Effectiveness of Planned Teaching Programme on Knowledge Regarding cardiac Rehabilitation among patients Undergone Coronary artery bypass Grafting Surgery

 

Betty Thomas1, Suneesh PM2, Jeenath Justin Doss. K3

1II Year M.Sc.(N) MSN Shri Anand College of Nursing, Opp-Ghanteshwar Park Sainik Society, Jamnagar Road, Rajkot.

2Guide, Shri Anand College of Nursing, Opp-Ghanteshwar Park Sainik Society, Jamnagar Road, Rajkot.

3Principal, Shri Anand College of Nursing, Opp-Ghanteshwar Park Sainik Society, Jamnagar Road, Rajkot.

*Corresponding Author E-mail:

 

ABSTRACT:

Cardiac rehabilitation involves delivery of structured exercise, education and risk reduction, in a cost-effective manner. Robust evidence demonstrates it reduces mortality up to 25%, improves functional capacity, as well as decreases re-hospitalization. Despite its benefits, and clinical practice guideline recommendations to refer cardiac patients, cardiac rehabilitation programs are grossly under-used. Worldwide, there is low availability of cardiac rehabilitation; only 38.8% of countries globally have cardiac rehabilitation programs. Specifically, 68.0% of high-income and 23% of lower middle income class have cardiac rehabilitation. Cardiac rehabilitation density estimates ranged from 1 program per 0.1–6.4 million inhabitants. Cardiac rehabilitation availability is much lower than that of other evidence-based secondary prevention therapies, such as revascularization and pharmacological therapies. Multi-level strategies to augment cardiac rehabilitation capacity and availability at national and international levels such as supportive public health policies, systematic referral strategies, and alternative models of delivery are needed.

 

 

KEYWORDS: Evaluation, Effectiveness, Structured Teaching Programme, Knowledge, Attitude, Cardiac Rehabilitation, Coronary Artery Bypass Graft.

 

 


 

 

 

 

 

 

 

INTRODUCTION:

Cardiac rehabilitation involves delivery of structured exercise, education and risk reduction, in a cost-effective manner. Robust evidence demonstrates it reduces mortality up to 25%, improves functional capacity, as well as decreases re-hospitalization1. Despite its benefits, and clinical practice guideline recommendations to refer cardiac patients, cardiac rehabilitation programs are grossly under-used. Worldwide, there is low availability of cardiac rehabilitation; only 38.8% of countries globally have cardiac rehabilitation programs. Specifically, 68.0% of high-income and 23% of lower middle income class have cardiac rehabilitation2 .Cardiac rehabilitation density estimates ranged from 1 program per 0.1–6.4 million inhabitants. Cardiac rehabilitation availability is much lower than that of other evidence-based secondary prevention therapies, such as revascularization and pharmacological therapies. Multi-level strategies to augment cardiac rehabilitation capacity and availability at national and international levels such as supportive public health policies, systematic referral strategies, and alternative models of delivery are needed.3

 

NEED FOR THE STUDY:

Cardiovascular disease is the most prevalent non-communicable disease and the leading cause of mortality globally. With increasing cardiovascular diseases prevalence, the burden of cardiovascular diseases is growing significantly, particularly in low- and middle-income countries. Over the next few decades, 23 million people per year will die due to cardiovascular diseases.4

 

Cardiac rehabilitation is a multidisciplinary approach designed to stabilize, slow, or even promote regression of cardiovascular diseases. The World Health Organization defines cardiac rehabilitation as the “sum of activities required to influence favourably the underlying cause of the disease, as well as to provide the best possible physical, mental and social conditions, so that the patients may, by their own efforts, preserve or resume when lost, as normal a place as possible in the community”. As a means of secondary and even tertiary prevention, for the purposes of this review, we refer to cardiac rehabilitation delivered in the outpatient setting. The components delivered work to reduce cardiovascular risk, promote and maintain healthy behaviors and active lifestyles, improve quality of life, and reduce disability.5

 

OBJECTIVES OF THE STUDY:

1.    To assess the knowledge regarding cardiac rehabilitation among patients undergone coronary artery bypass grafting surgery.

