Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome

Purpose: The purpose of this study was to evaluate the effects of a risk factor–tailored 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 pr...

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Main Authors: Seon Young Hwang, PhD, RN, Jin Shil Kim, PhD, RN
Format: Article
Language:English
Published: Elsevier 2015-12-01
Series:Asian Nursing Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1976131715000821
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author Seon Young Hwang, PhD, RN
Jin Shil Kim, PhD, RN
author_facet Seon Young Hwang, PhD, RN
Jin Shil Kim, PhD, RN
author_sort Seon Young Hwang, PhD, RN
collection DOAJ
description Purpose: The purpose of this study was to evaluate the effects of a risk factor–tailored 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 factor–tailored 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 factor–tailored 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.
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spelling doaj.art-77d47eb5494b437c88f1f3cd271e4dd42022-12-22T01:09:48ZengElsevierAsian Nursing Research1976-13172015-12-019429129710.1016/j.anr.2015.07.005Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary SyndromeSeon Young Hwang, PhD, RN0Jin Shil Kim, PhD, RN1College of Nursing, Hanynag University, Seoul, South KoreaCollege of Nursing, Gachon University, Incheon, South KoreaPurpose: The purpose of this study was to evaluate the effects of a risk factor–tailored 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 factor–tailored 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 factor–tailored 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.http://www.sciencedirect.com/science/article/pii/S1976131715000821acute coronary syndromeeducationpatientpatient complianceself-careself-efficacy
spellingShingle Seon Young Hwang, PhD, RN
Jin Shil Kim, PhD, RN
Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
Asian Nursing Research
acute coronary syndrome
education
patient
patient compliance
self-care
self-efficacy
title Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
title_full Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
title_fullStr Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
title_full_unstemmed Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
title_short Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
title_sort risk factor tailored small group education for patients with first time acute coronary syndrome
topic acute coronary syndrome
education
patient
patient compliance
self-care
self-efficacy
url http://www.sciencedirect.com/science/article/pii/S1976131715000821
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