The effectiveness of planned discharge education on health knowledge and beliefs in patients with acute myocardial infarction: a randomized controlled trial.

BACKGROUND: To the best of our knowledge, no other studies investigated acute myocardial infarction patients' beliefs and knowledge level after the discharge education. AIMS: The aim of the study was to investigate the effectiveness of planned discharge education on the beliefs and knowledge levels of CVD risk factors, medication compliance, dietary compliance, and individual follow-up in patients with acute myocardial infarction (AMI). METHODS: A double-blind randomized controlled study was carried out with 100 AMI patients. All participants were randomly assigned to the intervention (n = 50) and control groups (n = 50). The first evaluation of all participants in both groups was on the day of discharge. Both groups were re-evaluated after 4 weeks. Patients' beliefs on medication, diet, and individual monitoring were assessed by the Beliefs about Medication Compliance Scale (BMCS), the Beliefs about Dietary Compliance Scale (BDCS), and the Beliefs about Individual Follow-up Scale (BIFS), respectively. The knowledge of CVD risk factors was questioned with the Cardiovascular Disease Risk Factors Knowledge Level (CARRF-KL) Scale. RESULTS: The mean age of the patients was 59.10 ± 9.38 years in the intervention group and 58.86 ± 9.19 in the control group. After the planned discharge education, beliefs and knowledge levels of CVD risk factors, medication compliance, dietary compliance, and individual follow-up were significantly increased compared with the control group. CONCLUSION: Planned discharge education had a positive effect on the knowledge level of cardiovascular diseases risk factors, drug compliance, nutritional compliance, and individual follow-up in patients with acute myocardial infarction.

Evaluation of the effect of nutrition-related visual education on the comfort of patients receiving hemodialysis therapy / Avaliação do efeito da educação visual relacionada com a nutrição no conforto dos doentes que recebem terapia de hemodiálise

RESUMO Objetivo O objetivo deste estudo foi avaliar o efeito da educação visual no conforto dos pacientes que recebem terapia de hemodiálise. Métodos Foi utilizado um projeto de estudo aleatório em um ambiente controlado. Este estudo foi realizado com 90 pacientes hemodialisados crônicos em dois centros de diálise, sendo que 45 pacientes pertenciam ao grupo de intervenção e os outros 45 pacientes perterciam ao grupo de controle. Formulário de dados do paciente, escala de conforto de hemodiálise - Versão II, escala de controle de fluidos do paciente de hemodiálise, escala de conhecimento dietético e escala de comportamentos dietéticos foram os documentos usados. No grupo de intervenção, foram conduzidas três entrevistas. Na primeira entrevista, a educação visual foi aplicada e reaplicada após 15 dias. No grupo de controle, duas entrevistas foram realizadas e nenhuma intervenção foi feita. Resultados Descobriu-se que o programa de treinamento tem um amplo efeito sobre o conforto e relaxamento físico do paciente, assim como relaxamento psicoespiritual, transcendência psicoespiritual, transcendência ambiental e relaxamento sociocultural. Além disso, foi notado um efeito moderado sobre o alívio físico no grupo de intervenção no terceiro mês. Dessa maneira, foi determinado que o programa de educação visual aplicado teve um amplo efeito no controle de fluidos, conhecimento de dieta e comportamento do grupo de intervenção. Conclusão Verificou-se que a educação visual tem um efeito positivo no estado de conforto, no conhecimento dietético e no comportamento dietético dos pacientes submetidos à terapia de hemodiálise

ABSTRACT Objective This study aimed to evaluate the effect of visual education on the comfort of patients receiving hemodialysis therapy. Methods A randomized controlled study design was used. This study was conducted in two dialysis centers with 90 chronic hemodialysis patients. A Patient introduction form, Hemodialysis Comfort Scale-Version II, Hemodialysis Patient Fluid Control Scale, Scale for Dietary Knowledge, and Scale for Dietary Behaviors were used. In the intervention group, three interviews were conducted. In the first interview, visual education was applied, and reinforcement education ensued after 15 days. In the control group, two interviews were conducted, and no intervention was performed. Results The training program was found to have a significant effect on comfort, physical and psychospiritual ease, psychospiritual and environmental transcendence, and sociocultural ease, and a moderate effect on physical relief in the intervention group in the third month. It was determined that the visual education program applied had a large effect size on fluid control, diet knowledge, and behaviors in the intervention group. Conclusion Visual education was found to have a positive effect on the comfort status, dietary knowledge, and dietary behavior of patients receiving hemodialysis therapy.

