Effectiveness of an educational program on coping, self-efficacy and health-related quality of life of patients with permanent pacemaker implantation: A quasi-experimental study

Abstract

Patients undertaking long-lasting implantable pacemakers are challenged with numerous mental and psychosocial problems. Educating cardiac patients implanting pacemaker with important items regarding self-care management may stop healthcare problems. Purpose: of this research was determine the impact of interventional sessions for patients with pacemakers concerning coping, quality of life and self-care management. Methods: A quasi-experimental study was used with a sample of 45 patients with pacemakers. The current investigation was conducted at Damietta's specialized heart and digestive system center, affiliated with the Ministry of Health, Egypt. Five main tools were used in this study: A questionnaire (self-administered), Patients’ knowledge survey, a Short-form Health Assessment and Coping Strategy Indicator. Results: showed that the educational program improved the coping, self-efficacy, and quality of life of patients with pacemakers in the post-intervention period compared with the pre-intervention period, with highly statistically significant improvements within all items (P ≤ 0.05). Finally, there was a statistically significant relationship between age and coping of patients with pacemakers pre and post program intervention (p =.001). Conclusion: This research suggested that an essential component of the overall care of patients receiving pacemakers should be the teaching program. Upon admission, all patients receiving pacemaker implantation should get a thorough booklet that has been simplified and includes updated guidelines about pacemaker management. Patients who are illiterate should be provided with clear explanations using photographs.

Keywords

• Pacemakers
• Coping
• Self-efficacy
• Health-related quality of life