Evaluation of a brief educational intervention to improve knowledge of sublingual nitroglycerin in cardiac rehabilitation patients

Gallagher, R; Belshaw, J; Kirkness, A; Warrington, D; Sadler, L; Roach, K

Evaluation of a brief educational intervention to improve knowledge of sublingual nitroglycerin in cardiac rehabilitation patients

Gallagher, R

Belshaw, J Kirkness, A Warrington, D Sadler, L Roach, K

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Publication Type:: Journal Article
Citation:: European Journal of Cardiovascular Nursing, 2013, 12 (6), pp. 529 - 535
Issue Date:: 2013-12-01

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Field	Value	Language
dc.contributor.author	Gallagher, R https://orcid.org/0000-0001-5588-9351	en_US
dc.contributor.author	Belshaw, J	en_US
dc.contributor.author	Kirkness, A	en_US
dc.contributor.author	Warrington, D	en_US
dc.contributor.author	Sadler, L	en_US
dc.contributor.author	Roach, K	en_US
dc.date.issued	2013-12-01	en_US
dc.identifier.citation	European Journal of Cardiovascular Nursing, 2013, 12 (6), pp. 529 - 535	en_US
dc.identifier.issn	1474-5151	en_US
dc.identifier.uri	http://hdl.handle.net/10453/26123
dc.description.abstract	Objective: This study aimed to evaluate the impact of a brief educational intervention delivered in cardiac rehabilitation (CR) on patients knowledge of sublingual nitroglycerin (SLN). Methods: Patients (n=86) commencing CR were provided with a brief educational intervention tailored to deficits identified in an assessment of SLN knowledge using the Sublingual Nitroglycerin Questionnaire, with reassessment at the end of program completion (68 weeks). Results: The mean age of patients was 64.95 years (standard deviation (SD) 10.87); 74% were male, 78% were married and 60% had not completed high school. Most (70%) had no prior coronary heart disease (CHD) history and 80% had been referred to CR following percutaneous coronary intervention. SLN knowledge scores increased from baseline to outcome. Patients were significantly more likely to know: the name of their SLN medication (11% increase, p=0.001), the recommended timing between doses (29% increase, p=0.02), the maximum number of doses (27% increase, p=0.005), to have SLN on their person at the time of the interview (25% increase, p<0.001) and to know the interaction between SLN and sildenafil (36% increase, p=0.001). The independent predictors of SLN knowledge included having better knowledge at baseline (β=0.28) and having consulted a general practitioner post discharge and before commencing CR (β=1.48). Conclusion: A brief standardised knowledge intervention, individually tailored to identified deficits in a knowledge screen and delivered during CR, shows promise for improving patient knowledge of SLNs. The role of general practitioners in delivering medication education needs further investigation. © 2013 The European Society of Cardiology.	en_US
dc.relation.ispartof	European Journal of Cardiovascular Nursing	en_US
dc.relation.isbasedon	10.1177/1474515112473694	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Heart Diseases	en_US
dc.subject.mesh	Nitroglycerin	en_US
dc.subject.mesh	Administration, Sublingual	en_US
dc.subject.mesh	Questionnaires	en_US
dc.subject.mesh	Logistic Models	en_US
dc.subject.mesh	Follow-Up Studies	en_US
dc.subject.mesh	Health Knowledge, Attitudes, Practice	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Patient Education as Topic	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	Evaluation of a brief educational intervention to improve knowledge of sublingual nitroglycerin in cardiac rehabilitation patients	en_US
dc.type	Journal Article
utslib.citation.volume	6	en_US
utslib.citation.volume	12	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1102 Cardiorespiratory Medicine and Haematology	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	6	en_US
pubs.publication-status	Published	en_US
pubs.volume	12	en_US

Abstract:

Objective: This study aimed to evaluate the impact of a brief educational intervention delivered in cardiac rehabilitation (CR) on patients knowledge of sublingual nitroglycerin (SLN). Methods: Patients (n=86) commencing CR were provided with a brief educational intervention tailored to deficits identified in an assessment of SLN knowledge using the Sublingual Nitroglycerin Questionnaire, with reassessment at the end of program completion (68 weeks). Results: The mean age of patients was 64.95 years (standard deviation (SD) 10.87); 74% were male, 78% were married and 60% had not completed high school. Most (70%) had no prior coronary heart disease (CHD) history and 80% had been referred to CR following percutaneous coronary intervention. SLN knowledge scores increased from baseline to outcome. Patients were significantly more likely to know: the name of their SLN medication (11% increase, p=0.001), the recommended timing between doses (29% increase, p=0.02), the maximum number of doses (27% increase, p=0.005), to have SLN on their person at the time of the interview (25% increase, p<0.001) and to know the interaction between SLN and sildenafil (36% increase, p=0.001). The independent predictors of SLN knowledge included having better knowledge at baseline (β=0.28) and having consulted a general practitioner post discharge and before commencing CR (β=1.48). Conclusion: A brief standardised knowledge intervention, individually tailored to identified deficits in a knowledge screen and delivered during CR, shows promise for improving patient knowledge of SLNs. The role of general practitioners in delivering medication education needs further investigation. © 2013 The European Society of Cardiology.

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http://hdl.handle.net/10453/26123