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電話衛教計畫對冠心病高危險群防治之認知、健康信念及預防行爲之改善成效

The Effect of Telephone Education Programs with Telephone Consultations on Improving Preventing Knowledge, Health Beliefs, and Behaviors among Coronary Artery Disease High Risk Population

摘要


This study aimed to examine the effect of telephone education programs on improving knowledge of Coronary Artery Disease (CAD) prevention, health beliefs, and preventing behaviors among CAD high-risk population. The quasi-experimental design was conducted. The education brochure was mailed to subjects in the experimental group and the telephone consultations were offered in the first, fourth and tenth week. The structural questionnaire was used to collect pre- and post- test changes between groups. A total of 43 and 41 subjects in experimental and control groups completed the study (dropout rate: 27%). The 2 group difference analysis indicated homogeneous among samples. Results of the baseline analyses revealed that subjects had medium level of knowledge (56.59±21.84), positive attitude toward health belief (2.46±0.70 in perceived susceptibility; 3.39±0.60 in seriousness; 3.31±0.57 in benefits; 1.52±0.72 in barriers) and low level of performance in prevention behaviors (2.33±0.72). After intervention, the results were as follows: 1. The experimental group had significant improvement on CAD's knowledge (t=8.91, p<.001), perceived susceptibility (t=4.16, p<.001), seriousness (t=4.08, p<.001), benefits (t=4.49, p<.001) and barriers (t=-3.51, p<.01) in health beliefs, and preventing behaviors (t=7.27, p<.001). 2. The experimental group’s knowledge of preventing CAD (t=5.25, p<.001), perceived susceptibility (t=4.60, p<.001), perceived benefits (t=2.97, p<.01) and preventing behaviors (t=4.41, p<.001) were better improved than that of the control group. Results of this study indicated that education brochure combined with telephone consultations were effective in improving the subjects' knowledge of CAD prevention, health beliefs, and preventing behaviors. It is suggested that this health education program should be recommended to various health institutions to detect and manage CAD high-risk population at the early stage.

並列摘要


This study aimed to examine the effect of telephone education programs on improving knowledge of Coronary Artery Disease (CAD) prevention, health beliefs, and preventing behaviors among CAD high-risk population. The quasi-experimental design was conducted. The education brochure was mailed to subjects in the experimental group and the telephone consultations were offered in the first, fourth and tenth week. The structural questionnaire was used to collect pre- and post- test changes between groups. A total of 43 and 41 subjects in experimental and control groups completed the study (dropout rate: 27%). The 2 group difference analysis indicated homogeneous among samples. Results of the baseline analyses revealed that subjects had medium level of knowledge (56.59±21.84), positive attitude toward health belief (2.46±0.70 in perceived susceptibility; 3.39±0.60 in seriousness; 3.31±0.57 in benefits; 1.52±0.72 in barriers) and low level of performance in prevention behaviors (2.33±0.72). After intervention, the results were as follows: 1. The experimental group had significant improvement on CAD's knowledge (t=8.91, p<.001), perceived susceptibility (t=4.16, p<.001), seriousness (t=4.08, p<.001), benefits (t=4.49, p<.001) and barriers (t=-3.51, p<.01) in health beliefs, and preventing behaviors (t=7.27, p<.001). 2. The experimental group’s knowledge of preventing CAD (t=5.25, p<.001), perceived susceptibility (t=4.60, p<.001), perceived benefits (t=2.97, p<.01) and preventing behaviors (t=4.41, p<.001) were better improved than that of the control group. Results of this study indicated that education brochure combined with telephone consultations were effective in improving the subjects' knowledge of CAD prevention, health beliefs, and preventing behaviors. It is suggested that this health education program should be recommended to various health institutions to detect and manage CAD high-risk population at the early stage.

被引用紀錄


邱慧娟、林秀珍、陳麗琴、陳淑卿(2019)。一位大腸直腸癌篩檢陽性病患之護理經驗腫瘤護理雜誌19(),77-88。https://doi.org/10.6880/TJON.201903/SP_19.07
邵上智、蔡明翰、蔡培癸、劉雪娥(2015)。多媒體衛教光碟合併護理指導對於初次冠心病患者在疾病知識、態度及自我照顧行為之成效探討護理暨健康照護研究11(3),175-186。https://doi.org/10.6225/JNHR.11.3.175

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