Effect of Health Educational Program on Self efficacy and Therapeutic Compliance among Patients with Myocardial Infarction

Background: Self-efficacy is an individual’s confidence in one’s ability to manage
a chronic condition or change a health habit. Aim of the study: Was to evaluate the effect of
health education program on self efficacy and therapeutic compliance among patients with
myocardial infarction in CCU at Zagazig University Hospitals. Subjects and methods:
Research design: A pre/post test quasi experimental design was used to achieve the aim of
the study. Setting: The study conducted in cardiac care unit at Zagazig University Hospitals,
Sharkia, Egypt. Subjects: Purposive sample of 35 adult patients. Tools of data collection:
Three tools were used: An interview questionnaire for patients, Chronic disease Self
Efficacy Scale, and Compliance assessment scale. Results: there was significant increase in
patient' self efficacy of regular exercise, getting information about disease, obtaining support,
communication with physician, management of disease, routine home activities, recreational
and social activities, and manage depression post program than before with Mean ± SD
23.64±5.41, 7.69±1.79, 15.93±3.68, 25.89±5.88, 92.27±19.77, 23.73±5.79, 16.06±3.89,
51.53±8.91. Also, there was statistical significant improve in patient's compliance regarding
dietary regimen, treatment regimen, and lifestyle modifications post program than before
with mean ±SD 8.06±2.30, 9.69±1.97, 10.48±2.58. Conclusion: On the light of the current
study results, it can be concluded that, there was a statistical significant increase in patient's
self efficacy and improvement of therapeutic compliance regimen after implementing the
effective health educational program. Recommendation: A simple written guidelines for
patients with myocardial infarction should be available in units that provide care, to be
provided to newly admitted patients, Self-efficacy for patients with myocardial infarction
should be considered and evaluated during the plan for treatment of patient with MI by
trained nurse.