Effects of Cardiac Rehabilitation Teaching Program on Knowledge Level and Compliance of Health Behavior for Patients with Myocardial Infarction

심장재활 교육프로그램이 심근 경색증 환자의 질병관련 지식과 건강행위 이행에 미치는 효과

  • Published : 2002.02.01

Abstract

The purpose of this study was to investigate the effects of cardiac rehabilitation teaching program on knowledge level and compliance of health behavior for the patients with myocardial infarction. Method: The subjects were 47 patients 23 were assigned to the experimental group and 24 were for the control. The cardiac rehabilitation teaching program is a individualized teaching program which was delivered to the experimental group during hospitalization period by present researcher. Data were collected through questionnaire surveys for knowledge level and compliance of health behavior from September 15, 1999 to December 31, 2000. The collected data was analyzed by using the SAS program. Results: 1. With regard to the knowledge scores 1) The total knowledge level in the experimental group was significantly higher than in the control group. 2) As to the knowledge domains, nature of disease, risk factors, diet, medication, exercise, and daily activities were significantly higher in score in the experimental group than in the control group. 2. With regard to the compliance of health behavior 1) The average compliance with good health behavior was significantly higher in the experimental group than in the control group. 2) As to the health behavior domains smoking cessation, diet, stress management, regular exercise, and other measures for lifestyle modification were significantly higher in score in the experimental group than in the control group. 3. The pre-treatment knowledge score was positively correlated to the post-treatment knowledge score and post- treatment knowledge score was positively correlated to the post-treatment compliance of health behaviors. Conclusion: The above findings indicate that the cardiac rehabilitation teaching program for the experimental group was effective in increasing level of knowledge and improvement of compliance with good health behavior of patients with myocardial infarction.

Keywords

References

  1. American Association of Cardovascular & Pulmonary Rehabilitation (1999). Guidelines for cardiac rehabilitation and secondary prevention programs. 3rd rev. Ed Champaign, IL:Human Kinetics
  2. Bae, J. H., & Jun, S. S. (1999). A study about dietetic knowledge and educational needs in patients with coronary artery disease and their families. J Korean Acad Adult Nurs 11(2), 318-330
  3. Castelein, P., & Kerr, J. R. (1995). Satisfaction and cardiac lifestyle J Adu Nur 21, 498-505
  4. Choo, J. A. Hong, K. P., Jae, S. Y., Hong, S. H. Park, W. H, Cho, B. R, Ryu, J. C, Park, J. B., Gwon, H. C., Park, S. W., Kim, M. J., & Lee, W. R. (1997). Effects of cardiac rehabilitation in patients with myocardial infarction Korean circulation. J. 27(3), 342-349
  5. Conn, V. S., Taylor, S. G., & Wiman, P. (1991). Anxiety, Depression, quality of life and self-care among survivors of myocardial infarction Issues Ment Health Nurs 12, 321-331
  6. Conn, V. S., Taylor, S. G., & Casey, B. (1992). Cardiac rehabilitation program partcipation and outcomes after myocardial infarction Rehabil NUrs 17(2), 58-63
  7. Fletcher, V. (1987). An individualized teaching programme following primary uncomplicated myocardial infarction J. Adv Nurs 12, 195-200 https://doi.org/10.1111/j.1365-2648.1987.tb01321.x
  8. Hamalainen, H, Luurila, O. J., Kallio, V., & Knuts L-R. (1995). Reduction in sudden deaths and coronary mortality in myocardial infarction patients after rehabilitation. Eur Heart J 16, 1839-1844
  9. Hong, K. H. (1996) The outcome of cardiac rehabilitation program in the post myocardial inforction patient Unpublished master's thesis The Kyung Hee University of Korea, Seoul
  10. Jeong, H. S. (1996). Compliance of post myocardial infarction patients according to general and medical characteristics, and emotional status. Unpublished master's thesis. The Catholic University of Korea, Seoul
  11. Jo. H. S. (1999). The effects of a cardiac rehabilitation program for the patients with ischemic heart disease. Unpublished doctoral dissertation. The Kyung Hee University of Korea, Seoul
  12. Kim, I. J. (1991). A study for the level of knowledge and compliance of medical regimen of the patient with coroonary artery disease. Unpulished master's thesis, The You Sei University of Korea, Seoul
  13. Kinney, M. R., & Packa, D. R. (1996). Comperhensive Cardiac Care. Missouri : The C. V. Mosby Company
  14. Lavie, C. J., Milani, R. V., & Littman, A. B. (1993). Benefits of cardiac rehabilitation and exercise training in secondary coronary prevention in the elderly. J Am Coll Cardiol 22, 678-683
  15. Lee, H. R. (1998). The effects of phase I cardiac rehabilitation nursing care on knowledge, anxiety and self-care behavior in patients with acute myocardial infarction Unpublished master's thesis, The Keimyung University of Korea, Daegue
  16. Lee. Y. H. (1992). The education on the health behovior of the coronary artery disease patients. Unpublished master's thesis, The Han Yang University of Korea, Seoul
  17. LInden, B. (1995). Evaluation of a home-hased rehabilitation programme for patients recovering from acute myocardial infarction. Intensive and Crit Card Unrs, 11 10-19
  18. LIndsay, C., Jennrich, J. A. & Biemolt, M. (1991). Programmed instruction booklet for cardiac rehabilitation teaching. Heart Lung 20(6), 648-653
  19. Marriarn-Webster's New Collegiate Dicationary (9th ed). (1991). Springfield MA: Marriam-Webster
  20. Miller, P., Wikoff, R, McMahon, M., Garrett, M., & Ringel, K. (1989). Personal adjustments and regimen compliance one year after the myocardial infarction Heart Lung 18, 339-346
  21. Miller, P., Wikoff, R, Garrett, M. J., McMahon, M., & Smith, T. (1990). Regimen compliance two years after myocardial infarction. Nurs Res 39(6), 333-336
  22. Nam, D. L. (1998). Knowledge and learning needs with coronary artery disease patients and their family members. Unpublished master's theiss, The Catholic University of Korea, Seoul
  23. Releigh, E. H, & Odtohan, B. C. (1987). The effect of a cardiac teaching program on patient rehabilitation. Heart Lung 16(3), 311-317
  24. Scalzi, C. C., Burke, L. E, & Greenland, S. (1980). Evaluation of an inpatient education program for coronary patients and families. Heart Lung 9(5), 846-853
  25. Turton, J. (1995). Imporyance of information following myocardial infarction : A study of the self-perceived information needs of patients and their spouse/partner compared with the perceptions of unrsing staff. J Adu Nurs 27, 770-778