Effect Of Educational Guidelines On Therapeutic Regimen Compliance And Self - Efficacy Among Patients With Myocardial Infarction

Document Type : Original Article

Authors

1 Medical Surgical Nursing Faculty of Nursing – Helwan University

2 Internal MedicineDepartment, Faculty of Medicine Helwan University

3 Medical-Surgical Nursing- Faculty of Nursing-Ain Shams University

Abstract

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
condition, 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 quasiexperimental 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. Data tools: Four tools were used for
data collection (I) A structured interview questionnaire (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 in continuous manner, because it is a fundamental part of their treatment

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