Risk Factoretailored Small Group Education for Patients with First-time Acute Coronary Syndrome
Asian Nursing Research
; : 291-297, 2015.
Article
in En
| WPRIM
| ID: wpr-43269
Responsible library:
WPRO
ABSTRACT
PURPOSE: The purpose of this study was to evaluate the effects of a risk factoretailored small group education on anxiety and depressive symptoms, self-efficacy and self-care compliance in patients with first-time acute coronary syndrome (ACS) for 12-month follow-up. METHODS: A quasi-experimental pretest and post-test design was used. Patients were recruited from a national university hospital from 2010 to 2011 in Korea. The group education consisted of a 60-minute long video developed using multimedia contents including voice-recorded texts, flash animation, and video clips, with nurses' dialogue. The intervention group (n = 34) participated in group education using the multimedia video in a small group of patients with similar risk factors, and received periodic telephone counseling and text messages. The control group (n = 40) received usual care and counseling upon request. RESULTS: Depressive symptoms decreased, and self-efficacy and self-care compliance in the areas of medication, exercise, and healthy diet practice significantly increased in patients in the intervention group, compared with those in the control group. CONCLUSIONS: Risk factoretailored small group education and periodic text message were an effective strategy for decreasing depression, and increasing self-efficacy and long-term compliance with lifestyle changes in patients with first-time ACS. We suggested that risk factoretailored small group education need to be given for first-time ACS patients for psychological support and behavioral change in clinical practice. It is also comparable to individual approach to encourage psychological and behavioral change.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Self Care
/
Stress, Psychological
/
Teaching
/
Adaptation, Psychological
/
Patient Education as Topic
/
Risk Factors
/
Patient-Centered Care
/
Multimedia
/
Self Efficacy
/
Acute Coronary Syndrome
Type of study:
Etiology_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
En
Journal:
Asian Nursing Research
Year:
2015
Type:
Article