Informational support to post-acute myocardial infarction patients

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Informational support to post-acute myocardial infarction patients


Author: Lee, Lai-shan
Title: Informational support to post-acute myocardial infarction patients
Degree: M.Sc.
Year: 2002
Subject: Hong Kong Polytechnic University -- Dissertations
Myocardial infarction
Myocardial infarction -- Patients -- China -- Hong Kong -- Rehabilitation
Department: Multi-disciplinary Studies
School of Nursing
Pages: ix, 119 leaves ; 30 cm
Language: English
InnoPac Record:
Abstract: This study was mainly divided into three stages. The objective in stage I was to explore information needs of post-AMI (Acute Myocardial Infarction) patients. Gerard's Cardiac Patient Learning Need Inventory (CPLNI) with eight sub-categories and 43 individual information need statements was adopted. A sample of 51 post-AMI subjects was interviewed in an acute hospital upon discharge. Open-ended questions were also involved in the survey to prevent cultural difference and to enrich the scope of the data. Five major themes were coded. They were financial issues, exercise tolerance, establish a proper eating habit, nitroglycerin (TNG) storage and how to record progress of disease. Based on the Stage I findings, then a need-based information booklet was developed in Stage II. Stage III was used to test the appropriateness and accuracy of the information booklet for clinical use on post-AMI patients. A panel of expert was invited to participate in rating the accuracy and appropriateness of the information booklet. Also, user satisfactory survey was used to find out the satisfactory rate from patients' perspective. 15 post-AMI patients were invited to perform user satisfactory survey. As a result, they satisfied with the information provided in the booklet, and rated the booklet was useful for them. Nowadays, it was a global trend in shortening length of stays of hospitalization. In order to ensure the effectiveness of teaching-learning process of post-AMI patients, the information given by health care professional must met their needs. From the results of the study, post-AMI patients were very eager to learn the measures to prevent another heart attack and life-saving techniques, but ignored the importance in physical activity and sexual activity. Health care professionals needed to emphasize how to establish healthy lifestyle. The aim of health education in post-AMI patients was to increase their self-care awareness and to assist them in making long-term behavioral adjustments in lifestyle that were necessary to attain and maintain optimal health status.

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