Effectiveness of a Health Education Program on Coronary Artery Bypass Graft Patients’ Knowledge in Surgical Specialty Hospital-Cardiac Center in Erbil City
DOI:
https://doi.org/10.15218/ejnm.2024.16Keywords:
Coronary Artery Bypass Graft, Education Program, Risk Factor, Co-morbidity, Diagnosis, ManagementAbstract
Background and objective: Coronary Artery Bypass Graft is considered an important surgical procedure, and due to the lack of sufficient knowledge in CABG patients, it is necessary and vital to carry out interventions to improve the knowledge of patients. Therefore, the purpose of this study is to determine the effect of a health education program on patients' knowledge.
Methods: This study is a quasi-experimental conducted between 2021 and 2023. The population of the study sample consisted of patients who were admitted to the cardiac center hospital in Erbil city. The samples were divided into two groups by random allocation, each group of 100 people. Data collection was based on a researcher-made questionnaire including three socio-demographic, medical data of patients with CABG and knowledge related to CABG. The intervention consisted of 6 sessions, which included 2 sessions of general training for patients, and 4 sessions of training including physiological aspects, self-concept, reciprocal relations and the fulfillment of obligations.
Results: The mean age in the control group is 56.63±9.74 and in the intervention group is 54.32±11.123. After the intervention, the mean knowledge score in the General Information, Risk Factor, Complication, Diagnosis, and Management of Coronary Artery Bypass Grafting sections showed a significant increase among patients in the intervention group compared to the control group (P≤0.001).
Results: The results showed that the mean overall awareness score in the intervention group at the beginning of the study is lower than the average awareness score after the intervention, and this mean difference is significant (P≤0.001). The mean overall knowledge score in the intervention group has a significant difference compared to the control group (0.001).
Conclusion: Considering the important effects of the educational program on increasing knowledge about various aspects of coronary artery bypass graft, educational programs should be given more attention.
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References
Benjamin, E.J, Virani, S.S, Callaway, C.W, Chamberlain, A.M, Chang, A.R, Cheng, A and et al. Heart Disease and Stroke Statistics-2018 Update: A Report from the American Heart Association Circulation. 2018; 137(12): p. e67-e492.
Nowbar, A.N, Mauro Gitto, M, Howard, J.P, Francis, D.P and Al-Lamee, R. Mortality From Ischemic Heart Disease. Circulation, Cardio-vasc Qual Outcomes. 2019; 12(6): p. e005375.
Olvera Lopez, E, B.D. Ballard, and A. Jan, Cardiovascular Disease, in StatPearls. 2022, StatPearls Publishing, Copyright © 2022, StatPearls Publishing LLC.: Treasure Island (FL).
Ferrari, R, Camici, P.G, Crea, F, Danchin, N, Fox, K, Maggioni, A.P and et al. Expert consensus document: A 'diamond' approach to personalized treatment of angina. Nature Reviwe Cardiology. 2018; 15(2): p. 120-132.
Kreatsoulas, C, Shannon, H.S, Giacomini, M, Velianou, J.L and Anand, S.S. Reconstructing angina: cardiac symptoms are the same in women and men. JAMA Internal Medicine. 2013; 173(9): p. 829-31.
Alexander, J.H and P.K. Smith, Coronary-Artery Bypass Grafting. The New England Journal of Medicine. 2016; 375(10): p. e22.
Farkouh, M.E, Domanski, M, Sleeper, L.A, Siami, F.S, Dangas, G, Mack, M and et al. Strategies for multivessel revascularization in patients with diabetes. The New England Journal of Medicine. 2012; 367(25): p. 2375-84.
Serruys, P.W, Morice, M.C, Kappetein, A.P, Colombo, A, Holmes, D.R, Mack, M.J and et al., Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease. The New England Journal of Medicine. 2009; 360(10): p. 961-72.
Hillis, L.D, Smith, P.K, Anderson, J.L, Bittl, J.A, Bridges, C.R, Byrne, J.G, Cigarroa, J.E and et al., 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Circulation. 2011; 124(23): p. e652-735.
Coyan, G.N, K.M. Reeder, and J.L. Vacek, Diet and Exercise Interventions Following Coronary Artery Bypass Graft Surgery: A Review and Call to Action. The Physician and Sportsmedicine. 2014; 42(2): p. 119-129.
