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Introduction: Reverse osmosis (RO) is a water purification process that uses a partial permeable membrane to remove ions, unwanted molecules and larger particles from drinking water. In reverse osmosis, an applied pressure is used to overcome osmotic pressure, a colligative property that is driven by chemical potential differences of the solvent, a thermodynamic parameter. In the process of reverse osmosis the amount of water that is drained is a concern area for the people using the R.O. filtration device in their household because it wasted about 70% of the water to purify just one liter of water. This R.O. waste water can be utilized for various purposes such as washing vehicle like car bike etc, cleaning toilet this study is aimed to assess the knowledge reverse osmosis waste water utilization among general public at Indore. Objectives: 1. To assess the pretest knowledge regarding reverse osmosis (R.O) waste water utilization among general public. 2. To assess the posttest knowledge regarding reverse osmosis waste water utilization among general public. 3. To evaluate the effectiveness of structured teaching program on reverse osmosis (R.O) waste water utilization among general public. Hypothesis: H1- there will be significant difference between pretest and posttest knowledge who received structured teaching program regarding the utilization of waste R.O water. Materials and Methods: Quantitative, pre-experimental, one group pretest posttest design was adopted for the study. Total of 60 general public selected by using simple randomized sampling technique was used. Description of Tools: Structured knowledge questionnaire. Result: Data was analyzes using descriptive and inferential statistics. Major Finding: In the pre-test majority of the sample (44 out of 60, 73.3%) had inadequate knowledge and in the post-test, majority (54 out of 60, 90%) had adequate knowledge regarding reverse osmosis. A paired‘t’ test was done and it showed a‘t’ value of 22.34 at 0.05 level of significance, this indicates the effectiveness of structured teaching programme in enhancing the knowledge of the general public. There was no association found between the mean pre-test knowledge of the general public. There was no association found between the mean pre-test knowledge scorer with the selected socio-demographic variable such as age (?2 = 8.643), gender (?2 = 4.455), education qualification (?2 = 4.706), Occupation (?2 = 2.531), number of family member (?2 = 5.653) and previous knowledge about reverse osmosis filter water (?2 =0.393). Conclusion: There is a significant difference between the mean pre-test and post-test knowledge score among general public regarding reverse osmosis waste water utilization.
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@#Introduction: Anaemia in India is still a point of concern when it comes to adolescent girls. Adolescent girls are more prone to develop anaemia if they lack knowledge on how to manage the menace of anaemia in adolescence. The study was conducted to identify the prevalence of anaemia in adolescent girls and assess the effectiveness of teaching program on knowledge regarding prevention of anaemia in adolescent girls. Methods: The study was conducted in two phases. First phase adopted exploratory survey design and second phase involved one group pre-test post-test design. The sample consisted of 400 adolescent girls (13 – 15) years studying in rural schools of Haldwani block, Uttarakhand. Results: The study results revealed that about 90 (22.5%) adolescent girls were anaemic. Maximum 64 (71%) adolescent girls had average knowledge regarding anaemia and its prevention. There was 11% enhancement in the level of knowledge of anaemic adolescent girls post administration of teaching program and was significant at 0.05 level. Conclusion: The present study found that there was significant enhancement in the level of knowledge of adolescent girls in the post-test. Thus, it emphasizes the need to educate the adolescent girls regarding dietary choices they make so that it may help in reducing prevalence of anaemia in later ages of life in young girls of India.
