The Effect Of Self-Care Documented Program On Performance Of Patients Undergoing Coronary Angioplasty

Patients who have undergone angioplasty experience difficulty modifying at-risk behaviors for subsequent cardiac events. The purpose of this study was to determine the effect of education on self-care behavior in patients undergoing coronary angioplasty.Patients with stable angina were recruited from the waiting lists for elective PCI at Ayatollah Mosavi Hospital. Eligible patients were randomly assigned to two groups. The groups represented alternate times for delivering education. Data were obtained at three occasions: pre-test, post-test and follow-up. The same intervention was given to the two study groups to ensure consistency of content. Self-care behaviors were measured using the Revised Heart Failure Self-Care Behavior scale (RSCB). Content validity was demonstrated through evaluations made by a panel of experts. The internal consistency reliability coefficient was found to be 0.8 in this study. Descriptive statistics were used to analyze demographic data and repeated measures analysis of covariance was used to determine differences in the outcomes in the groups.Results revealed that the mean of performance (pre and post-test) in the post-discharge group is higher than the pre-discharge group and also the mean of performance (pre-test and follow-up) in the post-discharge group is higher than the pre-discharge group. There were statistically significant differences between the two groups in the three phases.There has been a major reduction in mortality in the general population as a result of improved survival from coronary heart disease. PCI has played a large part in these reductions in mortality, especially in acute coronary syndrome .