Abstract
Objective To explore the effects of family-based symptoms self-management program on quality of life, psychology, physiologic function and other rehabilitation indexes in myocardial infarction (MI) patients. Methods A total of 146 myocardial infarction patients from Nanjing Gaochun People′s Hospital, the Branch of Nanjing Drum Tower Hospital were selected by convenience sampling from January 2013 to January 2016. They were divided into control group (n=72, routine health education provided by cardiovascular specialist nurse, three times a week, 12 weeks) and experimental group (n=74, family-based symptoms self-management program, 12 weeks) with the random number table. And then, the quality of life, psychology, physiologic function and other rehabilitation indexes were compared between two groups. Results The scores of four dimensions on physical activity, diet, concerns over medication and medical side effects of the myocardial infarction dimensional assessment scale (MIDAS) in experimental group were lower than those in control group with significant differences (t=53.31, 60.90, 71.89, 24.69; P<0.05) . The scores of two dimensions on anxiety and depression of the hospital anxiety and depression scale (HADS) in experimental group were significantly lower than those in control group (t=36.76, 30.05; P<0.05) . The total cholesterol, triglyceride, blood pressure, body mass index and preprandial blood glucose in experimental group were lower than those in control group with significant differences (t=31.86, 29.34, 36.28, 35.34, 33.55, 31.86; P<0.05) . Compared with control group, the family-based symptoms self-management program could effectively reduce the readmission rate of myocardial infarction patients, the incidence of complications, quit smoking rate and increase the exercise time weekly with significant differences (χ2/t=5.13, 4.00, 4.78, 38.90; P<0.05) . Conclusions The family-based symptoms self-management program for 12 weeks can improve the quality of life of MI patients, relieve anxiety and depression and debase the levels of MI related physiological indexes and other rehabilitation indexes. Key words: Quality of life; Psychology; Physiology; Myocardial infarction; Family; Self-management program
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