A cross-sectional study of the knowledge of post-myocardial infarction patients in a low-middle-income country regarding myocardial infarction and adherence to secondary preventive strategies practices

D. N. Dahanayake, Farah Yoosoof, Konara Mudiyanselage Nadeeshan Thar Chathuranga, Chathuni Pamodya Jayakody, Wickramage Dona Buddhi Chathurika Janadari, Kencho Pelden, Ishara Udithamali Saranapala, Gayathma Kavindi Ruwanpathirana, Moosa Lebbe Mohamed Shamith
{"title":"A cross-sectional study of the knowledge of post-myocardial infarction patients in a low-middle-income country regarding myocardial infarction and adherence to secondary preventive strategies practices","authors":"D. N. Dahanayake, Farah Yoosoof, Konara Mudiyanselage Nadeeshan Thar Chathuranga, Chathuni Pamodya Jayakody, Wickramage Dona Buddhi Chathurika Janadari, Kencho Pelden, Ishara Udithamali Saranapala, Gayathma Kavindi Ruwanpathirana, Moosa Lebbe Mohamed Shamith","doi":"10.25259/ijms_289_2022","DOIUrl":null,"url":null,"abstract":"\n\nMyocardial infarction (MI) is a leading cause of death worldwide and is associated with a sizeable economic impact in terms of health expenditure and loss of workforce. Current trends depict Central and South Asia to be the epicenter of this public health issue which is only set to worsen with predicted population growth. Added to this, the history of a single MI increases the risk for subsequent episodes. Improved cardiovascular-related health literacy including knowledge of the illness and secondary preventive strategies is a major precautionary strategy in the prevention of subsequent MI in post-MI patients, which can, in turn, lead to major health and economic benefits. An understanding of the nature and level of health literacy can identify roadblocks to secondary preventive programs and help target interventions to suit the needs of the local healthcare setting and individuals. Thus, the objective of this study was to describe the current level of knowledge regarding MI and its secondary preventive strategies as well as the self-reported level of adherence to preventive strategies in a cross-section of post-MI patients in a healthcare center in Sri Lanka. It also explored the association of self-reported adherence with secondary preventive strategies and the level of knowledge.\n\n\n\nA cross-sectional descriptive study was conducted on consenting attendees to a cardiology clinic with a history of at least one MI in the past. A pre-tested and researcher-administered questionnaire collected sociodemographic data and tested the participant’s knowledge on various aspects of MI and secondary preventive strategies. Knowledge subscores in each category were summed to determine the overall knowledge level. The participants also self-reported their adherence to secondary preventive strategies. The knowledge level and level of adherence to preventive strategies were then categorized as either excellent, good, or poor. Descriptive statistics were calculated as frequencies and percentages. Fishers extract test was used to determine the relationship between overall knowledge level and level of adherence.\n\n\n\nAmong the sample of 120 post-MI clinic patients, the overall knowledge score showed that two-thirds of the sample possessed a good level of overall knowledge (61.7%), while 36.7% of participants had an excellent knowledge level, and only 1.7% had poor knowledge. The self-reported compliance with preventive practices of a majority (68.3%) of the participants was excellent, while just below one-third of the participants (30.0%) had a good level of compliance. Overall knowledge and self-reported compliance with secondary preventive strategies were not influenced by sociodemographic factors in this sample and no significant association could be determined between the level of adherence and knowledge.\n\n\n\nWhile local secondary preventive programs for post-MI patients seem to be showing some success, the relative deficiency of knowledge in lifestyle modifications as preventive strategies and the lack of association between assessed knowledge levels and adherence with secondary preventive strategies suggests that more attention should be paid to help patients translate and apply recommended secondary preventive strategies in their daily life.