Effectiveness of Guidelines on Myocardial Self-Care

force of Guidelines on myocardial egotism-CareASSESS THE EFFECTIVENESS OF HEALTH GUIDELINE ON SELF CARE FOR MYOCARDIALINFARCTION PATIENTS.Patel Asha N.Abstract magnetic core illness is first of the mammothst killer infirmitys in the world. check world wellness makeup estimated 17 million people worldwide coronary vascular dis order. In developing country the cost of bypass surgery and angioplasty is very high. tout ensemble(prenominal) person cannot affordable for taking treatment. this need helps to affected role about egotism business precaution and awareness of distemper and its minimizes the further complication. This believe helps to myocardial infarct enduring to improve their health. This study is a experimental study. The population of this study consists of aesculapian college link up g all overnment hospitals in Gujarat state. This stydy include the 35 take ins in male and female. A structured questioner mother fucker is prompt for tasking the i ntimacy including half a dozen component ( egotism guardianship, modifications, come, wink monitoring, diet, prove reduction technique) and hinderance list, ratings scale prepared for assessing the praxis of their activities(pulse monitoring, muscle starching exertion, stress reduction technique) the determination is indicated that health road map is very effective for the MI patient to ameliorate their health and healthy life style.Key wordsEffectiveness, health guideline, Myocardial infarction, Performance rating scale observational apply list.IntroductionThe wide accepted definition of WHO in 1948 in preamble to its constitution which is follows Health is a state of complete physical, mental and social well world and not merely absence of any disease or complaint. So according to W.H. O. health cannot be defined as a state but it must been as a subprogram of pass on adjustment to the changing spuriousing which we give to life. This is a dynamic concept.Heart d isease is first of the largest killer disease in the world. Cardiovascular disease are study contributors to the world-wide burden of inveterate disease with 29.3% of global deaths and 9.9% of total disease burden, in terms of disability- adjusted life historic period lost, being reported in 2003. Low and middle income countries accounted for 78% and 86% of the CVD deaths and daily lost, respectively, worldwide in 1998.In India CVD is projected to be the largest bring forth of death and disability by 2020 with 2.6 million Indians predicted to die due to coronary touchfield disease, each consist 54.1% of all CVD deaths.In resent category direction has come to be considered as an integral component of health caution. The modern philosophy of health complaint in every company take in to consideration the physical, special for diet, psychological and socio cultural surround and other thing in that stress management using umteen technique like mediation, relaxation etc. MI is a chronic life long illness.The basic component of self-importance dispense applies to all cardiac patients but the like must be designed to suitable each person individual needs and habits.In order to correspond knowledge needs of the patients, prepare health guideline on self care activities for the promotion of the health, prevention of further risk or complication, primal diagnosis and treatment of the disease. It aims at the modification of life style turn in diet, regular exercise, avoid smoking and avoid alcohol and stress management for preventing health crisis.Objectives of the studyTo assess the familiarity of self care on myocardial infarction forrader and after introducing health guideline and induction on self care activates to myocardial patients admitted in medical ward in medical college attached government hospitals in Gujarat state.To assess the performance of self care on myocardial infarction beforehand and after introducing health guideline and dem onstration on self care activates to myocardial patients admitted in medical ward in medical college attached government hospitals in Gujarat state.Literature reappraisaledImportant raising after myocardial infarctionDuryee R, The efficiency of inpatient educational after myocardial infarction in that the educating the patient who has experienced a MI has long been a challenge for the professional nurse. Nurse has prepared volumes of direction materials to enlighten the patient who has experienced an MI. the purpose of this study was to review the research literature on in- patient education after MI published between 1975 and 1983 the review of 21 studies to determine what information is most important to patients whether inpatient dogma subjoin patient association, whether lifestyle changes are affected by education and which instructional methods were most effective. Multiple teaching methods were used across the 21 studies reviewed individual and group session led by nurs e rehabilitators, splay sound presentation, videotape sessions with a nurse. The studies demonstrated that audiovisual methods are as effective as presentations by an educator.Important of diet for heart disease. swing Saramma Jacob A study of the fellowship of the patients and the relatives about the importance of common sodium chloride curtail diet as a therapy in some heart disease. This study was designed to explore the knowledge of the patients and the relatives about the importance of saltiness restriction and also the importance of using the prescribed amount of salt. finished this of study it was found that knowledge of this patient and the relatives about the importance of salt restricted diet as a therapy and the relatives about the importance of salt restricted diet as a therapy in some of the heart disease has increased 10% to 70% proper explanation and teaching about the important of salt restricted diet is the reason for this increase in knowledge. All patients used the prescribed amount of salt at bottom one day when they significantized the importance.Robertson d and keller C. Relationship among health beliefs. egotism efficiency and exercise adherence in patients with coronary artery disease. many another(prenominal) nurse care hours are dedicated to educating patients with coronary artery disease about their disease process and requisites life style changes in order to maximize life expectancy. New therapies may abort life wakeless events, however control of the progression of coronary artery disease is lastly dependent upon the patients cooperation in modifying risk factors. Too oftentimes health care recommendations go unheeded. The purpose of this study was to develop a model that would explain relationship among several variables that determined adherence to an exercise regimen. The variables were chosen from the health belief model and self efficiency theory. contract findings revealed a significant positive correlation b etween activity and perceive benefits and between activity and perceived self efficiency. in that respect was significant ostracise relationship between activities and perceived barriers.HypothesesThe imply stigmatise running game knowledge soak up of self care of myocardial infarction patients will be significantly higher than their mean pretest shits at 0.05 level.The mean post test of self care activities scores of self care of myocardial infarction patients will be significantly higher than their mean pretest scores at 0.05 level.Operational definitionEffectiveness It refers to the power of the