Randomized Controlled Trial of Symptom Management Patient Education for People With Acute Coronary Syndrome

Abstract

Background: Poorly managed acute coronary syndrome symptoms increase the risk of subsequent cardiovascular events. Purpose: The aim of this study was to evaluate the effectiveness of symptom management patient education on the knowledge of sublingual nitroglycerin for people with acute coronary syndrome. Methods: A randomized controlled trial was used to evaluate the 3-resource intervention. The study was conducted in a 448-bed Australian public hospital. The instrument used was the modified Sublingual Nitroglycerin Interview Schedule. Results: A total of 169 participants completed the study. The intervention group significantly improved their knowledge of sublingual nitroglycerin when compared with the control group (P = .002). Conclusion: This 3-resource symptom management patient education shows promise in improving sublingual nitroglycerin knowledge for people with acute coronary syndrome.

Patient and family perceptions and experiences of same-day discharge following percutaneous coronary intervention and those kept overnight

“…Cardiac education is pivotal to ensure that patients become aware of their chronic condition of heart disease (Stolic, Lin, & Mitchell, 2019); however, research has shown that some patients undergoing PCI experienced overwhelming wellness and believed that they were cured of CHD (Carroll, 2005;Young & Barnason, 2014). The reasons for this health misconception might be varied, including staff factors such as staff' advising that they try to "fix" the blockage or patient factors such as patients'…”

Patient Education Strategies among Patients with Acute Myocardial Infarction: A Systematic Review

“…The total scores range from 0 to 28, which means the higher scores, the better methodological quality of the study. The study was categorized based on following cutoff points: Excellent (26)(27)(28), good (20)(21)(22)(23)(24)(25), fair (15)(16)(17)(18)(19), and poor (≤14) based on the United States Preventive Services Task Force approach [16].…”

“…Nineteen studies were conducted across 11 countries, they were 13 in Asia (Iran: 6, Saudi Arabia: 1, Thailand: 1, Hong Kong: 1, China: 2, Korea: 1, and Jordan: 1), 5 in Europe (Ireland: 1, Czech Republic: 1, and Turkey: 3) and Australia (1). Among them, 12 studies were conducted as randomized controlled trial [17], [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28]. The patient populations included adults hospitalized for first-time myocardial infarction, either with ST-segment elevation or with no ST-segment elevation and either had or not had percutaneous coronary intervention.…”

“…Primary outcomes measured in reviewed studies included sexual quality of life [17], need for rehospitalizations [29], quality of life [18], [20], [30], [31], [32], self-care [18], adherence to medication [19], [25], [33], control of cardiac risk factors [29], [30], [31], [34], self-efficacy [20], [27], coping [20], anxiety [21], eating behavior [22], lifestyle behaviors [23], [28], [31], [35], knowledge [24], [25], [26], [29], [35], attitudes [24], beliefs [24], [26], physical activity [33], angina level [33], functional status [27], and illness perception [28]. All of the studies, except two studies [20], [29] employed validated and reliable research tool(s) for measurement of the outcome(s) in their studies (Table 1).…”

“…Another study used combination of face-to-face method, consultation, and provision of educational compact disk and book [23]. Finally, there was one study used booklet and three educational resources in its educational session [25] (Table 1).…”