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KMID : 1022320150090040291
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Asian Nursing Research
2015 Volume.9 No. 4 p.291 ~ p.297
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Risk Factor?tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
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Hwang Seon-Young
Kim Jin-Shil
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Abstract
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Purpose: The purpose of this study was to evaluate the effects of a risk factor?tailored 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 factor?tailored 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 factor?tailored 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.
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KEYWORD
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acute coronary syndrome, education, patient, patient compliance, self-care, self-efficacy
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