Department of Elderly Care, Muğla Sıtkı Koçman University, Mugla, Turkey.
Department of Nursing, Manisa Celal Bayar University, Manisa, Turkey.
Ir J Med Sci. 2022 Apr;191(2):691-698. doi: 10.1007/s11845-021-02601-7. Epub 2021 Mar 17.
To the best of our knowledge, no other studies investigated acute myocardial infarction patients' beliefs and knowledge level after the discharge education.
The aim of the study was to investigate the effectiveness of planned discharge education on the beliefs and knowledge levels of CVD risk factors, medication compliance, dietary compliance, and individual follow-up in patients with acute myocardial infarction (AMI).
A double-blind randomized controlled study was carried out with 100 AMI patients. All participants were randomly assigned to the intervention (n = 50) and control groups (n = 50). The first evaluation of all participants in both groups was on the day of discharge. Both groups were re-evaluated after 4 weeks. Patients' beliefs on medication, diet, and individual monitoring were assessed by the Beliefs about Medication Compliance Scale (BMCS), the Beliefs about Dietary Compliance Scale (BDCS), and the Beliefs about Individual Follow-up Scale (BIFS), respectively. The knowledge of CVD risk factors was questioned with the Cardiovascular Disease Risk Factors Knowledge Level (CARRF-KL) Scale.
The mean age of the patients was 59.10 ± 9.38 years in the intervention group and 58.86 ± 9.19 in the control group. After the planned discharge education, beliefs and knowledge levels of CVD risk factors, medication compliance, dietary compliance, and individual follow-up were significantly increased compared with the control group.
Planned discharge education had a positive effect on the knowledge level of cardiovascular diseases risk factors, drug compliance, nutritional compliance, and individual follow-up in patients with acute myocardial infarction.
据我们所知，尚无其他研究调查急性心肌梗死患者出院教育后的信念和知识水平。
本研究旨在调查有计划的出院教育对急性心肌梗死（AMI）患者的心血管疾病危险因素、药物依从性、饮食依从性和个体随访的信念和知识水平的影响。
采用双盲随机对照研究，纳入 100 例 AMI 患者。所有参与者均随机分为干预组（n = 50）和对照组（n = 50）。两组患者在出院当天进行第一次评估，4 周后进行第二次评估。通过药物依从性信念量表（BMCS）、饮食依从性信念量表（BDCS）和个体监测信念量表（BIFS）评估患者对药物、饮食和个体监测的信念，通过心血管疾病危险因素知识水平量表（CARRF-KL）评估患者对心血管疾病危险因素的知识。
干预组患者的平均年龄为 59.10 ± 9.38 岁，对照组为 58.86 ± 9.19 岁。与对照组相比，经过有计划的出院教育后，患者对心血管疾病危险因素、药物依从性、饮食依从性和个体随访的信念和知识水平均显著提高。
有计划的出院教育对急性心肌梗死患者的心血管疾病危险因素知识水平、药物依从性、营养依从性和个体随访有积极影响。
