Effect of Educational Guidelines on Therapeutic Regimen Compliance and Self-Efficacy among patients with Myocardinal Infraction

Document Type : Original Article

Authors

1 Medical Surgical Nursing Doctorate Student

2 Internal Medicine Department, Faculty of Medicine Helwan University

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

Abstract

The 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 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. 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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