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Tobacco is one of the most widely abused drugs in the world making it leading cause of preventable death. A two-phase study was done to identify the prevalence of tobacco abuse and to develop and evaluate the effectiveness of planned teaching programme in terms of knowledge, attitude and practice among the support staff in a selected hospital in New Delhi. During phase-I of the study, 200 support staff were selected based on total enumeration sampling technique. Structured tools containing socio-demographic variables, prevalence assessment tool, knowledge questionnaire, attitude scale, and practice scale were administered as a pre-test. During phase-II of the study, administration of the planned teaching programme was done for all the 200 support staff. A post-test was conducted for 66 tobacco abusers identifi ed during phase-I of the study based on the prevalence. The study results revealed that the prevalence rate of tobacco abuse among the support staff was 33 percent. Out of this 33 percent of the tobacco abusers, 26.5 percent were smokeless tobacco users and 6 percent were smoking tobacco abusers. The mean difference of pre-test and post-test knowledge, attitude, and practice scores were found out to be 2.95, 1.99, and 0.69 respectively. The planned teaching programme was effective in increasing the knowledge score of the tobacco abusers but there was no effect of PTP on attitude and practice score. The demographic variables such as age, sex, gender, educational qualifi cation, marital status, and monthly income were found to be signifi cantly associated with tobacco abuse among the support staff
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A leitura está presente em várias situações do cotidiano, como na aquisição de conteúdos acadêmicos e em situações práticas do dia-a-dia, portanto, quem a compreende apresenta maior autonomia para interagir com o ambiente. O objetivo deste estudo foi avaliar a eficiência do Módulo 3, parte do Currículo de Ensino "Aprendendo a ler e a escrever em pequenos passos", na promoção da leitura com compreensão e da fluência de leitura. O Módulo 3 era composto por 15 livros com a finalidade de promover comportamentos de identificar fatos explícitos nos textos, fazer inferências, identificar o tema da história e aprender vocabulário contextual. Participaram do estudo 11 crianças do ensino fundamental, separadas em grupo controle e experimental. Foram utilizadas medidas de compreensão textual e de fluência de leitura antes e após o procedimento de ensino, as quais foram analisadas com o programa estatístico R Core Team. Foi demonstrado aumento significativo na medida de compreensão de textos para as crianças do grupo experimental, quando comparados os resultados com o grupo controle. Sobre a fluência de leitura, não houve diferença significativa entre as medidas na comparação entre os grupos, entretanto o grupo experimental apresentou aumento significativo da medida quando comparado com ele mesmo.
Reading is present in many situations of our everyday life such as in the acquisition of academic contents and in our daily practical situations; however, those who understand it shows more autonomy to interact with the environment. The objective of this study was to evaluate the efficiency of Module 3, part of the Teaching Curriculum "Learning to read and write in small steps", towards the improvement of the reading comprehension and reading fluency. Module 3 includes 15 books with the objective to promote the identification of explicit facts in the texts, to make inferences, to identify the theme of the story and to learn contextual vocabulary. Eleven elementary school children participated in the study divided into a control group and an experimental group. The study adopted text comprehension reading fluency measures before and after the teaching procedure, analyzed by the R Core Team statistical program. Results showed significant increase in the text comprehension measure for children from the experimental group when compared to the results from the control group. In regards to reading fluency, there was no significant difference between the comparative measures between the groups; however, the experimental group showed significant increase in this measure, when compared to itself.
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Introducción: Las competencias investigativas pueden mejorar las habilidades profesionales del personal en las ciencias de la salud al exponerlos a las prácticas más actualizadas. Su evaluación a través de instrumentos de medición es parte del proceso formativo en el proceso enseñanza-aprendizaje universitario y profesional. Objetivo: Explorar los instrumentos de medición que se han desarrollado en las ciencias de la salud para valorar las competencias investigativas de forma cuantitativa. Material y Métodos: Se realizó una búsqueda exhaustiva de la temática en revistas científicas de las bases de datos: MEDLINE (vía PubMed), Scopus, Google académico, ScienceDirect, Redalyc y SciELO desde los últimos diez años: 2009 (enero) hasta