Abstract

Background:In patients suffering from coronary heart disease ( CHD) after coronary artery bypass grafting(CABG), non-adherence to dietary guidelines, exercise, and prescription medication regimens is a majorhealth care concern worldwide. Aim of the Study:To assess the effectiveness of video-assisted teachingon adherence to lifestyle modifications and drug regimen among postoperative coronary artery bypassgraft (CABG) patients attending the outpatient department. Objectives:1. Assess the knowledge regardinglifestyle modifications and drugregimen among post-operative CABG patients attending OPD.2. Evaluatethe effectiveness of video-assisted teaching on knowledge regarding lifestyle modifications and drugregimenamong post-operative CABG patients attending cardiac and medicine OPD.3. Associate post-test knowledgescore with selected demographic variables of CABG patients. Material and Methods: A hospital-basedinterventional study was used one group pre-test and post-test study design with a Quantitative researchapproach. This study was conducted among 100postoperative CABGattending outpatient departments ofthe age group from 55 years to 70 and above in Wardha city of Maharashtra state. The demographic datasuch asage, sex, educational status, monthly income, dietary pattern and duration after CABGalong with30 knowledge questionnaire regarding lifestyle modifications and drugregimen in postoperativecoronaryartery bypass graftwas obtained using a structured pre-tested questionnaire.Data collected were enteredinto the Microsoft Excel sheet. The statistical analysis was done using SPSS software. Frequencies andpercentages were presented for categorical variables. Result: The pre-test findings show that 0-20%had apoor level of knowledge,21-40%had average knowledge,41-60% had good knowledge,61-80 % had verygood knowledge. Aftervideo-assistedteaching the post-test scorewas26-50%had average knowledge,51-75%had good knowledgeand76-100 %had very good knowledge, thus it shows that after post-test the knowledgescore was increased, applied to find the efficacy of video-assisted teaching’t’ test was applied and’t’ valuewas calculated, The post-test score was considerably higher at 0.05 level than that of pretest score. Hence itindicates that video-assistedefficient teaching.Conclusion:In general, knowledge of lifestyle changes and drug regimen in post-operative patients(CABG) has been average in the pretest and after video-assisted knowledge of adherence to drug regimenand regulation of lifestyle factors like high fat, high cholesterol diet, obesity, smoking and lack of regularexercise has been increased and understanding of the disease dimension has therefore been generated.

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