\n","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"9 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian journal of medical sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25259/ijms_289_2022","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Myocardial infarction (MI) is a leading cause of death worldwide and is associated with a sizeable economic impact in terms of health expenditure and loss of workforce. Current trends depict Central and South Asia to be the epicenter of this public health issue which is only set to worsen with predicted population growth. Added to this, the history of a single MI increases the risk for subsequent episodes. Improved cardiovascular-related health literacy including knowledge of the illness and secondary preventive strategies is a major precautionary strategy in the prevention of subsequent MI in post-MI patients, which can, in turn, lead to major health and economic benefits. An understanding of the nature and level of health literacy can identify roadblocks to secondary preventive programs and help target interventions to suit the needs of the local healthcare setting and individuals. Thus, the objective of this study was to describe the current level of knowledge regarding MI and its secondary preventive strategies as well as the self-reported level of adherence to preventive strategies in a cross-section of post-MI patients in a healthcare center in Sri Lanka. It also explored the association of self-reported adherence with secondary preventive strategies and the level of knowledge. A cross-sectional descriptive study was conducted on consenting attendees to a cardiology clinic with a history of at least one MI in the past. A pre-tested and researcher-administered questionnaire collected sociodemographic data and tested the participant’s knowledge on various aspects of MI and secondary preventive strategies. Knowledge subscores in each category were summed to determine the overall knowledge level. The participants also self-reported their adherence to secondary preventive strategies. The knowledge level and level of adherence to preventive strategies were then categorized as either excellent, good, or poor. Descriptive statistics were calculated as frequencies and percentages. Fishers extract test was used to determine the relationship between overall knowledge level and level of adherence. Among the sample of 120 post-MI clinic patients, the overall knowledge score showed that two-thirds of the sample possessed a good level of overall knowledge (61.7%), while 36.7% of participants had an excellent knowledge level, and only 1.7% had poor knowledge. The self-reported compliance with preventive practices of a majority (68.3%) of the participants was excellent, while just below one-third of the participants (30.0%) had a good level of compliance. Overall knowledge and self-reported compliance with secondary preventive strategies were not influenced by sociodemographic factors in this sample and no significant association could be determined between the level of adherence and knowledge. While local secondary preventive programs for post-MI patients seem to be showing some success, the relative deficiency of knowledge in lifestyle modifications as preventive strategies and the lack of association between assessed knowledge levels and adherence with secondary preventive strategies suggests that more attention should be paid to help patients translate and apply recommended secondary preventive strategies in their daily life.
一项关于中低收入国家心肌梗死后患者的知识和二级预防策略实践依从性的横断面研究
心肌梗死(MI)是世界范围内的一个主要死亡原因,在卫生支出和劳动力损失方面具有相当大的经济影响。目前的趋势表明,中亚和南亚是这一公共卫生问题的中心,随着预计的人口增长,这一问题只会恶化。除此之外,单次心肌梗死的历史增加了随后发作的风险。提高心血管相关的健康素养,包括疾病知识和二级预防战略,是预防心肌梗死后患者再次发生心肌梗死的一项主要预防战略,这反过来又可以带来重大的健康和经济效益。了解健康素养的性质和水平可以确定二级预防计划的障碍,并帮助有针对性的干预措施,以适应当地卫生保健机构和个人的需求。因此,本研究的目的是描述当前关于心肌梗死及其二级预防策略的知识水平,以及斯里兰卡一家医疗保健中心的心肌梗死后患者横截面中自我报告的遵守预防策略的水平。它还探讨了自我报告的依从性与二级预防策略和知识水平的关系。一项横断面描述性研究对过去至少有一次心肌梗死病史的心脏病学诊所同意的参与者进行。预先测试和研究人员管理的问卷收集了社会人口统计数据,并测试了参与者对心肌梗死和二级预防策略的各个方面的知识。将每个类别的知识子得分相加,以确定总体知识水平。参与者还自我报告了他们对二级预防策略的依从性。知识水平和对预防策略的坚持程度然后被分类为优秀、良好或差。描述性统计以频率和百分比计算。采用fisher提取检验确定总体知识水平与依从性水平之间的关系。在120例心肌梗死后临床患者的样本中,总体知识得分显示,三分之二的样本总体知识水平为良好(61.7%),36.7%的参与者知识水平为优秀,只有1.7%的参与者知识水平较差。大多数参与者(68.3%)的自我报告对预防措施的依从性是优秀的,而不到三分之一的参与者(30.0%)具有良好的依从性。在这个样本中,总体知识和自我报告的二级预防策略依从性不受社会人口因素的影响,并且依从性水平和知识之间没有明显的关联。虽然针对心肌梗死后患者的地方二级预防计划似乎取得了一些成功,但生活方式改变作为预防策略的知识相对缺乏,以及评估的知识水平与二级预防策略依从性之间缺乏关联,这表明应该更多地关注帮助患者在日常生活中翻译和应用推荐的二级预防策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信