Korean J Adult Nurs.  2017 Oct;29(5):547-559. 10.7475/kjan.2017.29.5.547.

Development and Effectiveness of Tailored Education and Counseling Program for Patients with Coronary Artery Disease undergoing Percutaneous Coronary Intervention

• Kim SY
• Kim MY

• KMID: 2406524
• DOI: http://doi.org/10.7475/kjan.2017.29.5.547

Abstract

PURPOSE
This study was to develop the patient-tailored education and counseling program (PTECP) for patients with coronary artery disease (CAD) undergoing percutaneous coronary intervention (PCI), and to identify the effects of PTECP on awareness of risk factors, knowledge, self-efficacy, self-care behavior, and blood cholesterol profile (BCP).
METHODS
A non-equivalent control group pre-post design was used. Sixty patients who were newly diagnosed with CAD and treated PCI were recruited and participated either in an intervention group or a control group, thirty each. The PTECP focused on managing their own risk factors consisted of two individual educations, two individual counselings, three telephone counselings, and two short message services for eight weeks. Data were collected two times at baseline and 8 weeks after beginning of the program.
RESULTS
After eight weeks, the patients' awareness of risk factor (p < .001), knowledge (p=.015), self-efficacy (p < .001), and self-care behavior (p < .001) in the intervention group were significantly different from those of the control group. However, no difference in BCP was found between the groups.
CONCLUSION
The PTECP was effective in improving the patients' awareness of CAD risk factors, knowledge, self-efficacy, and self-care behavior. Successful PTECP might lead to better health outcome in patients with CAD through effective self-management.

MeSH Terms

Cholesterol
Coronary Artery Disease*
Coronary Vessels*
Counseling*
Education*
Humans
Percutaneous Coronary Intervention*
Risk Factors
Secondary Prevention
Self Care
Self Efficacy
Telephone
Cholesterol