33^rd Euro Nursing & Medicare Summit

Biography

Biography: Sukhbeer Kaur Darsin Singh

Abstract

Problem statement: Coronary heart disease (CHD) has emerged as a number one killer in Malaysia and globally. Much of the morbidity and mortality in Acute Coronary Syndrome (ACS) patients is due to the delay in recognizing their symptoms which contributes to delay in seeking in early treatment. Decision delay and symptom interpretation is influenced by individual knowledge, attitude and belief about ACS. Purpose: This study evaluates the responses of knowledge, attitude and belief towards the ACS symptoms and the association with the patient’s clinical history. Methods: A quasi non-equivalent pre and post-test design took place in one of the tertiary hospital Malaysia. A total of 60 coronary patients were recruited in this study. Knowledge, attitude and belief responses about ACS were measured using the ACS Response Index questionnaires. The responses were evaluated at baseline and post 1 month period after the education intervention. Results: The total knowledge, attitude and belief scores increased from baseline to 1 month post intervention with a significance difference of (p<0.05) with knowledge (p=0.034), attitude (p=0.000) and belief (p=0.009). The difference in the total attitude scores were independently associated with patient’s clinical history of have gone for open heart surgery (p =0.049), diabetes mellitus (p=0.018) and involvement in cardiologist care (p=0.002). Total belief scores were independently associated have done angioplasty with stent (p=0.026) and have gone for open heart surgery (p=0.024). Total knowledge scores were independently associated with diabetes mellitus (p=0.037). Conclusions and relevance: Nurse led education have imparted positive outcome in recognizing the ACS symptoms among coronary patients. Therefore, decision in delaying symptom interpretation is improved

Key words: Acute Coronary Syndrome (ACS), knowledge, attitude and belief.