Risk Factor-tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
- Authors
- Hwang, Seon Young; Kim, Jin Shil
- Issue Date
- Dec-2015
- Publisher
- ELSEVIER SCIENCE INC
- Keywords
- acute coronary syndrome; education; patient; patient compliance; self-care; self-efficacy
- Citation
- ASIAN NURSING RESEARCH, v.9, no.4, pp.291 - 297
- Indexed
- SCIE
SSCI
SCOPUS
KCI
- Journal Title
- ASIAN NURSING RESEARCH
- Volume
- 9
- Number
- 4
- Start Page
- 291
- End Page
- 297
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/155732
- DOI
- 10.1016/j.anr.2015.07.005
- ISSN
- 1976-1317
- Abstract
- 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 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.
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