Effect Of Health Education Research Articles

Effect of a self-care educational intervention to improve self-care adherence among patients with chronic heart failure: a clustered randomized controlled trial in Northwest Ethiopia

BackgroundAs the burden of cardiovascular disease increases in sub-Saharan Africa, there is a growing need for low-cost interventions to mitigate its impact. Providing self-care health education to patients with chronic heart failure (CHF) is recommended as an intervention to prevent complications, improve quality of life, and reduce financial burdens on fragile health systems. However, little is known about health education’s effectiveness at improving CHF self-management adherence in sub-Saharan Africa. Therefore the present study aimed to assess the effectiveness of an educational intervention to improve self-care adherence among patients with CHF at Debre Markos and Felege Hiwot Referral Hospitals in Northwest Ethiopia.MethodsTo address this gap, we adapted a health education intervention based on social cognitive theory comprising of intensive four-day training and, one-day follow-up sessions offered every four months. Patients also received illustrated educational leaflets. We then conducted a clustered randomized control trial of the intervention with 186 randomly-selected patients at Debre Markos and Felege Hiwot referral hospitals. We collected self-reported data on self-care behavior before each educational session. We analyzed these data using a generalized estimating equations model to identify health education's effect on a validated 8-item self-care adherence scale.ResultsSelf-care adherence scores were balanced at baseline. After the intervention, patients in the intervention group (n = 88) had higher adherence scores than those in the control group (n = 98). This difference was statistically significant (β = 4.15, p < 0.05) and increased with each round of education. Other factors significantly associated with adherence scores were being single (β = − 0.25, p < 0.05), taking aspirin (β = 0.76, p < 0.05), and having a history of hospitalization (β = 0.91, p < 0.05).ConclusionsWe find that self-care education significantly improved self-care adherence scores among CHF patients. This suggests that policymakers should consider incorporating self-care education into CHF management.Trial registration number: PACTR201908812642231

Pendidikan Kesehatan tentang Menstruasi terhadap Kesiapan dalam Menghadapi Menarche pada Siswi Kelas V dan VI

This study aims to determine health education's effect on menstruation on readiness to face menarche in grade V and VI students at SDN 39 Kinali in 2019. The research method is pre-experimental quantitative research with a one-group pretest-posttest design. The results of this study are the readiness of respondents to face menarche before being given health education is 91.50, after being given health education is 101.25 the mean difference between the respondent's willingness to meet menarche before and after health education with statistical test results obtained in P = 0.001 with a difference in mean Average 9750. In conclusion, health education has an effect on menstruation on students' readiness to face menarche.&#x0D; Keywords: Menarche, Menstruation, Health Education

Effect of Health Educational Program on Self efficacy and Therapeutic Compliance among Patients with Myocardial Infarction

Background: Self-efficacy is an individual’s confidence in one’s ability to manage a chronic condition or change a health habit. Aim of the study: Was to evaluate the effect of health education program on self efficacy and therapeutic compliance among patients with myocardial infarction in CCU at Zagazig University Hospitals. Subjects and methods: Research design: A pre/post test quasi experimental design was used to achieve the aim of the study. Setting: The study conducted in cardiac care unit at Zagazig University Hospitals, Sharkia, Egypt. Subjects: Purposive sample of 35 adult patients. Tools of data collection: Three tools were used: An interview questionnaire for patients, Chronic disease Self Efficacy Scale, and Compliance assessment scale. Results: there was significant increase in patient' self efficacy of regular exercise, getting information about disease, obtaining support, communication with physician, management of disease, routine home activities, recreational and social activities, and manage depression post program than before with Mean ± SD 23.64±5.41, 7.69±1.79, 15.93±3.68, 25.89±5.88, 92.27±19.77, 23.73±5.79, 16.06±3.89, 51.53±8.91. Also, there was statistical significant improve in patient's compliance regarding dietary regimen, treatment regimen, and lifestyle modifications post program than before with mean ±SD 8.06±2.30, 9.69±1.97, 10.48±2.58. Conclusion: On the light of the current study results, it can be concluded that, there was a statistical significant increase in patient's self efficacy and improvement of therapeutic compliance regimen after implementing the effective health educational program. Recommendation: A simple written guidelines for patients with myocardial infarction should be available in units that provide care, to be provided to newly admitted patients, Self-efficacy for patients with myocardial infarction should be considered and evaluated during the plan for treatment of patient with MI by trained nurse.

Effectiveness of Health Education in Reducing Plasmodium Vivax Malaria Recurrence in Sentani Papua

Objectives: Plasmodium vivax is a type of Plasmodium that is difficult to eliminate because it has ahypnozoite phase in the human liver and responsible for malaria recurrence[1]. Health education is oneof method that can be used to improve adherence to primaquine treatment. In doing so, the vivax malariarecurrence rate can be decreased significantly. The aim of this study was to examine the effectiveness ofhealth education in reducing Plasmodium vivax malaria recurrence.Method: A quasi-experimental method was conducted in January-August 2019 at Sentani Papua. Patientsfrom community health care had been diagnosed with P.vivax malaria by microscopy, age ? 1 year, treatedaccording to national standards with DHP for 3 days and primaquine 14 days, were recruited. Patients weredivided into 2 groups, namely, the standard therapy group (ST) and the standard therapy group with healtheducation (HE) group. Then patients were followed-up for 90 days.Results: Among 105 patients, 50 were in the ST group and 55 were in the HE group. Patients recoveredwithout serious adverse effects. The incidence rate of recurrence in the HE group was much lower comparedto the ST group (2.04/10,000 person-days vs 21.51/10,000 person-days, p <0.05). The risk of recurrencewas 9 times higher among patients from ST group compare to HE group (AHR =9.44, 95% CI: 1.2-78.0).Conclusion: The existence of health education by health workers after the administration of standard drugsis effective in increasing adherence to 14 days of primaquine treatment to prevent the recurrence of P. vivaxmalaria. The reduction in P. vivax malaria recurrence is in line with the reduced malaria transmission andmorbidity in endemic areas.