bringing a change in the knowledge and activities of myocardial infarction patients regarding self care activities after the administration of health guide line and demonstration of exercise from the knowledge and performance scores. familiarity It refers to the myocardial patients for correct responses regarding self care activities on the structured knowledge test item and evid ence from knowledge score.Activities It refers to the myocardial infarction patients ability to perform activities regarding pulse monitoring muscle stretching exercise, stress reduction technique and tool as evidence from structured observational fit outlist and performance rating scale.Self care Those health generating activities that are undertaken by the person themselves.Delimitation research worker includes besides medical college attached government hospitals.Investigation take only hemodynamic stable myocardial infarction patient.MethodologyThe present study is a quai experimental study. The methodology presents the population of the study, sample of the study, tools and technique used in this study, data collection, and plan for analysis.POPULATION the population of this study consists of MI patient admitted in medical college attached Government hospitals in Gujarat state.SAMPLE AND try TECHNIQUE patient who has a Myocardial infarction and hemodynamic stable admitted in medical ward. Researcher take the 35 sample that were use the nonrandom sampling method.TOOL USED the investigator has prepared tool for to check knowledge as well as activities of MI patients regarding self care. For to check the knowledge she prepared structured questionnaire and for observe the practices she prepared observational checklist and performance rating scale.PROCEDURE FOR DATA ANALYSIS for testing the hypothesis of the study the investigator analyze the data using frequency, character, standard deviation, t test and correlation.ANALYSIS AND DISCUSSIONThe data were tabulated, analyzed in terms of objectives of the study.descriptive statically methods were employed for the analysis of tool. in that knowledge welkin mainly six area those are the related to self care, medicine, exercise, pulse monitoring, diet, stress reduction technique.Through the analysis and interpretation of data, researcher has described following major findings of the study.Findings related to knowledge and activities areaThere was maximum dispatch of knowledge in exercise area. In the exercise area mean division of pretest was 11.4% and mean percent of post test was 78.97%. It indicates that the 67.55% gain in area. According to the table it is the highest gain.Findings of sample related to knowledge of diet There was minimal gain in the area diet. In this area mean percentage of pre test was 61.42%whereas mean percentage of post test was 99.28% which counsels that 37.86% gain in the area.Findings of sample related to activates of the self care, stress reducing exercise and pulse monitoring There are 62.94% and 62.87% gain in area medications and pulse monitoring respectively. They are 2nd and 3rd in gain after the exercise. There was approximately equal gain in self care and stress reduction technique and providing information areas. It was 45.71% and 45.75% respectively.Finding of sample related to muscle starching exercise There was maximum mean percentage of p ost test in muscle starching exerciseAll over the knowledge score of MI patients before exposing the health guideline and demonstration, mean score of the sample was 3.14 after exposing the health guideline and demonstration, mean score of the sample was 8.11 the difference in knowledge and act score suggesting the knowledge gain by sample.Interpretation through comparing the mean percentage of pre and post performance test in each task. The data suggest that there was maximum gain in pulse monitoring it was 68.93%gain. There was 57.66 % gain in stress reduction technique and 59.61% gain in muscle starching exercise.It indicate the mean 8.6 score obtained by sample before demonstrate the activities and 34.2 score obtained after demonstrating the activities. to the myocardial infarction patients.ConclusionKnowledge deficit existed in all area of self care among samples admitted in medical ward in medical college attached government hospital in Gujarat state.The study in terms of heal th guideline and demonstration was found to be effective in enhancing the knowledge and skill of the samples regarding self care activities.IMPLICATIONS AND UTILIZATIONSThe findings of the study have several implications in the nursing practice, nursing education, nursing administration and nursing research.Nursing practice the study is pertinent for nursing professional working in the area of cardiac center in the Indian setting. Nursing personal should plan teaching programmes and lead adequate information and guidance to such client who have myocardial infarction disease and they enhance their self care ability.Nursing education skill development is an essential component of professional life. The responsibility of teacher is in meeting learners need in acquiring relevant knowledge to underpin the development skills. Attempts should be made to tally that the learner is taught in such a way that it allows them to construct learnedness in a simulated context and then apply it i nto real situation. The focus should be on the learner under standing the process of acquisition rather than performance.They should develop health guideline, self instructional faculty , audio- visual materials, booklet, pamphlet i.e. video, tap, slides etc. on cardiac self care for utilize them for teaching learning activities.Nursing administration the expressed learning need of client can be considered as indicator for training structured health programmes. nursing administration should promote and support preparedness of such instructional material by nursing personnel and they should be educationally prepared at diametric levels to undertake such endeavors in order to assist clients, and the community in developing their self care potentials.Nursing research self care is a fundamental therapy for cardiac patients. Many questions remain to be answered about it. Research is needed to station the optima ways to teach self care activities to cardiac patients. Nurses are in s tock(predicate) at all the time ti the patients in hospital. Research should be directed to exploring the nurses knowledge regarding self care of myocardial infarction patients or other cardiac diseases. There should be research studies conducted in different setting and on large sample.RECOMMENDATIONSThe following recommendations are made on the basis of the findings of the present study.A study can be replicated on a large sample, their findings can be generalized for a large population.Similar study can be conducted on nursing student.A study can be conducted develop and evaluate a self guideline n the form of pictorial booklet/ pamphlet for the analphabetic group.A comparative study can be conducted for the two groups. adept group gives the treatment and other group is control group.A study can be conducted to identify life style of the cardiac patients. quotationWebsitewww.Cardiac home care.orgwww.Self care of myocardial patient.orgwww.diet for cardiac patients.comwww.excerci se for cardiac patient.comwww.guideline for cardiac patient.comJournalswhite avens sj, Savue MJ cognitive deficits among patients with heart failure. 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