diciembre de 2019. Resultados: La búsqueda encontró 14 artículos que cumplieron los criterios de inclusión, siete de los cuales fueron aplicados en estudiantes universitarios y los otros en egresados (graduados y docentes). La mayoría de los estudios se realizaron en el campo de la Enfermería. Tres artículos tuvieron un diseño de validación de instrumentos, un estudio tuvo un diseño cuasiexperimental mientras que los demás presentaron un diseño descriptivo transversal. Todos los instrumentos fueron escalas y presentaron categorías del tipo ordinal-Likert. Conclusiones: El desarrollo de competencias investigativas resulta importante para el sector universitario y profesional; la revisión encontró pocos estudios que valoraron las competencias investigativas a través de instrumentos de medición. Tres estudios presentaron las propiedades métricas de los instrumentos por lo que podrían ser replicados o traducidos para su aplicación en distintos contextos de las ciencias de la salud(AU)
Background: Research skills can improve the professional skills of the staff of health sciences by exposing them to the most up-to-date practices. Its evaluation through measuring instruments is part of the training process in university and professional teaching-learning environments. Objective: To analyze the measuring instruments that have been developed in the health sciences to assess research competencies in a quantitative way. Material and Methods: A comprehensive search on the topic was carried out in scientific journals of databases such as MEDLINE (via PubMed), Scopus, Google Scholar, ScienceDirect, Redalyc and SciELO over the last ten years (from January 2009 to December 2019). Results: The search identified 14 articles that met the inclusion criteria; seven of them were applied to university students while the others were applied to graduates (graduates and teachers). Most studies were performed in the field of Nursing. Three articles had the design of a validation of instruments; one study had a quasi-experimental design while the others presented a descriptive cross-sectional design. All the instruments used scales and presented categories of Likert-type scales. Conclusions: We conclude that the development of research skills is important for the university and professional sector. The review identified few studies that assessed research skills through measuring instruments. Three studies presented the metric properties of the instruments so they could be replicated and / or translated for their application in different healthcare contexts(AU)
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Humanos , Masculino , Feminino , Projetos de Pesquisa , Estudantes , Ensino , Universidades , Educação Médica , Ciências da Saúde , Aprendizagem , Competência ProfissionalRESUMO
Until recently umbilical cord and the placenta was discarded as medical waste after delivery. Hematopoietic stem cells(HSCs) are multi-potent stem cells, derived from bone marrow and peripheral blood. These HSCs are also present in umbilical cord blood. Umbilical cord blood (UCB) is a good source of hematopoietic stem cells that is equivalent to those found in the bone marrow. After delivery, umbilical cord blood can be collected and cryopreserved which can be used later. The stem cells in cord blood can grow into any type of cell especially blood and immune system cells, due to its multi-potent nature. These HSC are accepted method of treatment for various blood cell disorders, cancers, genetic diseases, immune disorders and metabolic disorders. Clinical trials are underway for neurological disorders,diabetes, auto-immune disorders and for some cardio vascular problems. So far worldwide more than 30,000 cord blood transplantations were done successfully. AIM: Aim of the study is to enhance the knowledge of basic B.Sc. Nursing students regarding umbilical cord blood banking who are studying in Rajiv Gandhi College of Nursing, Jammu. MATERIALS AND METHODS:An evaluative approach with one group pre-test, post-test design was used for the study. The sample consisting of 50 Basic B.Sc. Nursing students, they were chosen by convenient sampling technique. The study was conducted at Rajiv Gandhi College of Nursing, Jammu. The data was collected prior and after the structured teaching program by a structured questionnaire. RESULTS AND CONCLUSION: The overall mean knowledge score is 23.96 obtained by the subject in post-test was higher than mean knowledge score 9.42 obtained in pre-test and with the improvement score as 14.54. The results of the study revealed that the structured teaching program was significantly effective in improving the knowledge of students regarding umbilical cord blood banking. Hence the study concluded that the improved knowledge regarding umbilical cord blood bankinghelps the students to grow constantly, to be more advanced in medical research like what are the different benefits and use of stem cells derived from umbilical cord blood and thus attempts will be made by these students to educate the society about umbilical cord blood banking through different methods.