Albert, N.M., S. Paul, and M. Murray, Complexities of Care for Patients and Families Living With Advanced Cardiovascular Diseases: Overview. The Journal of Cardiovascular Nursing. 2012; 27(2): p. 103-113.
Fredericks, S. and T. Yau, Educational intervention reduces complications and rehospitalisations after heart surgery. Western Journal of nursing research. 2013; 35(10): p. 1251-1265.
Kalogianni, A, Almpani, P, Vastardis, L, Baltopoulos, G, Charitos, C, Brokalaki, H. Can nurse-led preoperative education reduce anxiety and postoperative complications of patients undergoing cardiac surgery? European Journal of Cardiovascular Nursing. 2016; 15(6): p. 447-458.
Sharma, P, Yadav, L, Nepal, R , Khanal, S.B, Agrawal, S and Kattel, V. Coronary Artery Bypass Grafting among Patients Undergoing Cardiac Surgery in a Tertiary Care Hospital: A Descriptive Cross-sectional Study. Journal of Nepal Medicine Assocation. 2022; 60(246): p. 116-120.
Zia, K, Mangi, A.R, Minhaj, S, Tariq, K, Rabbi, F, Musharafand,M and et al., An Overview of First 100 Cardiac Surgery Cases at a Newly Developed Satellite Center in Sukkur, Pakistan, Cureus. 2020; 12(6): p. e8490.
Noor Hanita, Z, L. A. Khatijah, S. Kama-ruzzaman, C. Karuthan and R. A. Raja Mokhtar. A pilot study on development and feasibility of the 'MyEducation: CABG application' for patients undergoing coronary artery bypass graft (CABG) surgery. BioMed Central Nursing. 2022; 21(1): p. 40.
Hussain, M, Khan, N, Uddin, M and Al-Nozha, M.M. Duration analysis for coronary artery disease patients with chronic chest pain: an output from Saudi Arabia. Journal of cardiovascular and thoracic research. 2015; 7(1): p. 6-12.
Ejheisheh, M, Correa-Rodríguez, M, Fernán-dez-Aparicio, A, Batran, A, Suleiman-Martos, N, Schmidt-RioValle. J.Prior percutaneous coronary intervention is associated with low health-related quality of life after coronary artery bypass graft. Nursing Health Sciences. 2020; 22(4): p. 1022-1029.
Yuroong, A, Asdornwised, U, Wanpen Pinyo-pasakul, W, Wongkornrat, W and Chansatit-porn, N .The Effectiveness of the Transitional Care Program Among People Awaiting Coro-nary Artery Bypass Graft Surgery: A Randomized Control Trial. Journal of Nursing Scholar-ship. 2021; 53(5): p. 585-594.
Brørs, G, Dalen, H, Allore, H, Deaton, C, Fridlund, B, Osborne, R.H and et al. Health Literacy and Risk Factors for Coronary Artery Disease (from the CONCARDPCI study). The American Journal of Cardiology. 2022; 179: p. 22-30.
Habibzadeh, H, Shariati, A, Mohammadi, F and Babayi, S. The effect of educational intervention based on Pender's health promotion model on quality of life and health promotion in patients with heart failure: an experimental study. Bio Medical Central Cardiovascular Disorders. 2021; 21(1): p. 478.
Bhatt, N, Karki, A, Shrestha, B, Singh, A, Rawal, L.B and Sharma, S.K. Effectiveness of an educational intervention in improving healthcare workers’ knowledge of early recognition, diagnosis and management of rheumatic fever and rheumatic heart disease in rural far-western Nepal: a pre/post-intervention study. BMJ Open. 2022; 12(4): p. e059942.
Torknejad, A., S. Babaei and M. Mirmoham-madsadeghi, Effect of an educational intervention based on BASNEF model on treatment adherence after coronary artery by-pass surgery: A randomized clinical trial. ARYA atherosclerosis. 2020; 16(3): p. 105-114.
Lee, Y-M, Kim, R.B, Lee, H.J, Kim, K, Shin, M-H, Park. H-K and et al. Relationships among medication adherence, lifestyle modification, and health-related quality of life in patients with acute myocardial infarction: a cross-sectional study. Health and Quality of Life Outcomes. 2018; 16 (1): p. 100.
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