Effectiveness of therapeutic education in patients with myocardial infarction

Michalski, Piotr; Kosobucka, Agata; Pietrzykowski, Łukasz; Kasprzak, Michał; Buszko, Katarzyna; Obońska, Karolina; Fabiszak, Tomasz; Kubica, Aldona

doi:10.5603/mrj.2017.0011

Cited by 11 publications

(11 citation statements)

References 17 publications

(19 reference statements)

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“…The obtained results confirmed our previous observations assessing the effectiveness of using the brochure in improving knowledge in patients treated for acute coronary syndrome [13][14][15].…”

Section: Discussionsupporting

confidence: 89%

“…The patient received 1 point for each correct answer. The questions in the questionnaire tested knowledge in three areas: knowledge of the symptoms of coronary artery disease and myocardial infarction (questions 1-5), knowledge about the disease (questions 6-10), and knowledge about prevention (questions [11][12][13][14][15][16][17][18][19][20].…”

Section: Methodsmentioning

confidence: 99%

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The impact of knowledge and effectiveness of educational intervention on readiness for hospital discharge and adherence to therapeutic recommendations in patients with acute coronary syndrome

Michalski

Kasprzak

Siedlaczek

et al. 2020

Medical Research Journal

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Introduction: ESC guidelines emphasize the importance of educating patients after acute coronary syndromes aimed at familiarizing the patient with the essence of the disease, the principles of self-control and self-care as well as actions enhancing health maintenance. Aim: The aim of the study was to assess the impact of knowledge and effectiveness of educational intervention on readiness for discharge from the hospital and compliance with therapeutic recommendations six months after discharge. Material and methods: The study group consisted of 218 patients (28.9% women and 71.1% men) aged 31 to 90 years (63.0 ± 11.24) treated with coronary angioplasty for myocardial infarction. The effectiveness of educational intervention was assessed by comparing patients' knowledge on the day of admission (1KE) and discharge from the hospital (2KE). Knowledge was assessed in 3 aspects: knowledge of symptoms, knowledge of the disease, and knowledge of prevention. Education was provided between 1KE and 2KE based on the brochure entitled "Myocardial Infarction". The level of knowledge on the day of discharge and the increase in knowledge obtained after education (∆KE) were referred to the level of Readiness for Hospital Discharge after Myocardial Infarction Scale (RHD-MIS) and to the level of adherence in chronic diseases scale (ACDS). Results: As a result of the education carried out between 1KE and 2KE, a significant increase in knowledge was obtained (p < 0.05). There was no correlation between ΔKE and RHD-MIS. However, it was shown that a higher level of knowledge at discharge (2KE) was associated with a higher RHD-MIS result (R = 0.17; p = 0.01). The highest impact on the RHD-MIS result was due to the level of knowledge of disease symptoms in 2KE: 75.5 ± 19.5%, 76.4 ± 21.1%, 85.8 ± 16.4% for low, medium and high RHD-MIS results (p = 0.002) ; R = 0.15; p = 0.0003. Knowledge of the disease symptoms in 2KE was associated with the patient's expectations in RHD-MIS-a higher level of knowledge was associated with higher patient expectations, respectively: 73.2 ± 21.7%, 80.0 ± 18.5%, 82.9 ± 19.2 for low, medium and high RHD-MIS (p = 0.02); R = 0.19; p = 0.006. There was no correlation between ΔKE or 2KE and ACDS results 6 months after discharge. Conclusions: The educational brochure is an effective tool in improving patients' level of knowledge. Better knowledge of the symptoms of coronary artery disease and myocardial infarction is associated with a higher degree of readiness for discharge from the hospital but does not affect the observance of therapeutic recommendations in the field of pharmacotherapy after 6 months.

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Section: Discussionsupporting

confidence: 89%

Section: Methodsmentioning

confidence: 99%

The impact of knowledge and effectiveness of educational intervention on readiness for hospital discharge and adherence to therapeutic recommendations in patients with acute coronary syndrome

Michalski

Kasprzak

Siedlaczek

et al. 2020

Medical Research Journal

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“…In line with our observations, other reports also indicate the third and fourth quarters of treatment after myocardial infarction as the moment of adherence deterioration [6,18,37,[46][47][48][49][50]. The previously published studies identifying non-adherence determinants, did not include into account the readiness for discharge from the hospital [6,18,37,[46][47][48][49][50][51][52][53][54].…”

Section: Discussionsupporting

confidence: 82%

Impact of readiness for discharge from the hospital on the implementation of the therapeutic plan

Kosobucka

Pietrzykowski

Michalski

et al. 2020

Medical Research Journal

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“…Therapy consistent with medical guidelines after acute coronary syndrome (ACS) has been shown to effectively reduce the prevalence of adverse cardiovascular events, however, the adherence to long-term pharmacotherapy tends to be insufficient [1][2][3]. Therefore, extensive in-hospital education should be a standard of care in patients with ACS [4,5]. To ensure patient understanding, satisfaction and safety, discharge planning, including the assessment of patients' readiness for discharge, should be applied [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Self-reported questionnaires for a comprehensive assessment of patients after acute coronary syndrome

Kubica

2019

Medical Research Journal

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Effective patients' preparation for discharge is expected to improve adherence to long-term treatment and functioning in chronic faze of coronary artery disease-ameliorating clinical outcome. This paper is aimed to introduce the strategy of comprehensive post-ACS in-hospital patients' evaluation regarding readiness for hospital discharge, as well as a post-discharge assessment of adherence to pharmacological treatment and functioning in the chronic phase of the coronary artery. A system of diagnostic tools allowing assessment of patients during hospitalization and after discharge has been developed. The Readiness for Hospital Discharge after Myocardial Infarction Scale (RHD-MIS) was designed for in-hospital evaluation, while the Adherence in Chronic Diseases Scale (ACDS) and the Functioning in Chronic Illness Scale (FCIS) for examination during follow-up visits. They are expected to reflect the effectiveness of different aspects of patient-medical staff collaboration. Use of questionnaires seems to be a method of choice for this purpose because of the simplicity, easiness of their application, and low cost. Self-reported questionnaires allow comprehensive in-hospital and post-discharge assessment of patients after ACS.

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Effectiveness of therapeutic education in patients with myocardial infarction

Cited by 11 publications

References 17 publications

The impact of knowledge and effectiveness of educational intervention on readiness for hospital discharge and adherence to therapeutic recommendations in patients with acute coronary syndrome

The impact of knowledge and effectiveness of educational intervention on readiness for hospital discharge and adherence to therapeutic recommendations in patients with acute coronary syndrome

Impact of readiness for discharge from the hospital on the implementation of the therapeutic plan

Self-reported questionnaires for a comprehensive assessment of patients after acute coronary syndrome

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