Application of group health education under JCI criteria in patients with heart valve replacement

Objective To investigate the effects of group health education under Joint Commission on Accreditation of Healthcare Organization (JCI) criteria on patients with heart valve replacement (HVR). Methods A total of 192 patients, who underwent HVR from February 2013 to January 2014, were selected as sampling and randomly divided into observation group (n=96) and control group (n=96) by random number table. Patients in the control group were given conventional health education while cases in the observation group were given group health education under JCI standard, which included outpatient, inpatient, perioperative, discharge and follow-up every stage of patients from the team consisting of doctors and nurses. In the 6 months after discharge, the follow-up results and satisfaction were compared between two groups. Generic Quality of Life Inventory 74 (GQOLI-74) was performed to assess the quality of life in two groups. Results The rates of taking medicine on time and periodic review were 96.9%, 93.8% compared with 86.5%, 80.2% in the control group (P<0.01); total satisfactory of the observation group (86.5%) were significantly higher than the control group (68.8%) (Z=3.28, P=0.001), but the rates of complications and readmission of the observation group were significantly lower than the control group (χ2=6.501, 4.364; P<0.05). The psychological function dimension, social function dimension and total quality of life dimension and total score were (68.7±9.1), (65.3±8.6), (17.0±2.4), (267.7±23.1), better than those of the control group (t=3.810, 2.553, 2.923, 3.783; P<0.05). Conclusions Group health education under JCI criteria can significantly improve the treatment compliance and quality of life in patients undergoing HVR, and provide satisfactory and high quality medical service. Key words: Health education; Quality of life; Heart valve replacement; JCI criteria