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A pesar de las últimas modificaciones en reformas educativas dentro del país, los planes curriculares y constantes renovaciones de programas con la finalidad de resolver el rezago educativo que se reflejan en las estadísticas nacionales, los resultados siguen siendo desfavorables. Esto conlleva a la reflexión y análisis para generar e implementar nuevas formas y estrategias de enseñanza. El presente trabajo tiene como propósito exponer el diseño de una propuesta alternativa de planeación y la elaboración de materiales de apoyo, desarrollada de acuerdo con el segundo bloque de estudios de sexto grado de primaria, en dos aprendizajes esperados contenidos en el currículo formal de educación básica, centrado en la interacción en la enseñanza-aprendizaje y de acuerdo con diversos niveles de aptitud funcional. Posteriormente se sometió a un proceso de pilotaje y revisión por expertos para probar la pertinencia de la planeación y precisiones para su implementación. Como resultados se presentan los materiales de apoyo y la propuesta de planeación, y se discuten con las coincidencias de los autores que han trabajado propuestas de planeación desde el enfoque interconductual.
Despite the latest changes in educational reforms within the country, curriculum plans and ongoing program renewals aimed at resolving the educational gap reflected in national statistics, the results remain unfavorable. This leads to reflection and analysis to generate and implement new forms and teaching strategies. The purpose of this paper is to present the design of an alternative proposal for planning and the development of support materials, developed according to the second block of sixth grade primary education, in two expected learning contained in the formal basic education curriculum. Centered on the interaction in teaching-learning and according to different levels of functional aptitude. Subsequently it underwent a process of piloting and revision by experts to prove the pertinence of the planning and precisions for its implementation. As results, the support materials and the planning proposal are presented and discussed with the authors who have worked on planning proposals from the inter-behavioral approach.
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Abstract Objective: The aim of this study was to present a review on the evolution, development, and consolidation of the pediatric emergency abroad and in Brazil, as well as to discuss the residency program in this key area for pediatricians. Data sources: This was a narrative review, in which the authors used pre-selected documents utilized as the minimum requirements for the Residency Program in Pediatric Emergency Medicine and articles selected by interest for the theme development, at the SciELO and Medline databases, between 2000 and 2017. Data synthesis: The historical antecedents and the initial evolution of pediatric emergency in Brazil, as well as several challenges were described, regarding the organization, the size, the training of professionals, and also the regulation of the professional practice in this new specialty. Additionally, a new pediatric emergency residency program to be implemented in Brazil is described. Conclusions: Pediatric emergency training will be a powerful stimulus to attract talented individuals, to establish them in this key area of medicine, where they can exercise their leadership by promoting care qualification, research, and teaching, as well as acting decisively in their management.
Resumo Objetivo: Apresentar uma revisão sobre a evolução, o desenvolvimento e a consolidação da emergência pediátrica no exterior e no Brasil, assim como discutir o programa de residência nessa importante área de atuação para o pediatra. Fontes dos dados: Revisão do tipo narrativa, em que os autores usaram documentos pré-selecionados empregados nos requisitos mínimos para o programa em Residência de Medicina de Emergência Pediátrica e para artigos selecionados por interesse para desenvolvimento do tema usaram as bases de dados SciELO e Medline entre 2000 e 2017. Síntese dos dados: Foram descritos os antecedentes históricos e a evolução inicial da emergência pediátrica no Brasil e diversos desafios, na organização, no dimensionamento, na formação de profissionais e, também, na regulamentação do exercício profissional dessa nova especialidade. Também se descreve um novo programa de residência em emergência pediátrica a ser implantado no Brasil Conclusões: A formação em emergência pediátrica será um poderoso estímulo para atrair indivíduos talentosos, fixá-los nessa importante área da medicina, na qual poderão exercer sua liderança e promover qualificação na assistência, na pesquisa e no ensino, assim como atuar decisivamente no seu gerenciamento.