The effect of case management with haemodialysis patients on the health perception and the symptoms: The case of Turkey.

OBJECTIVE: To establish whether case management had an effect on health perceptions and symptom relief in haemodialysis patients. METHODS: The quasi-experimental study was conducted from March to December 2013 in Ankara, Turkey, at three private dialysis centres providing haemodialysis therapy. It comprised chronic haemodialysis patients who were divided into experimental and control groups. In the first interview, the experimental group was provided with extensive training about haemodialysis and a three-month follow-up was conducted through case management. The control group was provided training only in the final interview. Data was collected using the scale for perception of health in haemodialysis patients and the scale for complaints/symptoms in haemodialysis patients. SPSS 20 was used for analysis. RESULTS: Of the 80 patients, 40(50%) were in each group. There was no significant difference in scale for perception of health in haemodialysis patients scores between first and final interviews (p>0.05), whereas the scale for complaints/symptoms in haemodialysis patients scores were lower in the final interview compared to the first p<0.05). In the control group, the scale for perception of health in haemodialysis patients scores were higher in the final interview compared to first (p<0.05). CONCLUSIONS: Case management was found to be an effective method for minimising negative health perceptions and complaints and symptoms in haemodialysis patients.

Educational interventions for improved diet and fluid management in haemodialysis patients: An interventional study.

OBJECTIVE: To evaluate the effect of education provided by the nurse on the knowledge and behaviours of haemodialysis patients about dietary and fluid restrictions. METHODS: This quasi-experimental study was conducted at five publicly funded dialysis centres located in Istanbul Province, Turkey, in 2014, and comprised dialysis patients and controls. Data was collected using the Scale for Dietary Knowledge in Haemodialysis Patients and the Scale for Dietary Behaviours in Haemodialysis Patients. The dietary education was given to the intervention group. SPSS 20 was used for data analysis. RESULTS: Of the 80 patients, there were 40(50%) in each group. The overall mean age was 64.12±55.50 years, and 42(52.5 %) of the participants were male. After the education provided to the intervention group, the dietary knowledge and behaviours' post-test scores significantly increased compared to the pre-test scores, and the serum sodium level, pre-dialysis weight gain and diastolic blood pressure significantly decreased (p<0.05 each). Between the intervention and control groups, a significant difference was found between the pre-test and post-test in serum sodium levels (p<0.05). CONCLUSIONS: The education provided by the nurse had a positive effect on the knowledge and behaviour of haemodialysis patients about dietary and fluid restrictions.

Hypertension management: what is the role of case management?

Objective The aim of this study was to determine the effect of case management on hypertension management and on adherence to antihypertensive medication and chronic disease care of patients with hypertension. Method This study was conducted as an experimental and randomized controlled study. The sample of the study consisted of randomly selected patients with hypertension who did not have communication problems, who used antihypertensive medication treatment and whose treatment had been continuing for at least six months. The study group was given individual training (Hypertension causes, the risk factors, significance, unwanted side effects, medication treatment, changes in life style) and was applied case management model in hypertension - joint care protocol but no intervention was offered to the control group. Data was collected using the adherence to antihypertensive medication scale, the patient assessment of chronic illness care in the first and six months later interview. Results There was no significant difference between the study and control group according to adherence to antihypertensive medication and patient assessment of chronic illness care in the first interview. Otherwise, there were significant differences between the study and control group according to blood pressure, adherence to antihypertensive medication and patient assessment of chronic illness care in the six months later interview. The adherence to antihypertensive medication total score and the patient assessment of chronic illness care total score were significantly higher in the study group compared with control group in the six months later interview. Conclusion The case management plays an important role the in control of hypertension, and can improve adherence to antihypertensive medication and chronic illness care.

Hypertension management: what is the role of case management? / Manejo da hipertensão: qual é o papel do manejo de caso? / Manejo de la hipertensión: ¿cuál es el papel del manejo de caso?

