Impact of therapeutic education on quality of life in coronary patients: Interventional study

##plugins.themes.academic_pro.article.sidebar##

Published Oct 30, 2024
https://doi.org/10.62438/tunismed.v102i11.5299
Download
pdf
Vol. 102 No. 11 (2024): Tunis Med nov 2024

##plugins.themes.academic_pro.article.main##

Hela Ghali
Department of Prevention and Security of Care, Sahloul University Hospital, , Faculty of Medicine of Sousse,University of Sousse, Sousse, Tunisia
https://orcid.org/0000-0001-5330-9069
Aymen Elhraiech
Department of Cardiology, Sahloul University hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Hend Ben Souda
Family Medicine Department , Faculty of Medicine of Sousse, Sousse, Tunisia
Majdi Karray
Faculty of Pharmacy of Monastir, University of Monastir, Monastir, Tunisia
Bruno Pavy
Cardiac Rehabilitation Department, Loire-Vendée-Océan hospital center,44270 Machecoul, France
Chekib Zedini
Department of Family and Community Medicine, Faculty of Medicine of Sousse,University of Sousse, Sousse, Tunisia.

Abstract

Aim: To determine the impact of a therapeutic patient education (TPE) program on the quality of life of coronary patients at the Sahloul University Hospital in Sousse.


Methods: an interventional study was conducted over a period of seven months from May 2022 to November 2022, with patients hospitalized in the cardiology department of the Sahloul University Hospital. Participants were divided into two groups, intervention and control. The task force benefited from a TPE program. The control group followed the usual consultations at the hospital. The health-related quality of life assessment was done three months after the end of the educational program, using the validated Tunisian version of SF-12.


Results: Of the 129 patients included, 38 followed the education program while 91 were in the control group. Sociodemographic characteristics revealed a male predominance in the study population, with a similar average age between the two groups. The main cardiovascular risk factors identified were smoking, hypertension and diabetes. This program has led to an improvement in the quality of life of patients. Thus, patients who participated in the TPE program had significantly higher scores than the control group in the headings of physical role, emotional role, body pain, social function, and physical health and mental health scores with statistically significant differences.


Conclusion: Our study highlights the crucial importance of therapeutic education in improving the health status and quality of life of coronary patients. It calls for its widespread integration into cardiovascular care protocols, highlighting its central role  ...(abstract truncated at 250 words).

Keywords:

Coronary artery disease, Therapeutic patient education, Intervention, Quality of life

