Risk Factor-tailored Small Group Education for Patients with First-time Acute Coronary Syndrome

  • Hwang S
  • Kim J
  • S.Y. H
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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 factor-tailored 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., Copyright © 2015, Korean Society of Nursing Science.

Author-supplied keywords

  • *acute coronary syndrome/th [Therapy]
  • *anxiety
  • *depression
  • *patient education
  • *self care
  • *self concept
  • Acute Coronary Syndrome/*nursing
  • Acute Coronary Syndrome/*psychology
  • Adaptation
  • Adult
  • Aged
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multimedia*
  • Patient Education as Topic*
  • Patient-Centered Care/methods
  • Psychological
  • Psychological/*nursing
  • Republic of Korea
  • Risk Factors
  • Self Care/*methods
  • Self Efficacy
  • Stress
  • Teaching/*methods
  • acute coronary syndrome
  • adult
  • aged
  • article
  • behavior change
  • controlled study
  • dietary intake
  • education
  • exercise
  • female
  • follow up
  • human
  • lifestyle modification
  • major clinical study
  • male
  • multimedia
  • patient
  • patient compliance
  • patient counseling
  • priority journal
  • quasi experimental study
  • risk factor
  • self-care
  • self-efficacy
  • telephone
  • text messaging

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Authors

  • Seon Young Hwang

  • Jin Shil Kim

  • Hwang S.Y.

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