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Indian Journal of Surgical Nursing

Volume  6, Issue 1, January - April 2017, Pages 5-9
 

Original Article

Effectiveness of Information Booklet on Knowledge, Attitude and Practice on Cardiac Rehabilitation among Myocardial Infarction Patients

Vikranth V. Bhingardive*, T. Sivabalan**

*MSc.(N), **Professor, Pravara Institute of Medical Sciences (DU), College of Nursing, Loni (Bk), Tal. Rahata, Dist. Ahmednagar, Maharastra–413736.

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DOI: DOI: http://dx.doi.org/10.21088/ijsn.2277.467X.6117.1

Abstract

 Background: Myocardial infarction is a dynamic process where region of heart muscle have severe and prolonged decrease in O2 supply due to inadequate blood flow lead to necrosis of myocardium. MI leads to physical, social and mental impairment, and contributes to considerable impairment in quality of life of patient and family. The impairment may coped well with help of cardiac rehabilitation, which is sum of activity required to ensure the physical, psychological, social and mental condition of patient. Thus present study was carried out to assess the effectiveness of information booklet on knowledge, attitude and practice regarding cardiac rehabilitation among MI patients. Material and Methods: A quasi experimental study where pre test post test design without control group approach was undertaken in medical wards of Pravara Rural Hospital. A total of 30 MI patients were selected with help of systematic random sampling technique. The structured interview schedule was used to collect the data (where dichotomous questionnaire, rating scale and check list was used to assess the knowledge, attitude and practice on cardiac rehabilitation respectively). The information booklet was distributed to myocardial infarction patients immediately after the pre test. Effectiveness of booklet was done by conducting post test on the first follow up visit of patient to hospital after discharge. The data was analyzed with descriptive and inferential statistic wherever required. Result: The result of the study revealed that information booklet was effective as the knowledge score shows improvement from ‘average’ (40%) to ‘good’ (74%) from pre test to post test respectively. In relation to attitude of patient towards cardiac rehabilitation was found to be neutral after administration of booklet as attitude score was increased from pre test (35%) to post test (62%); practice regarding cardiac rehabilitation found to be significantly increased from pre test (39%) to post test (62%). There was a significant difference found between pre test and post test knowledge, attitude and practice scores at p<0.05 level. A significant association found between knowledge and demographic variable like age (ð2 = 16.75) at p<0.05 level. Conclusion: Majority of myocardial infarction patients had significant improvement in knowledge, attitude and practice regarding cardiac rehabilitation after implementation of information booklet. Hence the information booklet is considered to be an effective tool in order to bring a positive health out come in myocardial infarction patients.

Keywords: Effectiveness; Knowledge; Attitude; Practice and Information Booklet.


Corresponding Author : T. Sivabalan**