Journal of Hebei Medical University

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Effect of illness perception on discharge of patients with acute myocardial infarction

  

  1. The Third Department of Cardiology, the Central Hospital of Tai′an, Shandong Province, Tai′an 271000, China
  • Online:2018-09-25 Published:2018-08-28

Abstract: [Abstract]〓Objective〖HTSS〗〓To enhance disease perception of acute myocardial infarction in patients with acute myocardial infarction through health education,and to explore the impact of disease perception on patient discharge.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓The 107 patients with the first acute myocardial infarction were randomly divided into control group(53 cases) and experimental group(54 cases). Patients in the experimental group were educated according to the slides drawn up by the special books of the cardiology department and related guidelines. However, the control group was educated based on the nurses usual health education contents. The Hospital Anxiety Depression Scale(HADS), the World Health Organization Quality of Life Questionnaire(WHOQOLBREF), and the Brief Illness Perceptions QuestionnaireRevised(BIPQR) were used to assess patients before education and in the first, third, and sixth months after discharge. Also, the number of reinfarctions, rehospitalizations, and deaths after discharge were counted.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The HADS anxiety and depression scores in the control group showed a gradually increasing trend. The HADS anxiety and depression scores in the experimental group showed a tendency to decrease gradually. The HADS anxiety and depression scores in the experimental group were lower than those in the control group. Two groups of WHOQOLBREF physiology, psychology, social relations, environmental field scores and BIPQR scores showed a trend of decreasing gradually. The WHOQOLBREF of the experimental group scored was higher in the physiological field, psychological field, social relations field, and environmental field than the control group, while the BIPQR score was lower than the control group. There was a statistically significant difference between groups, time points, time and time points(P<005). The number of reinfarction cases at 1, 3 and 6 months after discharge from the two groups and the number of rehospitalization cases at 1, 3 and 6 months after discharge were not statistically significant(P>005). The total number of rehospitalization in the experimental group was significantly lower than that in the control group(P<005). No deaths were found during followup.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The health education of patients with acute myocardial infarction by a cardiology specialist can improve the patient′s perception of disease, improve anxiety, depression, quality of life and reduce the readmission rate in patients with acute myocardial infarction, but has no significant effect on reinfarction rate and mortality.

Key words: myocardial infarction; illness perception, health education