| ObjectiveTo develop health education program for acute myocardial infarction(AMI)patients based on the theoretical model of knowledge,attitude and practice(KAP Model)by studying how their knowledge of disease,awareness of personal health,behaviors and living standards impact rehabilitation.Perform comparative analysis over KAP model and conventional intervention to assess different approaches 'effectiveness on treating patients after percutaneous coronary intervention(PCI).In order to provide theoretical reference for KAP Model application on postoperative health education and cardiac rehabilitationMethods1.Based on the estimation over sample sizes of mean comparisons in the group design,it was determined that each group requires 45 subjects.By convenient sampling,Inpatients with AMI after PCI recruited from department of cardiology,a anonymous tertiary hospital in Henan province between February,2019 and May,2019.According to the number in the envelope extracted by patients,the singular number was the control group,and the even number was the intervention group.Finally 41 subjects were classified into the control group and 43 subjects were included in the intervention group.2.84 confirmed cases of AMI under stable condition after PCI treatment were provided with a scale to assess subjects' knowledge of their disease,life quality and psychological conditions etc.Through comparison between intervention group guided by KAP model,and control group with traditional intervention scheme,their improvement on KAP level,quality of life,psychological condition,and healthbehavior were observed after 1 month,3 months and 6 months respectively.4.Evaluation Indicators:Scales evaluation indicators: The scale scores of KAP level,quality of life(SF-36),generalized anxiety(GAD-7)and health questionnaires(PHQ-9)before and after intervention;Laboratotory indicators: Fasting blood glucose value,LDL-C value,blood pressure classification,LVEF value,before and after intervention;Health behavior indicators:6-minute walking test distance,and smoking before and after intervention.5.Survey data were collected and input into Excel to perform statistical analyses by using SPSS software version 20.0.Statistical methods applied for data analyses were: general data statistical description,Chi-square test(x2)test,two independent sample T test,paired sample T test,repeated measures analysis of variance(r ANOVA).A p-value of < 0.05 was considered statistically significant.Results1.Prior to intervention,there was no statistical significance(P >0.05)between two groups in the general information such as age,gender,ethnic group,marital status,residential area,educational level,children number and job status,family income and other disease-related information,such as previous medical history,coronary artery lesions,number of stent implantation.2.Before intervention,there was no statistical significance(P >0.05)between the scale scores of the two groups ' KAP assessment.However,after 3-month and 6-month intervention,scale scores of intervention group proved to be statistical significant compared with control group.Repeated measures analysis of variance showed significant correlation.(F =110.473,P <0.05).3.There was no statistically significant score difference on quality of life using SF-36 scalebetween the two groups before intervention(P > 0.05).Scores of SF-36 scale in the intervention group after3 and 6 months intervention were statistically significant,compared with the control group(P <0.05),and repeated measures analysis of variance revealed correlation(F = 25.797,P <0.05).Subjects in the intervention group showed apparently better performance than those in the control group,especially in four dimensions:physiological function,overall health,vitality and mental health.4.Before intervention,there was no statistical difference(P >0.05)in the scale scores obtained from GAD-7 and PHQ-9 between the two groups,while 6 months later,the scores of the two groups were statistically different.(P <0.05)5.Between the two groups,fasting blood glucose,LDL-C,LVEF and smoking displayed no statistical difference(P >0.05)prior to intervention and significant statistical difference(P <0.05)after6-month intervention;Patients ' blood pressure of the intervention group was considered statistically different after 6-month intervention(P <0.05).6.6-minute walking test indicated no statistical difference after 1-month intervention(P >0.05).There was a statistically significant difference in the distance of 6-minute walking test between two groups after intervention of 3 and 6 months respectively(P <0.05).Repeated measures analysis of variance exhibited a significant correlation.(F =23.852,P <0.05).Conclusions1.Based on the KAP Model health education in patients with acute myocardial infarction PCI postoperative effect is good,KAP Model health education can effectively improve the cognition to the disease,patients with set up the health belief and positive attitude,reduce the risk of disease factors,develop a healthy lifestyle,improve the patient's quality of life.2.Through the health education intervention based on the model of KAP Model,the fastingblood glucose,LDL-C value,LVEF value and blood pressure of the patients were well controlled,smoking was under control,the negative emotions such as anxiety and depression were alleviated,and the quality of life was significantly improved.3.The acute myocardial infarction epistemic behavior scale can be used as an evaluation index to measure the postoperative health education,disease cognition and behavior improvement of patients. |
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