Impact of counseling program on Knowledge and self-efficacy of patients withimplanted permanent pacemaker

Manal Houssien Nasr1, Galila Shawky El Ganzory2 and Magda Abd ElSattar Ahmed3 ; Elganzory, Galila 


Abstract


Patients undergoing permanent implantable pacemaker, challenge with multiple physical, psychological and social complications. The patients may perceive the pacemaker device as an electronic security or as a source of physical and emotional discomfort. Aim: Evaluate the effect of counseling program on knowledge and self-efficacy of patients with permanent pacemaker. Design: A quasi-experimental. Setting: The present study was conducted in both inpatient department and outpatient clinic of cardiology which are affiliated to Ain Shams university hospital. Subjects: A convenience sample of 35 adult patients from both genders undergoing permanent pacemaker and didn't participate in any previous educational programs regarding pacemakers were recruited. Tools of data collection: Three tools were used by the researchers: 1- Patients' interviewing questionnaire: It is consisted of three parts: - demographic characteristics – patients' knowledge assessment sheet which was used as pre/posttests – Indicators of counseling program success which was used as a pre and follow up tests. 2- Pacemaker self-efficacy questionnaire which was used as a pre/post and follow up tests to assess perceived self-efficacy. 3- Aga Khan University anxiety and depression scale: it was used as a pre/post and follow up tests to assess psychiatric symptoms in the cardiac patients. Results: It was revealed that, 51.4% of the patients were females, 77.1% of them were married, and also 65.7% were illiterates and 62. % has jobs. Statistically significant differences were found between the pre/post and follow up tests after implementing the counseling program regarding all items of knowledge and self-efficacy (p= <0.001). There is a highly statistically difference in the post and follow up test compared to pretest regarding level of anxiety and depression. Conclusion: The counseling program had a positive effect in improving knowledge, anxiety and depression and in turn the self-efficacy of patients with permanent implanted pacemakers. There was also a positive correlation between levels of patients' knowledge as regards their self-efficacy and level of anxiety and depression. Recommendations: -The counseling program should be an integral part of the total management of patients with implanted pacemakers.-Long term effects of the counseling program should be further studied. - Education is extremely important for nurses counseling patients with implanted devices in order to play successful role as the continuous link to the multidisciplinary professional team that guide the oftentimes forgotten humanistic care of these patients.


Other data

Keywords counseling program - implanted pacemaker – knowledge –self-efficacy – anxiety - depression
Issue Date 2015
Publisher Journal of American Science
Journal Journal of American Science 
URI http://research.asu.edu.eg/handle/123456789/1594


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