The Effect of Educational Program to Illness Representation and Management Acute Myocardial Infarction Symptoms of Person with Acute Myocardial Infarction

Abstract

The aim of this quasi-experimental design was to examine the effect of an educational program to illness representation and management, acute myocardial infarction symptoms of person with acute myocardial infarction. A sample was 60 patients with acute myocardial infarction who visited the Diabetes Clinics, Out Patient Department of Singburi Hospital. The data collection was conducted between December 2018 to March 2019. A sample was recruited by simple random sampling. A control group of 30 patients received usual care. The experimental group and 30 patients in the control group and the experimental group participated in a program to educated program for 1 consecutive days in visited  the Diabetes Clinics to usual care. The experimental tools consisted of: 1) the educational program focusing on illness representation and management acute myocardial infarction symptoms 2) a handbook related to the illness representation and management acute myocardial infarction symptoms. Data collection tools were a person and illness representation questionnaire, illness response strategies questionnaire which was developed by the researcher. The experimental and data collecting tools were validated by 3 experts. The reliability of the illness representation questionnaire and illness response strategies questionnaire were .82 and .90 respectively. Demographic data and health-related information was analyzed by descriptive statistics and compared pre-test and post-test score of illness representation and management acute myocardial infarction symptoms in the experimental group were analyzed by paired t-test. Illness representation and management acute myocardial infarction symptoms between the experiment and the control group were analyzed by independent t-test.

          The results showed that

1. The post-test score of the experimental group (x = 98.97, SD = 8.31) and (x = 8.47, SD = 1.57) (p<0.05) after receiving the education program, the mean score of illness representation and management myocardial infarction symptoms was significantly higher than pre-test score (x = 93.07, SD = 16.11) and (x = 7.47, SD = .94) with statistical significance at the 0.5 level  (t =-3.08, p<0.05).

1. After receiving the education program, the mean score of illness representation and management myocardial infarction symptoms in the experimental group  (x = 95.53, SD = 15.98) and (x = 8.84, SD = 1.56) (p<0.05) were significantly higher than that in the control group (x = 84.37, SD = 11.20) and (x = 7.53, SD = 1.14) with statistical significance at the 0.5 level   (t =-3.13, p<0.05)

This program can be used as a guideline for educating patients to increase their illness representation and management myocardial infarction symptoms effectively, which can reduce the delayed seeking help and gain the greatest benefit from the treatment. Keywords: Educational Program, Illness Representation, Management Acute Myocardial Infarction Symptoms