##plugins.themes.academic_pro.article.details##

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

References

  1. World Health Organization. Cardiovascular diseases (CVDs). [Internet]. 2023 [cité 18 janv 2024]. Disponible sur: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
  2. Saidi O, Ben Mansour N, O’Flaherty M, Capewell S, Critchley JA, Romdhane HB. Analyzing Recent Coronary Heart Disease Mortality Trends in Tunisia between 1997 and 2009. Samuel JL, éditeur. PLoS ONE. 3 mai 2013;8(5):e63202.
  3. World Health Organization. Global health estimates: Leading causes of death. [Internet]. 2023 [cité 15 janv 2024]. Disponible sur: https://www.who.int/ data/gho/data/themes/mortality-and-global-health-estimates/ghe-leading-causes-of-death
  4. Jemaa R, Razgallah R, Ben Ghorbel I, Rais L, Kallel A. Prevalence of cardiovascular risk factors in the Tunisian population: The ATERA-survey. Arch Cardiovasc Dis Suppl. janv 2020;12(1):159.
  5. Jernberg T, Hasvold P, Henriksson M, Hjelm H, Thuresson M, Janzon M. Cardiovascular risk in post-myocardial infarction patients: nationwide real world data demonstrate the importance of a long-term perspective. Eur Heart J. 14 mai 2015;36(19):1163‑70.
  6. Robinson E, Webb D, Rajappan A, Champsi A, Khan A. 176 Improving assessment of lipid profile in patients with acute coronary syndrome using a quality improvement project. In: Stable IHD/Prevention/Hypertension/Lipids [Internet]. BMJ Publishing Group Ltd and British Cardiovascular Society; 2022 [cité 17 mai 2024]. p. A137‑8. Disponible sur: https://heart.bmj.com/lookup/doi/10.1136/heartjnl-2022-BCS.175
  7. Shi W, Ghisi GLM, Zhang L, Hyun K, Pakosh M, Gallagher R. A systematic review, meta-analysis, and meta-regression of patient education for secondary prevention in patients with coronary heart disease: impact on psychological outcomes. Eur J Cardiovasc Nurs. 14 oct 2022;21(7):643‑54.
  8. Ghali H, Ben Cheikh A, Bhiri S, Khefacha S, Ben Rejeb M, Said Latiri H. Éducation thérapeutique chez les patients coronariens : impact sur le sevrage tabagique. Ann Cardiol Angéiologie. oct 2022;71(4):187‑93.
  9. Guissé PM, Sall SAB, Niang T, Doucouré TS, Mboup MC, Ngaïdé AA, et al. Syndromes coronaires aigus au cours du diabète : étude comparative entre patients diabétiques et non diabétiques en milieu urbain sénégalais. Ann Cardiol Angéiologie. juin 2024;73(3):101767.
  10. Almeida Carvalho S, Costa C, Fernandes A, Adrega T, Albuquerque N, Neves A, et al. Enhancing Quality of Life in Cardiovascular Patients: The Role of Comprehensive Interventions and Cardiac Rehabilitation. Eur Heart J. 9 nov 2023;44(Supplement_2):ehad655.1007.
  11. Panagiota K, Tsironi S, Katsoulas T. Quality of life in patients with acute myocardial infarction who have undergone percutaneous coronary intervention as a therapeutic intervention - Literature Review. Hell J Nurs Sci. juin 2022;60‑70.
  12. Hatami H, Dehkordi A, Tali S, Lotfizadeh M, Ganji H. The effect of educational program (based on BASNEF model) on quality of life and adherence to treatment in patients with myocardial infarction in Shahrekord, Iran. J Educ Health Promot. 2022;11(1):39.
  13. Grant JS, Graven LJ, Fuller K. Problems Experienced in the First Month After Discharge From a Heart Failure-Related Hospitalization. J Patient-Centered Res Rev. 26 avr 2018;5(2):140‑8.
  14. Loghmani L, Monfared MB. The effect of self-care education on knowledge and function of patients with heart failure hospitalized in Kerman city hospitals in (2017). Electron J Gen Med [Internet]. 5 avr 2018 [cité 23 juill 2024];15(4). Disponible sur: http://www.ejgm.co.uk/article/the-effect-of-self-care-education-on-knowledge-and-function-of-patients-with-heart-failure-7452
  15. Anderson L, Brown JP, Clark AM, Dalal H, Rossau HKK, Bridges C, et al. Patient education in the management of coronary heart disease. Cochrane Heart Group, éditeur. Cochrane Database Syst Rev [Internet]. 28 juin 2017 [cité 17 mai 2024];2021(6). Disponible sur: http://doi.wiley.com/10.1002/14651858.CD008895.pub3
  16. Younsi M, Chakroun M. Measuring health-related quality of life: psychometric evaluation of the Tunisian version of the SF-12 health survey. Qual Life Res. sept 2014;23(7):2047‑54.
