Patient Education Strategies among Patients with Acute Myocardial Infarction: A Systematic Review

Abstract


 BACKGROUND: There is a need to summarize the effect of existing research-based education strategy on patients’ physical condition, health behaviour change, as well as psychosocial well-being in patients with acute myocardial infarction.
 AIM: to review and synthesis relevant studies on patient educational strategy and its effect on patients’ physical condition, health behaviour change, as well as psychosocial well-being in patients with acute myocardial infarction.
 METHODS: A literature search was conducted on MEDLINE, Academic Search Ultimate, CINAHL-EBSCO, and PubMed. Articles were selected by predefined inclusion and exclusion criteria. Assessment of methodological quality of each study was executed using The Downs and Black scale.
 RESULTS: Nineteen studies (3588 patients with myocardial infarction) were included. Educational intervention methods ranged from face-to-face method only, face-to-face method in combination with telephone call(s), the combination of both face-to-face method and telephone call(s) with one other method. Outcome measured on each study varied and the effectiveness of the intervention in at least one of their outcome measures demonstrated in 17 studies.
 CONCLUSIONS: Findings support the pivotal role of patient education on the management of myocardial infarction patient.
 
 Key-words: coronary heart disease, education, educational strategy, learning needs, systematic review

Effectiveness of acute myocardial infarction interventions on selected outcomes among community dwelling-older adults: a systematic review and meta-analysis

“…Based on the systematic review, Huriani et al reported that the mean time from symptom onset to first medical contact was 12.7 h, ranging from 10 min to 96 h. Older, female, illiterate, living in a rural area, and financially limited were associated with longer treatment delays. The lack of a developed emergency transportation system and poor communication and organization between community and interventional facilities were also cited as significant contributors to treatment delays 11 . Another cause of delay is the atypical presentation of AMI among older adults, which confuses them during their symptom recognition and decision-making 9 .…”

“…The results from this situation are that most of this vulnerable group of people delayed seeking treatment and died before arriving at the hospital. Moreover, older adults who receive treatment late have high rates of long length-of-stay, high cost of treatment, in-hospital mortality, and mortality of 30 days after discharge 9 , 11 . Specific interventions to promote decision-making and prevent delay in seeking treatment among older adults from the literature review are needed to deal with this emergency and critical situation.…”

“…The interventions to promote quick and accurate decisions to receive treatment on time are an area of concern. From an initial review, we found that several systematic reviews provided various pathways, techniques, materials, and contents of interventions to deal with this critical problem 11 , 15 , 16 . Unfortunately, these interventions are for all age groups of AMI patients; however, factors causing older adults to delay treatment differ from other age groups, especially atypical symptoms, knowledge, belief, and their functional decline related to aging.…”