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Humanos , Pediatria/educação , Prática Profissional , Medicina de Emergência/educação , Internato e Residência , BrasilRESUMO
Objetivos: Describir la experiencia de la consulta homeopática, su metodología y caracterizar a los pacientes. Material y métodos: Estudio descriptivo de 83 expedientes; se analizaron variables cualitativas (sexo, estado conyugal, ocupación, escolaridad, residencia, credo, modo de acceso a la consulta, motivo de consulta, motivos de consulta físicos y psíquicos, dolor, síntomas psíquicos y físicos, diagnóstico o problemas) y cuantitativas (edad, duración de la primera consulta, número de motivos de consulta, número de diagnósticos /problemas principales, comparación del número de motivos de consulta con los diagnósticos /problemas, número total de consultas, número y costo de los medicamentos y resultado de la aplicación de la Glasgow Homoeopathic Hospital Outcome Scale. La información se recolectó del expediente clínico. Los datos se almacenaron y analizaron en el programa SPPS versión 12.0; se obtuvieron medidas de tendencia central, frecuencias y proporciones. Resultados: Se atendieron 83 personas, con un intervalo de edad entre 5 meses y 83 años, promedio 38 años. 79% adultos, predominó el sexo femenino. 57% accedió por demanda libre; 28% por referencia de médicos y enfermeros. 81% consultó por problemas físicos de salud; una vez realizado el diagnóstico, la proporción de estos disminuyó casi a la mitad y los físico-psíquicos se incrementaron ocho veces. El promedio de duración de la primera consulta fue de 66 minutos, del número de consultas fue de dos y el de medicamentos, de tres. El costo promedio de las prescripciones fue de ¢1.946ºº por paciente. Conclusiones: En el distrito de Pavas existe demanda por la consulta homeopática, que debe investigarse. Este enfoque terapéutico holístico identificó trastornos de salud no reportados por los pacientes como motivos de consulta iniciales. Los resultados obtenidos coinciden, en algunos aspectos, con otras investigaciones internacionales en el campo de la práctica clínica homeopática.
Objectives: To describe the experience, clinical methods and patients characteristics seen during homeopathic consultation. Methods: The present is a descriptive study of 83 total clinical records. The following qualitative variables were analyzed (sex, marriage status, occupation, education, residence, religion, referral manner, physical an psychic consultation reasons, diagnosis or problems). Quantitative variables were: age, duration of first consultation, number of complaints at consultation, comparison between number of complaints for consultation with diagnosis / problems, total number of consultations, number and cost of homeopathic medications and results of the application of the Glasgow Homoeopathic Hospital Outcome Scale. Data was obtained from the clinical records, and then analyzed with the SPPS software 12.0 version. Central tendency measures, frequencies and proportions were obtained. Results: 83 patients were seen, during the study period, ranging from 5 months to 83 years of age, average 38 years. There was female sex majority, and 79% were adult. Fifty seven percent attended on their own will, 28% were referred by physicians or nurses. Eighty one percent consulted because of physical problems, however after establishing a medical diagnosis, those diminished around 50% but psycho-physical health problems increased 8 times. The average of the first consultation was 66 minutes; the number of consultations was 2 and 3 the medications per person. The average cost of the prescriptions was ¢ 1 946.00 (aprox. 3 US dollars) per patient. Conclusions: There is a demand for homeopathic consultation in Pavas district that should be investigated. The holistic therapeutic approach identified health problems in patients, that they did not report at the initial consultation. The results obtained coincidence in some aspects, with other international investigations in the field of clinical homeopathic practice.
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Humanos , Costa Rica , Saúde Holística , Homeopatia/estatística & dados numéricos , Atenção Primária à SaúdeRESUMO
Objective to probe into whether head-simulator teaching can enhance tooth cavity preparation compared with traditional preclinical teaching program.Method Questionnaires were conducted among the Grade 2002 students who had been trained by head-simulator teaching and were practicing in oral cavity section of our school.Result Majority of students think it's a good method and they have got better results than those trained in traditional experiment teaching.Conclusion The head-simulator teaching has improved the teaching quality of tooth cavity preparation but there exist some disadvantages which need further improvement and extension.
