Cent Eur J Nurs Midw 2019, 10(2):1026-1034 | DOI: 10.15452/CEJNM.2019.10.0010

Educational process in patients after myocardial infarction

Jakub Doležel1,2,*, Darja Jarošová1
1 Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Czech Republic
2 Department of Cardiovascular Diseases, University Hospital Ostrava, Czech Republic

Aim: The study aimed to determine the effect of education on the prevalence of risk factors and adherence to lifestyle measures in post-myocardial infarction patients.

Design: A clinical, interventional, explanatory study.

Methods: The sample (n = 165) comprised consecutive patients hospitalized for acute myocardial infarction. The interventional, explanatory study followed changes in two cohorts: intervention (n = 68) and control (n = 97). The intervention (prospective) group consisted of patients educated by a nurse using a previously developed nursing standard. The control (retrospective) group comprised patients who received no education on myocardial infarction provided by nurses.

Results: After one-year follow-up, patients in the intervention group had statistically better knowledge about their condition (p < 0.001) and used their medication more regularly (p < 0.001) than controls. At one year, systolic blood pressure and total cholesterol decreased by a mean of 2.5 mmHg and 0.3 mmol/l, respectively, in intervention group participants. As early as after one month, patients in this group increased their physical activity by a mean of 35 minutes per week.

Conclusion: Post-myocardial infarction patients educated according to the developed nursing care standard were shown to better adhere to their pharmacological therapy and lifestyle changes.

Keywords: education, intervention, myocardial infarction, nurse, patient, secondary prevention

Received: November 20, 2018; Accepted: January 28, 2019; Published: September 30, 2019  Show citation

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Doležel J, Jarošová D. Educational process in patients after myocardial infarction. Central European Journal of Nursing and Midwifery. 2019;10(2):1026-1034. doi: 10.15452/CEJNM.2019.10.0010.
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