Dow Institute of Nursing, Dow University of Health Sciences, Karachi, Pakistan.
Lahore School of Nursing, The University of Lahore.
J Pak Med Assoc. 2024 Sep;74(9):1617-1622. doi: 10.47391/JPMA.10396.
To assess the impact of educational intervention by nurses guided by Orem's theory to reinforce the self-care abilities of patients experiencing myocardial infarction.
The prospective, quasi-experimental case-control study was conducted from September 2020 to April 2021 at Dr. Ruth K.M. Pfau Civil Hospital, Karachi, and comprised myocardial infarction and heart failure patients with comorbidities diabetes mellitus and hypertension. The patients were randomised into experiment group A and control group B. Group A received educational intervention one day before and one day after discharge in line with the American Heart Association guidelines. Two 30-45-minute sessions of seven modules were conducted. Group B received routine information from ward staff. Assessment was done at baseline and first month and second month post-intervention using the Heart Failure Self-Care Index version 6.2. Data was analysed using SPSS 21.
Of the 80 patients, 40(50%) were in group A; 27(76.5%) males and 13(32.5%) females. The remaining 40(50%) patients were in group B; 20(50%) males and 20(50%) females. The overall age of the sample ranged 36-65 years and 48(60%) had a previous history of heart failure. The mean score of maintenance, management, confidence and overall self-care were significantly higher in group A compared to group B (p<0.05).
Nursing self-care educational intervention based on Orem's theory was found to be highly effective among patients of myocardial infarction and heart failure with respect to their self-efficacy ability.
评估由奥瑞姆理论指导的护士进行的教育干预对增强心肌梗死患者自我护理能力的影响。
这是一项前瞻性、准实验性病例对照研究，于 2020 年 9 月至 2021 年 4 月在卡拉奇的 Dr. Ruth K.M. Pfau 公民医院进行，研究对象为合并糖尿病和高血压等合并症的心肌梗死和心力衰竭患者。将患者随机分为实验组 A 和对照组 B。实验组 A 在出院前一天和出院后一天接受美国心脏协会指南指导的教育干预。共进行了 7 个模块的两次 30-45 分钟的课程。对照组 B 接受病房工作人员的常规信息。在干预前、干预后第一个月和第二个月使用心力衰竭自我护理指数版本 6.2 进行评估。使用 SPSS 21 进行数据分析。
在 80 名患者中，40 名（50%）在实验组 A 中；27 名（76.5%）为男性，13 名（32.5%）为女性。其余 40 名（50%）患者在对照组 B 中；20 名（50%）为男性，20 名（50%）为女性。样本的总体年龄在 36-65 岁之间，48 名（60%）有心力衰竭既往史。与对照组 B 相比，实验组 A 的维持、管理、信心和总体自我护理评分明显更高（p<0.05）。
基于奥瑞姆理论的护理自我护理教育干预在心肌梗死和心力衰竭患者中对提高其自我效能能力非常有效。