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O comportamento empático, entendido como uma classe geral de comportamentos, tem sidoconsiderado necessário para o bom estabelecimento de relações interpessoais. Para a apresentação desse comportamento, muitas vezes é necessária uma intervenção profissional para que ele seja aprendido. Foi objetivo do trabalho avaliar um programa para o ensino desse comportamento para crianças, em contexto clínico. Para construir o programa, o comportamento empático foi decomposto em aprendizagens intermediárias. O ensino dos comportamentos identificados foi feito de maneira gradual, por meio de atividades lúdicas planejadas para ocorrerem sob contingências de reforço positivo. Foram desenvolvidas atividades para o ensino de 09 dos 25 comportamentos intermediários identificados. Desses, sete foram aprendidos pela criança durante as sessões. Os resultados possibilitam evidenciar que, quando o ensino é programado, a aprendizagem ocorre de maneira a possibilitar ao terapeuta intervir mais precisamente sobre aqueles comportamentos que estão com mais dificuldades para serem aprendidos aumentando, dessa forma, a eficiência do atendimento. Ademais, a clara explicitação das aprendizagens intermediárias possibilitou a escolha, criação e adaptação deatividades lúdicas que melhor atendessem ao objetivo proposto para cada encontro, aumentando, dessa maneira, as possibilidades de aprendizagem dos comportamentos relevantes para a criança comportarse mais empaticamente.
Emphatic behavior, understood like a class of behaviors, has been considerate necessary for the good establishment of interpersonal relationships. Presenting these behaviors sometimes requires professional intervention for them to be learned. Therefore, the objective of this article was evaluating a program for teaching these behaviors for children, in a clinical context. For elaborating the program, emphatic behavior was decomposed in intermediary learning steps. Teaching the identified behaviors was made in a gradual form, by playful activities projected for occurring in a positive contingence of reinforcement. Activities were developed to teach 9 out of the 25 intermediary behaviors identified.The children learned 7 of those 9 behaviors that were teached during therapeutic sessions. The results enabled identifying that, when teaching is programmed, learning occurs in a way to make it possible for the therapist to follow more frequently and intervene more accurately in that specific behavior that presents more difficulties for being learned and, this way; amplify the efficiency of the intervention. In addition, the explicitness of intermediary learning steps makes the choice, creation and adaptation of playful activities possible, which better attends the proposed objectives for each session, keeping children motivated and increasing the possibilities of learning the relevant of behavioring more emphaticly.
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Humanos , Masculino , Criança , Empatia , Relações Interpessoais , Psicologia da CriançaRESUMO
In teaching the course of Environmental Hygiene to the senior major of the four-year undergraduates of the Department of Public Administration,we have tried to reform the teaching program for the course of Public Place Hygiene.The related theories are taught right on the spot of public places instead of in classrooms.Students are organized to carry out such activities on their own as studying subject matters,consulting related documents and data,working out and implementing programs for on-the-spot monitoring and inspection,and then exchanging and discussing the results of monitoring and inspection,so that their interest in the courses is increased and their understanding of what they have learned is deepened.In this way they are able to apply their knowledge to practice,improve their practical capabilities,and enhance their overall capacity for analyzing and finding solutions to problems they are faced with.
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We investigated the students of a seven-year medical master in the bilingual teaching program in Neurology with a questionnaire.We found that the bilingual teaching program has the following problems:the students don't have a solid foundation of medical English terminology and the content of the English teaching was higher than the ability of the students.So we think that we need to impress upon the students the importance of the program.We can also raise the overall quality of this program through an improvement of teaching methods,regulation of the proportion of English content in all courses and suitable midterm and final examinations.These alterations will effectively improve the bilingual teaching program.
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Excel is electronic form software with strong function in Microsoft office. We utilize Excel software to manage the clinical teaching program. Clinical teaching program can be rapidly filled by way of duplicating, clipping, pasting, packing, arranging in order, and sieving etc. in the software, column numbers of teaching program can be added according to the need. After gathering teaching program of every research group of teaching into the total teaching program, we can conveniently arrange any column in an order and screens, so that the total teaching program was reset and optimized. The function of management of the total teaching program was so expanded that the quality and efficiency of clinical teaching management were raised.
