Thesis (M.S.)--University of Michigan, 1987.

Thesis (M.S.)--University of Michigan, 1982.

Thesis (M.S.)--University of Michigan, 1982.

Thesis (M.S.)--University of Michigan, 2001. / Includes bibliographical references.

Myocardial Infarction: A Study of the Effects On Patient Compliance of Structured Education and Participation of the Significant Other This study was designed to explore the effects of the independent variables of patient education and the significant other on compliance. The purpose of the study was to test three hypotheses predicting that subjects who receive structured education with their significant other would have higher compliance rates with health care recommendations than would subjects who receive structured and unstructured education without their significant other. The study was conducted with a convenience sample of 12 male patients who had a significant other and had not experienced a previous myocardial infarction within five years. The convenience sample was then randomly and equally allocated into three groups. The control group received unstructured education as currently practiced by nursing staff. One experimental group received structured education from the investigator and the other experimental group of subjects and their significant other received structured education from the investigator. Using a semi-structured interview guide, the investigator interviewed each subject at one month and at three to four months postdischarge from hospital to determine compliance rates with physical activity, dietary, and medication health care recommendations as prescribed by the subject's physician. Open-ended questions were used to determine recommendations and difficulties encountered by noncompliers. More specific questions were used to allow subjects to rate their compliance. Results were subjected to the Kruskal-Wallis rank-sum test with one-way analysis of variance. Statistically significant differences (p < .05) were not found suggesting that method of patient education was not a valid prediction of compliant behaviour. The insignificant findings of this study need to be interpreted with caution because of the small sample size and between group differences of the demographic variables of age and employment. From general observations of the total sample, personal definitions of health, simultaneous demands and the extent of behavioural changes required, and the demographic variables of education and employment appear to influence compliance. These findings suggest that individual differences have an impact on compliant behaviour. Findings also suggest that the significant others of patients with myocardial infarctions are actively involved with the therapeutic regimen prescribed for their mates. The study discusses implications and recommendations for nurse practitioners and researchers who wish to improve their care of myocardial infarction patients and their significant others. / Applied Science, Faculty of / Nursing, School of / Graduate

No description available.

This study examined changes in adult learning, adaptation, and anxiety that occurred as the result of the adult cancer education program "I Can Cope." The study utilized a repeated measures descriptive design. A volunteer sample of 19 subjects participated in this study. Changes in each person's pre-mid-post-test scores were measured against their pre-mid-post-test scores on three instruments: (a) Course Inquiry Test; (b) Purpose in Life Test; and (c) A-State Anxiety Inventory. A comparison of scores measured whether any short-term adult learning, adaptation and change in anxiety occurred as a result of the "I Can Cope" Program. The study did demonstrate that an organized adult patient education program could foster and enhance adult learning and adaptation as well as influence anxiety of participants.

The cost of healthcare in the United States has increased due to growing numbers of patients who live with chronic health problems, such as heart disease. The cost of healthcare is compounded by the cost in terms of complications of cardiovascular disease secondary to medication non-adherence. Education about medication use and adherence, safety, and side effects was needed for patients in a cardiovascular unit to improve adherence to medications as prescribed. Results of a health care provider (HCP) and nursing staff needs assessment provided by the site showed the need for improved cardiovascular medication education. The project focused question asked if cardiovascular patient medication education provided to HCPs and nursing staff would be incorporated into practice by the HCPs and nursing staff. The purpose of the project was to improve the education provided to patients by the HCPs and nursing staff. A literature review provided content for the educational program. Strategies to promote adherence and medication safety and a patient education worksheet were presented with guidance on implementation. Post education qualitative results from HCPs and nursing staff showed that the sheet was implemented and helpful with educating cardiovascular patients. This project promotes positive social change by the implementation of a patient education program that may improve patient education and adherence to cardiovascular medications. As a result, improved adherence to medications may reduce patient and healthcare related costs long term.

Thesis--University of Michigan. / Cover title: Adherence to hypertensive treatment regimes. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 62-76).

Background Myocardial Infarction (MI) is one of the major diseases which cause death in the world nowadays. In Hong Kong, 27.7 persons per 100,000 population died from AMI during the years 2007 to 2009. The rate for recurrent MI is also very high and the mortality rate is even higher for recurrent MI cases than first MI attack. Meanwhile, modern lifestyles and convenience brought about by advancements in technology have led to unhealthy lifestyles which is a risk factor for recurrent MI. Prevention of recurrent MI has become highly important and a worldwide public health issue. Patient education is the process by which health professionals provide information to patients or the public aiming to enhance their awareness and, therefore, alter their unhealthy behavior in order to improve their health status. Even nowadays, patient education is a common approach to disease prevention and health promotion in developed countries. Currently, many developed countries use patient education for disease prevention and health promotion. Many studies have investigated the effect of patient education on recurrent MI prevention resulting from proper behavioral change, and some decreases have resulted in recurrent MI after giving patient education. However, there is a gap in the current literature regarding the specialized meta-analysis in the evaluation of effectiveness of patient education conducted within three months or earlier. In other words, the efficiency of patient education to prevent recurrent MI has seldom been assessed. Although there have been a few systemic reviews about patient education in the past, the focus of these studies was not on recurrent MI, but obesity and diabetes. In addition, they discuss the issues in a qualitative manner, and omit calculations of the relative risk or summarized odds ratio. Therefore, this meta-analysis aims to generate statistics on the evaluation of the positive impact resulting from early patient education on recurrent MI prevention. Aim The current study aimed to assess the effect of early post-MI education in preventing the recurrence of myocardial infarction. Objective The current systematic review aimed to evaluate the relation between the occurrence of recurrent MI, which is evidenced by hospitalization, in addition to consultation with medical professionals, and the provision of early patient education. Method Studies were identified through searching e-databases including MEDLINE (Ovid), PUBMED, Cochrane library and EMBASE. Two reviewers searched the databases independently. Keywords included “recurrent heart attack”, “recurrent myocardial infarction”, “post MI education”, “prevention of myocardial infarction”, “cardiac rehabilitation on MI” when searching the databases. Only studies fulfilling the inclusion criteria were chosen in this meta-analysis. Randomized control trials were selected and included in meta-analysis after the screening and filtering process. Other study methods such as case control study and cohort study were not included in this meta-analysis. All studies selection included in this meta-analysis had to follow strictly the PRISMA 2009 guideline. Quality assessments were also performed by using CONSORT 2010 checklists. Results Eight randomized controlled trials were selected for this meta-analysis. The meta-analysis evaluated the effect of receiving early patient education on prevention of future recurrence of MI by comparing with control subjects. Patients who received early patient education showed a reduction of risk of recurrent myocardial infarction by 3% to 100%; the summarized relative risk of the interventional group was 0.80compared with the control group. This means there resulted a 20% reduction in recurrent MI. Conclusion Early patient education was shown to have a positive effect on the prevention of recurrent MI in this meta-analysis. Compared with the usual care in today’s hospital and medical system, we should provide more early patient education to patients with myocardial infarction for recurrent MI prevention. In light of this meta-analysis, I recommend the government to invest more funds and manpower in patient education at both hospital and clinical levels. / published_or_final_version / Public Health / Master / Master of Public Health