International Journal of Nursing Education

K. R. Ramya ¹, G. R. Andrews ²

Affiliations
1 Shri Guru Ram Dass College of Nursing, Canal Colony Road, Hoshiarpur, IN
2 College of Nursing All India Institute of Medical Sciences, New Delhi, IN

Abstract

Heart valve surgery is in no way unique in the respect that treatment aimed to improve patient status, may also lead to consequences which can result in the opposite. Whatever the method used, all surgical intervention in the heart valve disease will influence the patient's quality of life. This randomized control trial was undertaken to evaluate the effectiveness of discharge counseling on improving the compliance and decreasing the problems of patients who have undergone mechanical heart valve replacement. Total 60 patients were studied during June- December 2008. The two groups were homogenous with regard to all demographic and clinical variables. Findings revealed that one to one discharge counseling is effective in increasing the compliance and decreasing the problems after mechanical heart valve replacement as compared to routine care. Hence a protocol should be developed regarding discharge counseling and the nursing personnel working in the cardiothoracic surgery unit need to be trained to provide discharge counseling to patients undergoing heart valve replacement.

Keywords

Heart Valve Replacement, Problems, Compliance, Discharge Counseling.

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K. R. Ramya ¹, R. Kiran Batra ²

Affiliations
1 Jubilee Mission College of Nursing, Thrissur, Kerala, IN
2 Silver Oaks College of Nursing, Abhipur, Punjab, IN

Abstract

Emerging epidemiological evidence is compelling for the importance of childhood and adolescence in the development of risk for coronary artery disease (CAD).It is important in India as it has a huge adolescents and children population along with the existing economic, social, and health inequalities among the general population. The literature indicates that a lengthy time interval occurs between exposure to high risk factors and the development of disease, and that many such high risk exposures begin in young adolescence. well-documented trends on tobacco, physical activity, hypertension, diet, obesity present an immediate obstacle to achieving future reductions in CAD disease burden These findings underline the value of targeting children and adolescents for primary prevention efforts in health care and health education for the attainment of overall healthy population in our country.

Keywords

Coronary Artery Disease, Risk Factor, Adolescents, Primary Prevention

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