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PURPOSE: The purpose of this study was to investigate the effects of cardiac rehabilitation teaching program on knowledge level and compliance of health behavior for the patients with myocardial infarction. METHOD: The subjects were 47 patients 23 were assigned to the experimental group and 24 were for the control. The cardiac rehabilitation teaching program is a individualized teaching program which was delivered to the experimental group during hospitalization period by present researcher. Data were collected through questionnaire surveys for knowledge level and compliance of health behavior from September 15, 1999 to December 31, 2000. The collected data was analyzed by using the SAS program. RESULTS: 1. With regard to the knowledge scores 1) The total knowledge level in the experimental group was significantly higher than in the control group. 2) As to the knowledge domains, nature of disease, risk factors, diet, medication, exercise, and daily activities were significantly higher in score in the experimental group than in the control group. 2. With regard to the compliance of health behavior 1) The average compliance with good health behavior was significantly higher in the experimental group than in the control group. 2) As to the health behavior domains smoking cessation, diet, stress management, regular exercise, and other measures for lifestyle modification were significantly higher in score in the experimental group than in the control group. 3. The pre-treatment knowledge score was positively correlated to the post-treatment knowledge score and post-treatment knowledge score was positively correlated to the post-treatment compliance of health behaviors. CONCLUSION: The above findings indicate that the cardiac rehabilitation teaching program for the experimental group was effective in increasing level of knowledge and improvement f compliance with good health behavior of patients with myocardial infarction.
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Humanos , Complacência (Medida de Distensibilidade) , Dieta , Comportamentos Relacionados com a Saúde , Hospitalização , Estilo de Vida , Infarto do Miocárdio , Inquéritos e Questionários , Reabilitação , Fatores de Risco , Abandono do Hábito de FumarRESUMO
This study was conducted to evaluate the effect of a teaching program on patients with myocardial infarction. Forty-five patients were randomly selected 22 were assigned to a teaching group and 23 to a control group. An individualized teaching program was delivered to the teaching group during the hospitalization period. It covered aspects such as: the characteristics of heart disease, the anatomy and physiology of the heart, risk factors of atherosclerosis, medication and diet and exercise therapy. When these subjects were discharged to their homes, they received regular supportive care via telephone or mail for 12 weeks. Atherosclerotic risk factors, including, smoking, exercise, blood lipid profile and BMI were measured before and after the teaching program. Post-testing revealed that the numbers of those who exercised and the number of non-smokers were significantly higher in the teaching group than in the control group. Increased HDL cholesterol (High-Density Lipoprotein cholesterol) was significantly greater in the teaching group than in the control group. The above findings suggest that this individualized teaching program might be helpful at reducing the risk factors of atherosclerosis in myocardial infarction patients.
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Adulto , Idoso , Feminino , Humanos , Masculino , Arteriosclerose/etiologia , Estudo Comparativo , Exercício Físico , Lipídeos/sangue , Pessoa de Meia-Idade , Infarto do Miocárdio/prevenção & controle , Educação de Pacientes como Assunto , Fatores de Risco , FumarRESUMO
PURPOSE: The purpose of this study was to investigate the effects of an intensive teaching program on the knowledge level of MI in patients with a myocardial infarction. METHOD: The subjects were 47 patients with a myocardial infarction. Of the subjects 23 were assigned to the experimental group and 24 to the control group. The data were collected through a questionnaire (Lee, 1992; Nam, 1998) survey of knowledge level. The data collection was done about MI between September 15, 1999 and December 31, 2000 after hospital discharge. Data were analyzed using the SAS program and the results are as follows. RESULTS: 1. There were no significant difference in knowledge level of the MI (P=0.621) between the two groups before the teaching program was given. 2. After 4 weeks the knowledge level about MI was significantly higher in the experimental group compared to the control group (P=0.000). 3. After 12 weeks the knowledge level about MI was significantly higher in the experimental group compared to the control group (P=0.000). 4. After 4 weeks the experimental group was at a higher scores of knowledge category about MI for nature of disease (P=0.000), risk factors, (P=0.000), diet (P=0.000), medication (P=0.000), exercise and daily activities (P=0.000) as compared to the control group. 5. After 12 weeks the experimental group was at a higher scores of knowledge category about MI for nature of disease (P=0.000), risk factors (P=0.001), diet (P=0.000), medication (P=0.000), exercise and daily activities (P=0.000) as compared to the control group. CONCLUSION: The above findings indicate that the intensive teaching program used for the experimental group in this study was effective in increasing the knowledge level about MI of the patients with a myocardial infarction.