Effectiveness of nurse‐led counselling and education on self‐efficacy of patients with acute coronary syndrome: A randomized controlled trial

Bagheri, Hossein; Shakeri, Sara; Nazari, A M; Goli, Shahrbanoo; Khajeh, Mahboobeh; Mardani, Abbas; Vlaisavljević, Željko

doi:10.1002/nop2.1129

Cited by 13 publications

(9 citation statements)

References 55 publications

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“…In this study, demographic characteristics revealed an average age of 55.66 years in the control group and 54.69 years in the intervention group, closely aligning with prior research indicating mean ages of 57.03 and 59.28 years for intervention and control groups, respectively (15). The majority of participants were married, mirroring findings from previous studies that reported high marriage rates among patients with coronary artery disease (16,17).…”

Section: Discussionsupporting

confidence: 86%

“…Comparative analysis with existing literature indicates that while discharge education consistently improves self-efficacy, outcomes can vary based on the study design, population, and educational content delivered (19,22). This study's findings reinforce the notion that structured discharge education significantly enhances self-efficacy, corroborating earlier research emphasizing the role of comprehensive educational strategies in patient care post-discharge (15,20). The study's strengths include its rigorous methodological approach and the clear demonstration of the educational program's effectiveness.…”

Section: Discussionsupporting

confidence: 77%

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Effectiveness of Discharge Education on Self Efficacy among Patients with Coronary Artery Disease

Aslam,

Masih,

Mukhtar

2024

JHRR

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Background: Coronary Artery Disease (CAD) remains a leading cause of morbidity and mortality globally, with effective patient education on self-care post-discharge identified as a crucial component in managing the disease and improving patient outcomes. Despite the recognized importance, there is a gap in understanding the best approaches to discharge education and their impact on patient self-efficacy. Objective: This study aimed to evaluate the effectiveness of a comprehensive discharge education program on enhancing self-efficacy among patients with CAD, compared to standard care. Methods: A randomized control trial was conducted at the Multan Institute of Cardiology over a nine-month period, enrolling 70 participants with ST elevation myocardial infarction (STEMI), aged 30 and above. Participants were randomly allocated to either the intervention group, which received a three-day comprehensive discharge education program, or the control group, which received standard care. The Self-Efficacy Questionnaire, with a content validity index of 0.91 and a Cronbach's Alpha of 0.743, was used to measure outcomes. Data were analyzed using SPSS version 25.0, employing paired sample t-tests and independent sample t-tests to assess within-group and between-group differences, respectively. Results: The intervention group demonstrated a significant increase in self-efficacy post-intervention, with the mean self-efficacy score improving from 31.29 ± 5.571 to 51.69 ± 6.641 (t = -15.197, p < 0.000). In contrast, the control group showed no significant change. The post-intervention self-efficacy scores significantly differed between the intervention and control groups (51.69 ± 6.641 vs. 30.77 ± 4.505, t = -15.42, p < 0.000). Conclusion: The comprehensive discharge education program significantly improved self-efficacy among CAD patients compared to standard care. This suggests that targeted discharge education should be an integral part of patient care to enhance self-management capabilities post-discharge.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 77%

Effectiveness of Discharge Education on Self Efficacy among Patients with Coronary Artery Disease

Aslam,

Masih,

Mukhtar

2024

JHRR

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“…Patients who received health education at follow-up had a significant interaction effect on improving personal control and treatment [21], [22]. It can be related to the efficacy of patient health education in increasing the patient's perception of his illness [23], [24].…”

Section: Discussionmentioning

confidence: 99%

Association between Illness Perception and Anxiety Undergoing Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome: A Pilot Study

Achmad

Setiyarini²,

Sutono³

et al. 2023

Open Access Maced J Med Sci

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BACKGROUND: Patients’ illness perceptions are thought to be associated with anxiety undergoing percutaneous coronary intervention (PCI) in patients with acute coronary syndrome (ACS). AIM: This study aimed to determine the association between illness perception and anxiety undergoing PCI in patients with ACS. METHODS: This study used a cross-sectional design and enrolled 50 hospitalized patients with ACS who underwent elective PCI between December 2019 and March 2020. The study instruments were the Brief-Illness Perception Questionnaire to evaluate illness perception and the Zung Self-Rating Anxiety Scale to evaluate patients’ anxiety. Statistical analysis was performed using the Pearson correlation test with significance set as p < 0.05. RESULTS: This study showed that 56% of respondents had positive perceptions toward their disease. The majority of respondents (94%) also indicated a low level of anxiety undergoing PCI. The Pearson correlation test results revealed a significant association between illness perception and the level of anxiety undergoing PCI in patients with ACS (p = 0.043; r = 0.287). CONCLUSION: There is a significant association between illness perception and anxiety undergoing PCI in patients with ACS. The positive perceptions led to lower patients’ anxiety, and vice versa.

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“…Early days after ACS and the following hospitalization, patients experience a range of physical and psychological consequences such as sleep disturbance (Prado et al., 2019). It is believed that sleep disturbance can have harmful effects on ACS patients including physical stress, restlessness, aggression, reduced physical and cognitive function, mood instability and emotional distress (Bagheri et al., 2022; Farokhnezhad Afshar et al., 2017). All these increase the heart rate, respiratory rate, blood pressure, myocardial oxygen demand and cardiac dysrhythmia and can eventually lead to spreading ischemia and a second heart attack (Najafi Ghezeljeh, 2018).…”

Section: Introductionmentioning

confidence: 99%

The effect of increasing duration of family members' presence on sleep status in patients with acute coronary syndrome in cardiac care unit: A randomized controlled trial

Bagheri,

Norouzi,

Maleki

et al. 2024

Nursing Open

Self Cite

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AimTo investigate the effect of increasing duration of family members' presence on sleep status in patients with acute coronary syndrome (ACS) admitted to the cardiac care unit.DesignRandomized controlled trial.MethodsNinety patients with ACS randomly assigned into two groups. No intervention was performed in control group. In the intervention group, the time of family members presence was changed from 1 h per day to 2 h per day from the second to the fourth day. Then, ST Mary's Hospital Sleep Questionnaire was completed by the patients every day during the study.ResultsThe patients in the intervention group had statistically significantly better sleep status during the course of intervention compared to the control group.Patient or Public ContributionThe increasing duration of family members' presence can improve the sleep quality and quantity of ACS patients.

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Effectiveness of nurse‐led counselling and education on self‐efficacy of patients with acute coronary syndrome: A randomized controlled trial

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri bution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 13 publications

References 55 publications

Effectiveness of Discharge Education on Self Efficacy among Patients with Coronary Artery Disease

Effectiveness of Discharge Education on Self Efficacy among Patients with Coronary Artery Disease

Association between Illness Perception and Anxiety Undergoing Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome: A Pilot Study

The effect of increasing duration of family members' presence on sleep status in patients with acute coronary syndrome in cardiac care unit: A randomized controlled trial

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