scholarly journals Effectiveness of an Educational Program to Enhance Self-care Skills After Acute Coronary Syndrome: A Quasi-Experimental Study

Author(s):  
Lisa Gomes ◽  
Gorete Reis
2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Ebrahim Ebrahimi Tabas ◽  
Hamed Sarani ◽  
Hamed Faghihi ◽  
Zahra Nezamjoo

Background: Continuous follow-up is one of the most essential factors in patient participation, self-care, continuity of care, and ultimately improved quality of care. Objectives: This study aimed to compare the effect of three methods of follow-up through telephone, educational booklet, and SMS on the self-care ability of patients with acute coronary syndrome (ACS). Methods: A quasi-experimental study was performed on 120 patients with ACS admitted to the CCU and PCCU of two teaching hospitals affiliated to the Zahedan University of Medical Sciences. The subjects were chosen via convenience sampling and randomized into three intervention groups, including educational booklet, SMS (daily), and telephone (twice a week, 15 - 20 minutes per session). Data collection tools included a demographic questionnaire and the Kearney and Fleischer Self-Care scale. The interventions were sustained for four weeks after discharge. Six weeks after the program, the questionnaires were completed again. Data were analyzed in SPSS 21 using the chi-square test, paired t-test, and ANOVA at a significance level of below 0.05. Results: A total of 120 patients completed the study. The results showed a significant difference in the self-care scores after the intervention between all of the three groups (P = 0.0001). There was a significant difference between the booklet and SMS groups (P = 0.0001) and between the booklet and telephone groups (P = 0.0001) after the intervention. However, self-care scores were not significantly different between the SMS and telephone groups after the intervention (P = 0.19). Conclusions: The use of SMS was associated with the highest score of self-care in patients with ACS, and it is proposed as the best follow-up method. Therefore, health care providers can enhance patients’ self-care ability through this simple technique and thus, help patients recover sooner and show reduced disease complications.


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Ode Irman ◽  
Yosefina Nelista ◽  
Yosephina Maria Hawa Keytimu

Anxiety  becomes a psychological response when there is an attack and becomes a cause to bad treatment of Acute Coronary Syndrome (ACS) patients. Music therapy interventions to reduce anxiety need to be considered because it has no harmful effects. The study aimed to analyze the influence of gong waning music therapy toward anxiety in patients with ACS in Regional Public Hospital of dr. T.C. Hillers Maumere. The research design was quasi experimental with non-equivalent control group design. The sample was 32 patients divided into 2 groups with 16 patients per group taken by using purposive sampling technique. The intervention was implemented in three days. State Trait Anxiety Inventory (STAI) was used as the instrument of the study. The study used paired t-test, independent sample t-test and repeated anova for data analysis. The study showed that experimental group’s trait anxiety and state anxiety were reduced (p 0.000 and 0.001). There was a difference on anxiety in experimental and control group (p 0.043 and 0.049). There was a bigger decrease of anxiety level in experimental group and it was statistically significant (p 0.000). The findings proved to support intervention of traditional music therapy to reduce anxiety. Nurses should not only focus on physical problems and ignore anxiety. It is hoped that nurses can use music therapy as a non-pharmacological adjunct therapy to help reduce anxiety of ACS patients.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Masoomeh Mohammadpoor ◽  
Shirmohammad Davoodvand ◽  
Seyed Alimohammad Hasheminia ◽  
Arsalan Khaledifar ◽  
Morteza Sedehi ◽  
...  

Background: Anxiety is one of the most common psychological problems after myocardial infarction and can lead to many problems in acute coronary syndrome (ACS). Two possible ways to reduce anxiety are to listen to music and to recite the Holy Quran, the effects of which have never been compared to date. Objectives: The aim of this study was to compare the effect of listening to instrumental music and listening to Quran recitation on the anxiety level of patients with acute coronary syndrome. Methods: This semi-experimental study was conducted among 96 patients with ACS referred to Hajar Hospital, Shahrekord, Iran, from 3/10/2019 to 4/30/2019. The patients were entered into the study using the convenience sampling method and then randomly assigned to the three groups of Quran recitation, instrumental music, and control. In this study, the patients’ anxiety level was measured using Spielberger’s state-trait anxiety inventory (STAI) before and after listening to Quran recitation and instrumental music. Data were analyzed by SPSS version 16 using descriptive and analytical tests, including paired samples t-test, Chi-square, and one-way ANOVA. Results: Anxiety level decreased from 43.1 ± 6.15 to 38.5 ± 3.82 in Quran recitation group (P < 0.001) and from 44.2 ± 1.21 to 39.1 ± 4.17 in the instrumental music group (P = 0.035), and from 46.3 ± 3.84 to 44.7 ± 6.21 in the control group (P < 0.001). There was no significant difference between the three groups before the program. However, the mean score of anxiety level showed a significant difference, indicating that listening to Quran recitation had a greater effect than listening to instrumental music in reducing the patients’ anxiety (P = 0.02). Conclusions: Both interventions can be useful in decreasing the anxiety level of patients with ACS; however, the Holy Quran recitation had a greater effect in this regard.


2004 ◽  
Vol 57 (11) ◽  
pp. 1017-1028
Author(s):  
Javier Muñiz García ◽  
Juan J. Gómez Doblas ◽  
María I. Santiago Pérez ◽  
Eduardo de Teresa Galván ◽  
José M. Cruz Fernández ◽  
...  

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