  17. Ware JE, Kosinski M, Bayliss MS, McHorney CA, Rogers WH, Raczek A. Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: summary of results from the Medical Outcomes Study. Med Care. avr 1995;33(4 Suppl):AS264-279.
  18. Ware JE, Kosinski M. Interpreting SF-36 summary health measures: a response. Qual Life Res. 2001;10(5):405‑13.
  19. Ware JE, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: Construction of Scales and Preliminary Tests of Reliability and Validity. Med Care. mars 1996;34(3):220‑33.
  20. Balhi S, Jebali A, Sammali H, Boughallaba MA, Ammar I, Ben Abdelaziz A. [Evaluating the performance of Tunisian regional hospitals. Study Protocol of management delays of ST elevation myocardial infarction]. Tunis Med. oct 2022;100(10):719‑25.
  21. Ba H, Yahia F, Wade A, Camara S, Ba F, Kane A, et al. Quality of management of acute coronary syndrome at the Nouakchott National Heart Center (Mauritania). Tunis Med. déc 2019;97(12):1383‑8.
  22. Zoghlami C, Nouira S, Chebil D, Ben Hassine D, Khelil M, Ben Salem K, et al. Towards new perspectives Support for Prevention to the National Health System in Tunisia. Tunis Med. janv 2021;99(1):139‑47.
  23. Haute Autorité de Santé. Guide du parcours de soins, Maladie coronarienne stable. [Internet]. Saint-Denis La Plaine; Paris; 2016. Disponible sur: https://www.has-sante.fr/jcms/c_1761792/fr/guide-parcours-de-soins-maladie-coronarienne-stable
  24. Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 7 janv 2018;39(2):119‑77.
  25. González B, Lupón J, Parajón T, Urrutia A, Herreros J, Valle V. [Use of the European Heart Failure Self-care Behaviour Scale (EHFScBS) in a heart failure unit in Spain]. Rev Esp Cardiol. févr 2006;59(2):166‑70.
  26. Perneger TV, Leplège A, Etter JF, Rougemont A. Validation of a French-language version of the MOS 36-Item Short Form Health Survey (SF-36) in young healthy adults. J Clin Epidemiol. août 1995;48(8):1051‑60.
  27. Perneger TV, Combescure C, Courvoisier DS. General Population Reference Values for the French Version of the EuroQol EQ-5D Health Utility Instrument. Value Health. juill 2010;13(5):631‑5.
  28. Briançon S, Alla F, Méjat E, Guillemin F, Villemot JP, Mertes PM, et al. [Measurement of functional inability and quality of life in cardiac failure. Transcultural adaptation and validation of the Goldman, Minnesota and Duke questionnaires]. Arch Mal Coeur Vaiss. déc 1997;90(12):1577‑85.
  29. E. Lycholip, J. Celutkiene, A. Rudys, R. Steponeniene, A. Laucevicius. Patient education significantly improves quality of life, exercise capacity and BNP level in stable heart failure patients. Acta Cardiol. 2010;(5):549‑56.
  30. Höfer S, Lim L, Guyatt G, Oldridge N. The MacNew Heart Disease health-related quality of life instrument: a summary. Health Qual Life Outcomes. 2004;2(1):3.
  31. Valenti L, Lim L, Heller RF, Knapp J. An improved questionnaire for assessing quality of life after acute myocardial infarction. Qual Life Res. févr 1996;5(1):151‑61.
  32. Milani RV, Lavie CJ. Impact of Cardiac Rehabilitation on Depression and Its Associated Mortality. Am J Med. sept 2007;120(9):799‑806.
  33. Giannuzzi P, Temporelli PL, Maggioni AP, Ceci V, Chieffo C, Gattone M, et al. GlObal Secondary Prevention strategiEs to Limit event recurrence after myocardial infarction: the GOSPEL study. A trial from the Italian Cardiac Rehabilitation Network: rationale and design. Eur J Cardiovasc Prev Rehabil. 1 déc 2005;12(6):555‑61.
  34. Labrunée M, Pathak A, Loscos M, Coudeyre E, Casillas JM, Gremeaux V. Therapeutic education in cardiovascular diseases: State of the art and perspectives. Ann Phys Rehabil Med. juill 2012;55(5):322‑41.
  35. Fayazi N, Department of Critical Care, School of Nursing and Midwifery, Saveh University of Medical Sciences, Naseri Salahshour V, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Arak University of Medical Sciences, Karimy M, Department of Health Education and Promotion, School of Nursing and Midwifery, Social Determinants of Health Research Center, Saveh University of Medical Sciences, et al. An Educational Intervention to Improve Quality of Life: A Single-blind Randomized Controlled Trial on the Quality of Life in Patients with Acute Coronary Syndrome. J Vessels Circ. 1 mai 2020;1(2):21‑6.