The effect of a short one-on-one nursing intervention on knowledge, attitudes and beliefs related to response to acute coronary syndrome in people with coronary heart disease: A randomized controlled trial
The effect of a short one-on-one nursing intervention on knowledge, attitudes and beliefs related to response to acute coronary syndrome in people with coronary heart disease: A randomized controlled trial
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DOI：
10.1016/j.ijnurstu.2009.01.012
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发表时间：
2009-08-01
影响因子：
8.1
通讯作者：
Pelter, Michele
中科院分区：
文献类型：
--
作者：
McKinley, Sharon;Dracup, Kathleen;Pelter, Michele
背景：冠心病(CHD)和急性冠脉综合征(ACS)仍然是严重的公共卫生问题。急性冠脉综合征的死亡率和发病率在很大程度上取决于从症状出现到再通的时间，但患者延迟就诊是不能及时再通的主要原因。目的：检验所有教育和咨询干预对急性冠脉综合征症状的知识、态度和信念以及对症状的适当反应的影响。并确定随着时间的推移患者特征与不良知识、态度和信念的变化有关。方法：我们在3522名冠心病患者中进行了一项两组随机对照试验。干预组接受40分钟的一对一教育和咨询。对照组给予常规护理。知识。结果：干预组3个月的知识、态度和信念得分显著高于对照组，并持续到12个月(p=.0005)。较高的心脏病控制感与较积极的态度相关(p<；.0005)，较高的状态焦虑与较低的知识水平(p<；.05)、较低的态度(p<；.05)和较低的信念(p<；.0005)相关。结论：相对较短的教育和咨询干预增加了冠心病患者关于急性冠脉综合征的知识、态度和信念以及对急性冠脉综合征症状的反应。对心脏病的控制感越高，态度越积极，状态焦虑越高，应对可能的急性冠脉综合征的健康威胁的知识、态度和信念越低。(C)2009爱思唯尔有限公司。保留所有权利。
Background: Coronary heart disease (CHD) and acute coronary syndrome (ACS) remain significant public health problems. The effect of ACS oil mortality and morbidity is largely dependent on the time from symptom onset to the time of reperfusion, but patient delay in presenting for treatment is the main reason timely reperfusion is not received.Objectives: We tested the effect of all education and counseling intervention on knowledge, attitudes and beliefs about ACS symptoms and the appropriate response to symptoms. and identified patient characteristics associated with changes ill knowledge, attitudes and beliefs over time.Methods: We conducted a two-group randomized controlled trial in 3522 people with CHD. The intervention group received a 40 min, one-on-one education and counseling session. The control group received usual care. Knowledge. attitudes and beliefs were measured at baseline, 3 and 12 months using the ACS Response Index and analyzed with repeated measures analysis Of Variance.Results: Knowledge, attitudes and beliefs scores increased significantly from baseline in the intervention group compared to the control group at 3 months, and these differences were Sustained at 12 months (p = .0005 for all). Higher perceived control over cardiac illness was associated with more positive attitudes (p < .0005) and higher state anxiety was associated with lower levels of knowledge (p < .05), attitudes (p < .05) and beliefs (p < .0005).Conclusion: A relatively short education and Counseling intervention increased knowledge, attitudes and beliefs about ACS and response to ACS symptoms in individuals with CHD. Higher perceived control over cardiac illness was associated with more positive attitudes and higher state anxiety was associated with lower levels of knowledge, attitudes and beliefs about responding to the health threat of possible ACS. (C) 2009 Elsevier Ltd. All rights reserved.