Department of Nursing, Faculty of Medicine & Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia.
Faculty of Nursing and Health Sciences (FONAS), Open University of Malaysia, Kuala Lumpur, Malaysia.
Nurs Crit Care. 2018 Jul;23(4):186-191. doi: 10.1111/nicc.12240. Epub 2016 Apr 12.
Coronary heart disease has emerged as a number one killer in Malaysia and globally. Much of the morbidity and mortality in acute coronary syndrome patients is because of patients not recognizing their symptoms which contributes to delay in seeking early treatment.
The aim of this study is to evaluate the effectiveness of a nurse-led health education programme on knowledge, attitude and beliefs of coronary patients towards the responses to acute coronary syndrome and the association with patients' characteristics.
A single-group quasi-experimental design took place in a tertiary hospital. A total of 60 coronary patients were recruited to this study. The knowledge, attitude and beliefs towards acute coronary syndrome (ACS) were evaluated at baseline and after 1 month of giving education intervention.
Knowledge, attitude and beliefs about ACS increased significantly from baseline to 1 month after intervention. Level of attitude was associated with gender, educational level and employment status.
The findings of this study suggest that an education program conducted by a nurse improved patients' level of knowledge, attitudes and beliefs in response to ACS symptoms at 1 month compared to baseline, but whether they are sustained for a longer period is unclear. Improving the responses towards ACS might reduce decision delay in symptom interpretation and seeking early treatment.
Nurse-led interventions have imparted positive outcomes in response to ACS symptoms among coronary patients. Therefore, nurses should take the initiative in educating patients to minimize delay in symptom interpretation and seeking early treatment.
冠心病已成为马来西亚乃至全球的头号杀手。急性冠状动脉综合征患者的许多发病率和死亡率是由于患者未能识别其症状，导致治疗延迟。
本研究旨在评估护士主导的健康教育方案对冠心病患者对急性冠状动脉综合征反应的知识、态度和信念的有效性，以及与患者特征的相关性。
采用单组准实验设计，在一家三级医院进行。共有 60 名冠心病患者被纳入本研究。在基线和干预后 1 个月评估对急性冠状动脉综合征 (ACS) 的知识、态度和信念。
知识、态度和信念方面对 ACS 的认识从基线到干预后 1 个月显著提高。态度水平与性别、教育水平和就业状况有关。
本研究结果表明，与基线相比，护士实施的教育计划在 1 个月时提高了患者对 ACS 症状的知识、态度和信念水平，但尚不清楚它们是否能持续更长时间。改善对 ACS 的反应可能会减少对症状解释和寻求早期治疗的决策延迟。
护士主导的干预措施在冠心病患者对 ACS 症状的反应中产生了积极的结果。因此，护士应主动教育患者，尽量减少症状解释和寻求早期治疗的延迟。