2.    To assess the effectiveness of planned teaching on knowledge regarding cardiac rehabilitation among patients undergone coronary artery bypass grafting surgery in selected hospital at Rajkot.

3.    To find out the association between pre test level knowledge score with their demographic variables.

 

RESEARCH HYPOTHESIS:

1.    H1: There will be significant changes in the knowledge regarding cardiac rehabilitation among patient undergone coronary artery bypass graft surgery.

2.    H2: There will be significant association between pre test knowledge regarding cardiac rehabilitation among patients who underwent coronary artery bypass graft surgery with their selected demographic variables.

 

 

MATERIAL AND METHOD:

RESEARCH APPROACH:

A Quantitative approach.

 

RESEARCH DESIGN:

Pre Experimental one group pre test post test design

 

Variable:

Dependent Variables:

Knowledge regarding cardiac rehabilitation

 

Independent Variables:

Age, marital status, education, religion, income, source of health information and family history.

 

Sample:

Total 60 samples

 

Sampling technique;

Non-probability convenience sampling technique.

 

Description of tool:

Section I:

Consists of demographic variables of patients undergoing coronary artery bypass surgery age, sex, marital status, religion, educational status, work pattern, income, type of family, smoking, chewing tobacco, alcohol consumption, dietary pattern, other associated disease condition.

 

Section-II:

Consists of structured questionnaire regarding knowledge about cardiac Rehabilitation

 

RESULT AND DISCUSSION:

Majority of the patients undergoing CABG 40 (66.7%) belong to the age group of 56 and above, regarding sex, majority 40(66.7%) were males,majority 55(91.7%) were married,majority 35(58.3%) were Muslim, majority 20(33.3%) have completed their high school, majority 35(58.3%) were sedentary workers, majority 40(66.7%) belong to the income group of Rs.5,000-Rs.10,000 income group,majority 40(66.7%) were living in nuclear family, majority 40(66.7%) had smoking habit,no one i.e 60(100%)had habit of chewing tobacco, majority 42(70%) had habit of alcoholism, 45(75%) were non-vegetarian,regarding other associated diseases, majority 45(75%) were hypertensive.The main conclusions drawn from this present study was that most of the patients undergoing CABG had inadequate knowledge regarding cardiac rehabilitation. After the administration of structured teaching programme on cardiac rehabilitation, their knowledge have increased significantly. They became very much familiar and had favourable towards cardiac rehabilitation measures. They discussed this cardiac rehabilitation measures with their family members also. This ensured that the knowledge towards cardiac rehabilitation measures will improve the quality of life of patients undergone CABG which include stability which include the stability in physiological, psychological, sexual, vocational and lifestyle aspect.

 

REFERENCES:

1.     Mohanan, etal. (2007)., “Phipps Medical Surgical Nursing”., (8th ed)., Missouri., Mosby Publication.

2.     Susan, L. Woods., (1995)., “Cardiac Nursing”., (3rd ed)., Westford., Lippincott company.

3.     Bare, G. Brenda, Smeltzer, C. Suzanne., (2005)., “Brunner And Suddarths Text Book Of Medical Surgical Nursing”., (10th ed)., Philadelphia., Lippincott publication.

4.     Kothari, C.R., (2004)., “Research Methodology Methods And Techniques”., (2nd ed)., New Delhi., New age International (p) Ltd publishers.

5.     Christensen. Kockrow., (2006)., “Foundations And Adult Health Nursing”., (5th ed)., Philadelphia., Mosby Elsevier publications.

 

 

 

 

 

Received on 01.11.2018       Modified on 18.11.2018

Accepted on 03.12.2018       ©A&V Publications All right reserved

Int.  J. of Advances in Nur. Management. 2019; 7(1):60-62.

DOI: 10.5958/2454-2652.2019.00015.5