EFFECT OF EDUCATIONAL GUIDELINES ON THERAPEUTIC REGIMEN COMPLIANCE AND SELF - EFFICACY AMONG PATIENTS WITH MYOCARDIAL INFARCTION
Sabah Nazeh Mohammed Elderiny*, Mamdoh Mahmoud Mahdy**, Soad Mahmoud Hegazy and ***Yosreah Mohamed Mohamed****
Departments of Medical Surgical Nursing* and Internal Medicine-Dean** Faculty of Nursing Helwan University Medical-Surgical Nursing*** Faculty of Nursing-Ain Shams University
Myocardial infarction is a life threatening disease that influences the physical, psychological and social dimensions of the individual. Improper lifestyle is one of the causes of this disease. These consequences in turn may have negative impact on the patient's physical and psychological conditions, it will prolong patient's hospital stay, and increase hospital costs. Aims: The aim of this study was to evaluate the effect of educational guidelines on therapeutic regimen compliance and self - efficacy among patients with myocardial infarction through the following: Assess the study patients' knowledge and practices regarding therapeutic regimen, level of compliance and self – efficacy, develop and implement educational guidelines for the study patients about therapeutic regimen compliance, and evaluate the effect of educational guidelines on patients' level of compliance to therapeutic regimen and self- efficacy. Research hypotheses: The current study hypothesized that, the educational guidelines will have a positive effect on therapeutic regimen compliance and self - efficacy among patients with myocardial infarction. Design: A quasi-experimental research design has been utilized to conduct this study. Setting: Data were collected from outpatient Clinics of Cardiology at Eldmerdash Hospital. The study was conducted on 90 patients, who have been selected by certain criteria. Tools: Four tools were used for data collection (I) A structured interview questionnaire, it was divided into two parts: (A) sociodemographic data questionnaire, (B) Patients` knowledge assessment questionnaire, (II) An observational checklist, (III) Patients' compliance assessment questionnaire, (IV) General Self-Efficacy Scale. Results: This study revealed that there was a statistically significant improvement regarding patients’ knowledge, practice and compliance toward myocardial infarction throughout the study. So, this study concluded that the educational guidelines had a positive effect on improving therapeutic regimen compliance and self efficacy among studied patients with MI through the enhancement of their knowledge and practices so, the current study recommended that: Patients` education should be held continuously, because it is a fundamental part of their treatment.
June 2016