[Efficacy of the education program in the improvement of treatment compliance in patients with artificial heart valves].

Abstract

The study included 94 patients with artificial heart valves aged 55.5 +/- 68 years including 47 (50%) with rheumatic heart diseases, 26 (27.7%) with infectious endocarditis, 21 (22.3%) with connective tissue dysplasia. Compliance with the treatment was estimated by the method of S.V. Davydov before and after education. The leading causes of poor compliance was insufficient socio-medical knowledge and dissatisfaction with the prescribed therapeutic regimen. The education program permitted to achieve a 3-fold decrease in the incidence of negative factors affecting compliance and 1.5-fold increase in the frequency of positive factors; socio-medical awareness and satisfaction with the prescribed treatment increased by 45.8% and 37.1% respectively (p < 0.05). The integral index of compliance before education +4.39 +/- 0.09 characterized it as a moderately positive one. It increased to +8.11 +/- 1.23 after education (p < 0.01). It is concluded that the education program based on the principle of continuity of in- and out-patient treatment improved compliance and socio-medical awareness of the patients, promoted their medico-social adaptation, increased satisfaction with the prescribed treatment and its outcome.

• Authors: E V Gorbunova, T V Gorshkova, M P Romanova, S A Makarov
• Journal: Klinicheskaia meditsina (Klin Med (Mosk)) Vol. 90 Issue 11 Pg. 16-9 ( 2012) ISSN: 0023-2149 [Print] Russia (Federation)
• PMID: 23516846 (Publication Type: Comparative Study, English Abstract, Journal Article)

Topics

• Female
• Heart Valve Diseases (rehabilitation, surgery)
• Heart Valve Prosthesis
• Humans
• Male
• Middle Aged
• Outpatients
• Patient Compliance
• Patient Education as Topic (methods)
• Program Evaluation