Showing 5 results for Myocardial Infarction
Sh Davoodvand, N Elahi, M Haghighizadeh,
Volume 15, Issue 3 (12-2009)
Abstract
Background & Aim: Cardiac rehabilitation is one of the most effective ways of secondary prevention in patients with myocardial infarction manifestations. This study aimed to assess the effectiveness of cardiac rehabilitation on clinical manifestations of myocardial infarction in post-MI patients.
Methods & Materials: In this interventional study, 66 patients (58 males and eight females) with myocardial infarction who were hospitalized in public hospitals of Ahwaz were selected using purposeful sampling. The participants were randomly allocated into intervention and control groups. Data was collected using a self-structured valid and reliable instrument. The intervention group participated in an 8-week cardiac rehabilitation program. Data on the clinical manifestations were collected eight weeks later. Data were analyzed in SPSS.
Results: The results showed that there was significant differences between two groups in hypertension crisis (P=0.03), chest pain, dyspnea, fatigue and palpitation after the cardiac rehabilitation (P<0.001).
Conclusion: Cardiac rehabilitation program decreased the clinical manifestations of myocardial infarction in post-MI patients. It is recommended to perform this procedure in the post-MI patients.
M Mohammady, A Memari, M Shaban, A Mehran, P Yavari, M Salari Far,
Volume 16, Issue 3 (1-2011)
Abstract
Background & Aim: Diet adherence is a major issue in cardiovascular diseases control. Patient education could be a valuable strategy for promoting diet adherence. The aim of this study was to compare the effects of computer-assisted vs. face to face education on dietary adherence among patients with myocardial infarction.
Methods & Materials: In this experimental study, 117 patients with the first acute myocardial infarction were selected via a convenience sampling. The participants were randomly allocated into three groups. Patients in the face to face group (n=43) received an education about diet in two two-day sessions. The computer-assisted education group (n=33) received the same educational plan provided by computer software containing audio, text, images and animations at home. The control group (n=41) received their usual care. Adherence to dietary regimen was assessed three months after the educations.
Results: There were not significant association between the three groups in terms of demographic characteristics and disease history. There were no significant different in unhealthy diet adherence between the three groups. There were not significant differences in healthy diet between the computer-assisted and face to face education groups. The computer-assisted education group had significantly better adherence with the consumed amount of fats (P=0.01), useful meat substitutes (P=0.01), and other foods (P=0.012) than the control group. In addition, the face to face education group had significantly greater adherence scores with consuming meat substitutes (P=0.04), and fats (P=0.04) than the control group.
Conclusion: Both computer-assisted and face to face educational strategies had positive effects on improving adherence following myocardial infarction.
Amin Saki, Abbas Hooshmand Bahabadi, Ahmad Ali Asadi Noghabi, Abbas Mehran,
Volume 20, Issue 1 (4-2014)
Abstract
Background & Aim: Lack of knowledge about acute myocardial infarction and its treatment result in feeling anxious among the patients. Implementing appropriate educational methods can decrease anxiety in patients with acute myocardial infarction. This study was conducted to compare effects of two educational methods (face-to-face and electronic educational methods) on anxiety among patients with acute myocardial infarction .
Methods & Materials: This was an experimental study in which 105 patients hospitalized with acute myocardial infarction in the "CCUs" of three educational hospitals were selected based on eligibility criteria and were allocated into three groups including face-to-face educational group, electronic education group, and control group using block randomized allocation. Data were collected using demographic check-list and the Spielberger state-trait anxiety inventory questionnaire. The level of anxiety was measured before and immediately after the interventions in all three groups. Data were analyzed in the SPSS-16.
Results: Both educational methods reduced anxiety significantly in patients with acute myocardial infarction. There were no significant difference between the two educational method groups in the anxiety level (P=0.94) .
Conclusion: Both face-to-face and electronic educational methods reduced anxiety in patients with acute myocardial infarction. It is recommended that nurses use one of these educational methods to reduce anxiety among the patients .
Elham Nikkhah Beydokhti, Kokab Basiri Moghadam, Mosa Sajjadi, Mahdi Basiri Moghadam,
Volume 29, Issue 1 (4-2023)
Abstract
Background & Aim: Health-related behaviors of patients with myocardial infarction (MI) are highly affected by their illness perceptions, and education is one of the ways to enhance illness perception. Accordingly, the aim of this study was to compare the effect of multimedia and telephone education on illness perception in patients with MI after discharge.
Methods & Materials: A randomized clinical trial was conducted on 32 patients with MI who were discharged in 2019-2020 in Gonabad and Mashhad. The samples were selected by the convenience sampling method and randomly assigned to the multimedia or telephone groups. The educational content was similar for both groups, and was provided as a conversation for the telephone group, and as video, audio, and image for the multimedia group. The Brief Illness Perception Questionnaire (Brief. IPQ) was completed by the patients on the first day and the sixth week after discharge. Data were analyzed through the SPSS software version 20 using Kolmogorov-Smirnov test, chi-square test, Fisher's exact test, independent t-test, Paired t-test and Levene's test, at a significance level of P<0.05.
Results: The results showed that the average score for the components of illness perception after the intervention compared to before the intervention in the both groups had a significant increase (P<0.05), but no significant difference was observed in the comparison between the two groups (P>0.05).
Conclusion: Both multimedia and telephone training methods improve illness perception in the patients. Therefore, the trainer is suggested to choose the type of training according to individual differences and facilities of the recipient, and health managers should apply appropriate policies for patients with MI to benefit from telenursing care after discharge.
Clinical trial registry: IRCT20190607043834N1
Zohreh Parsaeian, Nasrin Nikpeyma, Mohammad Salehpoor Emran, Farshad Sharifi, Shahzad Pashaeypoor,
Volume 29, Issue 4 (1-2024)
Abstract
Background & Aim: The main care need of patients with myocardial infarction (MI) is continuous care, presenting an important challenge in the field of nursing care. Therefore, This study aimed to evaluate the effect of nurse-led home-based cardiac rehabilitation on adherence to therapeutic regimens in patients with MI.
Methods & Materials: In this randomized clinical trial study, 80 eligible patients were selected through convenience sampling from selected hospitals affiliated with Tehran University of Medical Sciences in 2020-2021. Subsequently, they were randomly allocated to either the intervention or control groups. The control group received routine education upon hospital discharge, whereas the intervention group participated in a nurse-led cardiac rehabilitation program conducted both in-person at home and online, comprising four 90-minute sessions once a week, and were monitored for two months. Participants completed socio-demographic and treatment compliance questionnaires before and three months after the intervention. The collected data was analyzed using descriptive and inferential statistics with SPSS software version 20.
Results: Both groups were homogeneous in most demographic variables (P>0.05). The mean and standard deviation of treatment adherence scores before the intervention in the intervention and control groups were 70.82±7.91 and 67.94±11.20, respectively (P=0.015). After the intervention, these values changed to 75.10±6.13 and 68.77±10.12, respectively, with a statistically significant difference observed between the two groups (P<0.001).
Conclusion: The results revealed that nurse-led home-based cardiac rehabilitation was effective in enhancing treatment adherence. Therefore, it is suggested that cardiac rehabilitation care be consistently extended to the home setting.
Clinical trial registry: IRCT20201006048953N
