Effectiveness of Family-oriented Education on Self-care behaviors of Patients with Acute Myocardial Infarction: A Randomized Clinical Trial.
Zahra Molazem, Elham Taheri, Majid Najafi Kalyani
PMID 38328012WHAT IT FOUND
Structured family-oriented education after acute myocardial infarction raised patients' self-care behavior scores at one and two months versus routine care.
It included three teaching sessions, a checklist and phone follow-up, so the separate family effect is unclear.
Key findings
01Self-care behavior scores were significantly higher in the family-oriented education group than in the routine-care group at one month and at two months (P<0.001).
02Mean self-care behavior scores in the education group were 42.64 before training, 53.39 at one month and 54.50 at two months; control scores were 42.78, 44.55 and 44.84.
03The control group showed no significant change in self-care behavior scores over the same period (P=0.52).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used convenience sampling at two hospitals in Shiraz, so the patients may not represent other settings. The study was single-blind, with only the data analyst unaware of allocation; self-care behavior was self-reported. Two patients in each group were excluded, leaving 33 in each group for analysis. The intervention combined family-oriented education, a checklist and phone follow-up, so the effect of family involvement alone cannot be separated. Follow-up was only one and two months, so the study does not show whether the effect lasted longer. The family members were included in education, but the reported patient outcome was self-care behavior score.
The easy way to misread this
Do not conclude that family involvement alone improved self-care. The education package included three teaching sessions, a daily checklist and phone follow-up, and the study did not compare these components, so the separate contribution of the family-oriented part is unknown.