, 42 articles were included, of which 23 (55%) were randomized controlled trials, and 16 (38%) were considered "good" quality. Eleven studies (26%) assessed knowledge, and 10 showed a significant increase with education. With regard to outcomes, educational interventions were significantly and positively related to physical activity, dietary habits, and smoking cessation. The nature of interventions was poorly described and most frequently delivered post-discharge, by a nurse, and in groups.
Findings support the benefits of educational interventions in CHD, though increase in patients' knowledge and behavior change.
Future reporting of education interventions should be more explicitly characterized, in order to be reproducible and assessed.
（1）研究教育对患者知识的影响；（2）确定教育干预是否与心脏病患者的健康行为改变相关；（3）描述教育干预的性质。
对多个电子数据库进行文献检索，以获取从数据库建立到2012年8月发表的文章。符合条件的文章纳入心脏病患者，并描述了医疗保健提供者提供的教育干预措施。结果包括知识、吸烟、身体活动、饮食习惯、症状反应、药物依从性和心理社会幸福感。文章由两位作者独立评审。
总体而言，纳入了42篇文章，其中23篇（55%）为随机对照试验，16篇（38%）被认为质量“良好”。11项研究（26%）评估了知识，10项研究表明教育能显著增加知识。关于结果，教育干预与身体活动、饮食习惯和戒烟显著正相关。干预的性质描述不佳，最常见的是在出院后由护士分组进行。
研究结果支持教育干预对冠心病的益处，包括增加患者知识和改变行为。
未来教育干预的报告应更明确地进行描述，以便能够重复和评估。
