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Educational process in patients after myocardial infarction

Jakub Doležel, Darja Jarošová

. 2019 ; 10 (2) : 1026-1034.

Language English Country Czech Republic

Document type Clinical Study

Persistent link   https://www.medvik.cz/link/bmc19026426

Aim:The studyaimed to determine the effect of education on the prevalence of risk factors and adherence to lifestyle measures in post-myocardial infarction patients. Design:A clinical, interventional, explanatory study.Methods:The sample (n = 165) comprised consecutive patients hospitalized for acute myocardial infarction. The interventional, explanatory study followed changes in two cohorts: intervention (n = 68) and control (n = 97). The intervention (prospective) group consisted of patients educated by a nurse using a previously developed nursing standard. The control (retrospective) group comprised patients who received no education on myocardial infarction provided by nurses.Results:After one-year follow-up, patients in the intervention group had statisticallybetter knowledge about their condition (p < 0.001) and used their medication more regularly (p < 0.001) than controls. At one year, systolic blood pressure and total cholesterol decreased by a mean of 2.5 mmHg and 0.3 mmol/l, respectively, in interventiongroup participants. As early as after one month, patients in this group increased their physical activity by a mean of 35 minutes per week. Conclusion:Post-myocardial infarction patients educated according to the developed nursing care standard were shown to better adhere to their pharmacological therapy and lifestyle changes.

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Literatura

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$a Aim:The studyaimed to determine the effect of education on the prevalence of risk factors and adherence to lifestyle measures in post-myocardial infarction patients. Design:A clinical, interventional, explanatory study.Methods:The sample (n = 165) comprised consecutive patients hospitalized for acute myocardial infarction. The interventional, explanatory study followed changes in two cohorts: intervention (n = 68) and control (n = 97). The intervention (prospective) group consisted of patients educated by a nurse using a previously developed nursing standard. The control (retrospective) group comprised patients who received no education on myocardial infarction provided by nurses.Results:After one-year follow-up, patients in the intervention group had statisticallybetter knowledge about their condition (p < 0.001) and used their medication more regularly (p < 0.001) than controls. At one year, systolic blood pressure and total cholesterol decreased by a mean of 2.5 mmHg and 0.3 mmol/l, respectively, in interventiongroup participants. As early as after one month, patients in this group increased their physical activity by a mean of 35 minutes per week. Conclusion:Post-myocardial infarction patients educated according to the developed nursing care standard were shown to better adhere to their pharmacological therapy and lifestyle changes.
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