Int J Arrhythm.  2021 Sep;22(3):10. 10.1186/s42444-021-00039-7.

Myths and misperceptions in pacemaker patients: a quasi experimental study to assess effect of an educational intervention

• Kubra G
• Hasan F
• Qadir F
• Rasheed S
• Shafquat A

• KMID: 2521061
• DOI: http://doi.org/10.1186/s42444-021-00039-7

Abstract

Background
Misconceptions regarding activities after pacemaker implantation can result in restrictions in daily life. This study aims at measuring the correction of misconceptions following an educational intervention utilizing a picture based brochure and personal counseling.
Methods
One hundred and twenty-eight patients were enrolled in a quasi experimental study on the day after pacemaker implantation. Patients’ perceptions about safety of various daily activities, medical procedures, and usage of appliances, in the presence of pacemaker was assessed using a questionnaire before and ten days after an educational intervention using a pictorial brochure. The number of correct responses before and after the intervention was compared to assess the change in patients’ perception.
Results
A total of 128 patients were interviewed at baseline, of which 115 followed-up at 10 days. Mean age of patients was 60.31 ± 12.81 years. In total, 76 (59.4%) were male and 61(47.7%) were illiterate. Mean correct responses increased from 64.47 ± 29.48% to 92.29 ± 14.42% (p < 0.001). Percent of questions answered correctly improved in all three categories after the intervention. Correct answers increased from 74.57 ± 24.94% to 95.65 ± 11.48% (p  < 0.001) for routine daily activities, 51.09 ± 33.9% to 84.78 ± 20.86% (p < 0.001) for medical procedures and 64.03 ± 37.36% to 92.57 ± 18.79% (p  < 0.001) for domestic appliance usage.
Conclusion
Misconception that can adversely affect pacemaker patient’s quality of life can be corrected by counseling with pictorial based brochures regardless of the patient’s baseline knowledge or education.

Keyword

Cardiac pacemaker; Artificial; Education; Patient; Electric power supplies/adverse effects; Electromagnetic fields/adverse effects; Household articles/instrumentation