The Effectiveness of Patient-Centered Care Program after acute Myocardial Infarction: Modifiable Risk Factors Reduction a nd Secondary Prevention
Mohamed Elsayed, Reda; Jehan Sayyed Ali Sayyed;
Abstract
Abstract
Background: Acute myocardial infarction (AMI) is a key component of the burden of cardiovascular crises, which is a common presentation of ischemic heart disease. Modifiable risk factors reduction and secondary prevention are crucial to reducing risk and suffering after AMI. Patient-centered care (PCC) empower patients to become active participants in their care and positively affects health-related behaviors. Aim of the study: to evaluate the effectiveness of patient-centered care after AMI in relation to modifiable risk factors reduction and secondary prevention. Subjects& Methods: Research design: A quasi-experimental design was used to fulfill the aim of the study. Setting: Patients with AMI were recruited from recovery care unit (RCU) for patients who discharged from cardiac care unit (CCU) & completed in the outpatient cardiac clinic to follow up in Minia University hospital, El-Minia Governorate, Egypt Subjects: A total of 77 patients with AMI were recruited. Tools of data collection: Three tools were developed and used by researchers: Structured interview questionnaire, patient's knowledge of AMI, and Secondary prevention for AMI questionnaire. Results: the mean age of the studied sample was 56.275.17years old. There were statistically significant differences regarding the level of knowledge, modifiable risk factors reduction (smoking, weight, abdominal circumference, blood pressure, blood glucose and cholesterol level & exercise) and secondary prevention between the pre/post-test after PCC(P<0.05*). Conclusion: patient-centered care program had significantly improved patient's level of knowledge, the practice of exercise, reduction in modifiable risk factors and improved secondary prevention among the patients under study. Recommendation: Nurses have an active role in up raising awareness of patient with Acute myocardial infarction I regarding modifiable risk factors and secondary prevention by implementing PCC program.
Background: Acute myocardial infarction (AMI) is a key component of the burden of cardiovascular crises, which is a common presentation of ischemic heart disease. Modifiable risk factors reduction and secondary prevention are crucial to reducing risk and suffering after AMI. Patient-centered care (PCC) empower patients to become active participants in their care and positively affects health-related behaviors. Aim of the study: to evaluate the effectiveness of patient-centered care after AMI in relation to modifiable risk factors reduction and secondary prevention. Subjects& Methods: Research design: A quasi-experimental design was used to fulfill the aim of the study. Setting: Patients with AMI were recruited from recovery care unit (RCU) for patients who discharged from cardiac care unit (CCU) & completed in the outpatient cardiac clinic to follow up in Minia University hospital, El-Minia Governorate, Egypt Subjects: A total of 77 patients with AMI were recruited. Tools of data collection: Three tools were developed and used by researchers: Structured interview questionnaire, patient's knowledge of AMI, and Secondary prevention for AMI questionnaire. Results: the mean age of the studied sample was 56.275.17years old. There were statistically significant differences regarding the level of knowledge, modifiable risk factors reduction (smoking, weight, abdominal circumference, blood pressure, blood glucose and cholesterol level & exercise) and secondary prevention between the pre/post-test after PCC(P<0.05*). Conclusion: patient-centered care program had significantly improved patient's level of knowledge, the practice of exercise, reduction in modifiable risk factors and improved secondary prevention among the patients under study. Recommendation: Nurses have an active role in up raising awareness of patient with Acute myocardial infarction I regarding modifiable risk factors and secondary prevention by implementing PCC program.
Other data
Title | The Effectiveness of Patient-Centered Care Program after acute Myocardial Infarction: Modifiable Risk Factors Reduction a nd Secondary Prevention | Authors | Mohamed Elsayed, Reda ; Jehan Sayyed Ali Sayyed | Keywords | Acute myocardial infarction, Patient-centred care, secondary prevention, modifiable risk factors | Issue Date | Jan-2018 | Publisher | Zagazig Nursing Journal | Journal | Zagazig Nursing Journal | Volume | 14 | Issue | 1 | Start page | 15 | End page | 30 |
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