Asian Nurs Res.  2015 Dec;9(4):291-297. 10.1016/j.anr.2015.07.005.

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

• Hwang SY
• Kim JS

• KMID: 2363349
• DOI: http://doi.org/10.1016/j.anr.2015.07.005

Abstract

PURPOSE
The purpose of this study was to evaluate the effects of a risk factoretailored 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 factoretailored 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 factoretailored 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.

Keyword

acute coronary syndrome; education; patient; patient compliance; self-care; self-efficacy

MeSH Terms

Acute Coronary Syndrome/*nursing/*psychology
Adaptation, Psychological
Adult
Aged
Female
Humans
Male
Middle Aged
*Multimedia
*Patient Education as Topic
Patient-Centered Care/methods
Republic of Korea
Risk Factors
Self Care/*methods
Self Efficacy
Stress, Psychological/*nursing
Teaching/*methods