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Comparison the effect of education by Teach Back method and group education on self-efficacy of patients with myocardial infarction
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Mohammad Javad Alamzadeh Ansari1   , Fidan Shabani2 , Mahmood Sheikh Fathollahi2 , Maryam Rezaei *3 |
1- Department of Cardiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
2- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
3- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran , rezaeinurse.maryam@gmail.com |
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Abstract: (2173 Views) |
ABSTRACT
Aim. The aim of this study was to investigate the effect of education by Teach Back method and group education on self-efficacy of patients with myocardial infarction.
Background. Cardiovascular diseases are among the leading causes of death worldwide. Effective education of patients requires the use of educational methods whose effectiveness have been identified.
Methods. The present study was a clinical trial conducted at Rajaie Cardiovascular Medical and Research Center in Tehran during 2020 and 2021. Sampling was performed continuously until 105 people were completed. Patients were randomly divided into three groups of 35, including group (Teach Back, group training, and Control), based on blocking randomization (size=6). The training sessions were conducted in two one hour sessions for two consecutive days. The control group received routine ward training. Data were collected using demographic information form and Sullivan Cardiac Self-Efficacy Questionnaire that completed before training by patients and two weeks after training by telephone by the researcher. Finally, data on 93 patients admitted to cardiac care unit were analyzed using SPSS software version 24.
Findings. Groups were homogenous in terms of demographic characteristics and disease history. The mean and standard deviation of self-efficacy score before training was 8.03±1.84 in teach back group, 7.58±2.16 in the group training and 6.90±1.40 in the control group. One-way analysis of variance showed that the mean score of self-efficacy before the intervention in the study groups was not statistically different, but two weeks after training, the mean and standard deviation of self-efficacy score was 51.6±7.85 in the teach back training, 45.77±8.39 in the group training group, and 23.16±9.13 in the control group. Increase in self-efficacy mean score in patients under teach back training was significantly higher than patients under group training and control group (P≤0.0001), and in patients under group training was significantly higher than patients in control group (P≤0.0001).
Conclusion. Teach Back training and group training increase the self-efficacy of patients with myocardial infarction. Due to the role of nurses in patient education, this educational methods can be used. |
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| Keywords: Teach Back training, Group training, Self-efficacy, Myocardial infarction |
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Full-Text [PDF 1024 kb]
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: Research |
Subject:
Adherence to therapeutic regimen
Received: 2022/01/12 | Accepted: 2022/05/17 | Published: 2022/08/27 | ePublished: 2022/08/27
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