Cardiac Misconceptions and Patients' Point of View about Explanation of Medical Diagnosis and the Therapeutic Regimen
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- Category: Vol. 80, June 2012
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Cardiac Misconceptions and Patients' Point of View about Explanation of Medical Diagnosis and the Therapeutic Regimen,NAGWA R.A. GAD
Abstract
Aim of the Study: 1- To determine cardiac patients' mis-conceptions and the levels of cardiac patients' misconceptions in general and specific misconceptions related to certain cardiac diseases such as MI, Angina and heart failure. 2- To identify the cardiac patients' point of views about explanation of medical diagnosis, therapeutic regimen and their adherence to therapeutic regimen.
Subjects and Methods: Study design: The study design was descriptive study (qualitative). Setting: The study was conducted at Cardiology department including CCU, interme-diate unit and word rooms in Tanta Main University Hospital. Sample: A convenient sample of ninety (90) patients were collected and divided according to diagnosis as the following, thirty cardiac patients of any cardiac diseases and thirty angina patients, fifteen heart failure and fifteen MI patients. Tools: Four tools were used to collect data: Patient's views & generic misconception tool, York Angina beliefs questionnaires, Maeland and Havik scale to measure cardiac misconceptions among MI & Heart failure patient's misconceptions tool.
Results: In general, 60% of total the cardiac patients sample were female and 62.5% of them were with high level of misconceptions while male Patients' represents 40% of the total patients sample with 37.5% with high level of miscon-ceptions and 83.3%, 90% of patients were afraid to ask their doctors and nurses about specific symptoms respectively. Statistical significant difference was found between age, duration of illness, education level, time lapsed since care seeking, person encourage to care seeking and self perception of health status and misconceptions level respectively. High level of misconceptions was found in male patients suffered from myocardial infarction, angina and heart failure 76.9%, 70% and 46% respectively. While heart failure female patients were the highest level of misconceptions 53.5% the angina female patients were have the lowest levels of misconceptions. Conclusion and recommendations: The patients views that the information delivered was insufficient to help them to adhere to therapeutic regimen and they prefer to be offered by the physician this is reflect that the nursing education still in need to be enhanced to ameliorate this views of patients and to promote patients adherence/compliant to therapeutic regimen This study recommended that assessment of cardiac misconceptions must be done by nurses and doctors upon patient admission as a six vital signs, to prevent complications and readmission and decrease cost of care. Also the study recommended that tailoring the education to patients' level of understanding, specific learning needs & learning styles as well as taking into consideration patients' point of view when designing patients care plan.