衛教方案對冠狀動脈擴張術病患危險因素監控知識、態度與行為之成效

Effects of Health Education Program on Knowledge, Attitude and Behavior of Risk Factor Control for Percutaneous Transluminal Coronary Angioplasty Patients

張蓉蘭(Jung-Lan Chang) ； 馬素華(Suh-Hwa Maa) ； 柯毓麟(Yu-Lin Ko) ； 樓迎統(Ying-Tung Lau)

《長庚護理》 12卷2期 (2001/06) Pp. 101-111

https://doi.org/10.6386/CGN.200106_12(2).0002

摘要

This study examined the effects of health education program on knowledge, attitude and behavior of risk factor control for percutaneous transluminal coronary angioplasty (PTCA) patients. The research design was quasi- experimental using purposive sampling. Sixty first time PTCA inpatients, aged 35 to 70 years, were recruited and consecutively assigned to an experimental group (n=30) or a control group (n=30). Patients in the control group received routine care. Patients in the experimental group also received health education including individual education during hospitalization about coronary artery disease prevention and three telephone follow-ups post-discharge. Outcomes were measured by a structured questionnaire developed by the author. The questionnaire included a ”knowledge of risk factor control” scale, an ”attitude of risk factor control” scale, and a ”behavior of risk factor control” scale, The validity of these scales was tested by use of an expert panel. The Cronbach's internal reliability scores were 0.73, 0.71, and 0.70, respectively. Patients in the experimental group had higher scores on knowledge, attitude, and behavior scales than the patients in the control group. On knowledge scale, the experimental group scored 6.2 points higher than control group (p＜0.001). On attitude scale, the experimental group scored 6.7 points higher than control group (p＜0.001). On behavior scale, the experimental group scored 10.5 points higher than control group (p＜0.001). In conclusion, individual health education combined with telephone follow-ups had positive effects on knowledge, attitude, and behavior of risk factor control for patients with PTCA. The results of this study can serve as reference for designing PTCA hospital and discharge education programs.

關鍵字

衛教方案 ； 冠狀動脈擴張術 ； 危險因素監控知識 ； 態度及行爲

並列摘要

This study examined the effects of health education program on knowledge, attitude and behavior of risk factor control for percutaneous transluminal coronary angioplasty (PTCA) patients. The research design was quasi- experimental using purposive sampling. Sixty first time PTCA inpatients, aged 35 to 70 years, were recruited and consecutively assigned to an experimental group (n=30) or a control group (n=30). Patients in the control group received routine care. Patients in the experimental group also received health education including individual education during hospitalization about coronary artery disease prevention and three telephone follow-ups post-discharge. Outcomes were measured by a structured questionnaire developed by the author. The questionnaire included a ”knowledge of risk factor control” scale, an ”attitude of risk factor control” scale, and a ”behavior of risk factor control” scale, The validity of these scales was tested by use of an expert panel. The Cronbach's internal reliability scores were 0.73, 0.71, and 0.70, respectively. Patients in the experimental group had higher scores on knowledge, attitude, and behavior scales than the patients in the control group. On knowledge scale, the experimental group scored 6.2 points higher than control group (p＜0.001). On attitude scale, the experimental group scored 6.7 points higher than control group (p＜0.001). On behavior scale, the experimental group scored 10.5 points higher than control group (p＜0.001). In conclusion, individual health education combined with telephone follow-ups had positive effects on knowledge, attitude, and behavior of risk factor control for patients with PTCA. The results of this study can serve as reference for designing PTCA hospital and discharge education programs.

並列關鍵字

health education program ； PTCA ； knowledge ； attitude ； and behavior ； risk factor control