Bracken M B, Bracken M, Landry A B
Arch Phys Med Rehabil. 1977 May;58(5):213-9.
Patients recovering from myocardial infarction (MI) or other heart diseases at St. Francis Hospital, Hartford, Ct, were educated by videotape or by staff lectures on alternating weeks. Both programs included the following: risk factors for MI, medications, diet, MI symptoms and life style changes. Patients were interviewed before and after the educational program. The MI patients under the age of 60 scored equally well on an informational test irrespective of the type of education program experienced. Older MI patients were significantly more likely to complete the educational program when it was given by videotape; those discontinuing attendance at lectures were less psychologically motivated to participate but were not necessarily more ill. Overall, higher education was the single most significant predictor of superior scores following patient education. Implications for the coronary care ward of the success of videotape in educating MI patients are discussed.
康涅狄格州哈特福德市圣弗朗西斯医院中,从心肌梗死(MI)或其他心脏病中康复的患者,每隔一周会通过录像带或员工讲座接受教育。两个项目都包含以下内容:MI的风险因素、药物、饮食、MI症状以及生活方式的改变。在教育项目前后对患者进行访谈。60岁以下的MI患者,无论接受哪种教育项目,在信息测试中的得分都同样高。年龄较大的MI患者在通过录像带接受教育时,完成教育项目的可能性显著更高;那些不再参加讲座的患者参与的心理动机较弱,但不一定病情更严重。总体而言,高等教育是患者接受教育后得分较高的唯一最重要预测因素。本文讨论了录像带在教育MI患者方面取得成功对冠心病监护病房的启示。