ABSTRACT Objective The aim of this study was to determine the effect of case management on hypertension management and on adherence to antihypertensive medication and chronic disease care of patients with hypertension. Method This study was conducted as an experimental and randomized controlled study. The sample of the study consisted of randomly selected patients with hypertension who did not have communication problems, who used antihypertensive medication treatment and whose treatment had been continuing for at least six months. The study group was given individual training (Hypertension causes, the risk factors, significance, unwanted side effects, medication treatment, changes in life style) and was applied case management model in hypertension - joint care protocol but no intervention was offered to the control group. Data was collected using the adherence to antihypertensive medication scale, the patient assessment of chronic illness care in the first and six months later interview. Results There was no significant difference between the study and control group according to adherence to antihypertensive medication and patient assessment of chronic illness care in the first interview. Otherwise, there were significant differences between the study and control group according to blood pressure, adherence to antihypertensive medication and patient assessment of chronic illness care in the six months later interview. The adherence to antihypertensive medication total score and the patient assessment of chronic illness care total score were significantly higher in the study group compared with control group in the six months later interview. Conclusion The case management plays an important role the in control of hypertension, and can improve adherence to antihypertensive medication and chronic illness care.

RESUMO Objetivo Determinar o efeito do manejo de caso sobre o manejo da hipertensão e sobre a adesão à medicação anti-hipertensiva e à assistência às doenças crônicas de pacientes com hipertensão. Método Estudo experimental, controlado e randomizado. A amostra consistiu de pacientes com hipertensão, selecionados aleatoriamente, que não tivessem problemas de comunicação, usassem tratamento com medicação anti-hipertensiva e cujo tratamento estive sendo realizado por pelo menos seis meses. Foi dado treinamento individual ao grupo de estudo (causas da hipertensão, fatores de risco, significância, efeitos colaterais indesejados, tratamento medicamentoso, mudanças no estilo de vida) e foi aplicado modelo de manejo de caso em hipertensão - protocolo de assistência coletiva, mas nenhuma intervenção foi oferecida ao grupo de controle. Os dados foram coletados usando a adesão à escala de medicação anti-hipertensiva, a avaliação do paciente para a assistência às doenças crônicas na primeira entrevista e na de depois de seis meses. Resultados Não houve diferença significativa entre o grupo de estudo e o grupo de controle no que se refere à adesão à medicação anti-hipertensiva e à avaliação do paciente para assistência às doenças crônicas na primeira entrevista. No entanto, houve diferenças significativas entre o grupo de estudo e o grupo controle no que se refere à pressão sanguínea, adesão à medicação anti-hipertensiva e avaliação do paciente para assistência às doenças crônicas na entrevista de depois de seis meses. O score total de adesão à medicação anti-hipertensiva e o score total de avaliação do paciente para assistência às doenças crônicas foram significativamente maiores no grupo de estudo comparados com o grupo de controle na entrevista de após seis meses. Conclusão O manejo de caso tem um papel importante no controle da hipertensão e pode melhorar a adesão à medicação anti-hipertensiva e a assistência às doenças crônicas.

RESUMEN Objetivo Determinar el efecto del manejo de caso sobre el manejo de la hipertensión y la adhesión a la medicación antihipertensiva y a la asistencia a las enfermedades crónicas de pacientes con hipertensión. Método Estudio controlado, randomizado y experimental. La muestra consistió de pacientes con hipertensión seleccionados aleatoriamente, quienes no tenían problemas de comunicación, usaban tratamiento con fármacos antihipertensivos y cuyo tratamiento se estaba realizando durante por lo menos seis meses. Se proporcionó entrenamiento individual al grupo de estudio (causas de la hipertensión, factores de riesgo, significación, efectos colaterales indeseados, tratamiento medicamentoso, cambios en el estilo de vida) y fue aplicado modelo de manejo de caso en hipertensión -protocolo de acción colectiva, pero ninguna intervención fue ofrecida al grupo control. Los datos fueron recogidos utilizándose la adhesión a la escala de medicación antihipertensiva, la evaluación del paciente para asistencia a las enfermedades crónicas en la primera entrevista y en la entrevista de después de seis meses. Resultados No hubo diferencia significativa entre el grupo de estudio y el grupo control en lo que se refiere a la adhesión a la medicación antihipertensiva y la evaluación del paciente para la asistencia a las enfermedades crónicas en la primera entrevista. Sin embargo, hubo diferencias significativas entre el grupo de estudio y el grupo control en lo que se refiere a la presión sanguínea, adhesión a la medicación antihipertensiva y evaluación del paciente para la asistencia a las enfermedades crónicas en la entrevista tras seis meses. El puntaje total de la adhesión a la medicación antihipertensiva y el puntaje total de la evaluación del paciente para asistencia a las enfermedades crónicas fueron significativamente mayores en el grupo de estudio comparados con el grupo control en la entrevista tras seis meses. Conclusión El manejo de caso juega un rol importante en el control de la hipertensión y puede mejorar la adhesión a la medicación antihipertensiva y a la asistencia a las enfermedades crónicas.