Φιλιππάτος Γεράσιμος, Καθηγητής, Ιατρική, ΕΚΠΑ
Κουρέα Καλλιρόη, PhD, Ιατρική, ΕΚΠΑ
Κλέτσιου Ελένη, PhD, Νοσηλευτική, ΕΚΠΑ
Introduction: The cardiovascular disease causes about 17,000,000 deaths per year worldwide, while more than half of the deaths in Europe are due to it. It has been imprinted, however, that the 80% of the premature deaths caused from cardiovascular disease could be avoided by controlling the major risk factor, such as smoking, unhealthy diet and lack of physical activity.
Aim: The specific aim of this study was to explore the impact of the education on the coronary heart disease progression.
Material and methods: This is a quantitative, prospective intervention and correlation study. The sample of the intervention group of the study consisted of 50 patients with coronary disease, who were hospitalized in the reference center from 10/2017 and an equal control group of patients with coronary disease to whom measurements of the same factors made without any educational session. The collection of the data was carried out through specially designed questionnaires with a personal interview with the patients during their hospitalization. The same parameters were measured in the patient’s follow-up that took place over a period of one and three months after their hospital discharge. As end points were defined clinical measurements, the progression of the disease, anthropometric features and the scales ‘The illness cognition questionnaire for chronic diseases’ and ‘Τhe Mac New Heart Disease Health-related Quality of life questionnaire’. For all statistical analyses the SPSS 18.0 statistical software package was used and the level of the statistical significance was set up at p value<0,05.
Results: The intervention and the control group were homogeneous and comparable. There was a positive correlation with clinical indicators, with patient’s level of knowledge and the change of the lifestyle. At the clinical end points there was neither rehospitalization, nor any patient’s death. The intervention group appeared to accept better the disease, to perceive benefits derived from the disease and not to focus on the Helplessness due to the disease in a statistical significant level. There was no difference in a statistical significant level at the scores of ‘Τhe Mac New Heart Disease Health-related Quality of life questionnaire’ between the two groups, neither at the measurement that took place during their hospitalization, nor at the measurement that took place three months after their hospital discharge.
Conclusion: The intervention group was engaged in self-management and controlled efficiently the risk factors, was more likely to adhere to medication instructions and improved the clinical and laboratory outcomes. The intervention group also accepted the illness and perceived benefits from the disease. The aim of the education programme is to control the risk factors of the cardiovascular disease, to promote the check-ups, to apply systematic medication, when it is necessary. Undoubtedly, the study of the education’s impact in chronic patients is a very interesting and wide field of research that aims to the provision of tailor made health services in order to improve physical, psychological and social dimension of the chronic patient.
Education, Coronary artery disease, Impact of education, Acceptance of illness, Quality of life