Perception of Learning Needs of Patients with Coronary Heart Disease from the Perspective of the Patients, Patients' Relatives, Nurses and Physician in Tabriz and Ardebil University Medical Sciences' – 2014.

Abstract

Abstract: Background and aim: Non-communicable diseases kill 38 million people annually, almost three quarters of which (28 million) occur in low and middle-income countries, Sixteen million Non-communicable diseases deaths occur prematurely (before the age of 70), 82% of which occurred in low and middle-income countries in 2014. Cardiovascular diseases are the number one cause of death worldwide. An estimated 17.5 million people died from CVDs in 2012, representing 31% of all global deaths. Of these deaths, an estimated 7.4 million were due to coronary heart disease , while 6.7 million were due to stroke. coronary heart disease is a chronic process that progresses slowly throughout life. Before effective teaching can begin, healthcare providers must first assess the educational needs and learning styles of the patient. The purpose of this study was to compare the perceptions of cardiac patients with those of cardiac physicians¬, nurses and patients' relatives concerning the patient educational needs for maintaining a healthy heart. Methods: this study was a descriptive-comparative study. A total of 355 individuals participated in the study. The sample comprised of patients with coronary heart disease (n=107), their first-degree relatives (n=107), cardiologists (n=33) and cardiac nurses (n=108). Data were collected using demographic characteristics forms and the Cardiac Patients' Learning Needs Inventory (CPLNI) questionnaire. Results: According to the data analysis patients and their relatives scored all learning need subscales as being more important, than nurses and physicians did. With respect to the learning needs of patients with CHD, doctors, nurses and patients’ relatives perceived information about risk factors to be the most important learning need. Patient’s on the other hand perceived information about medication to be their most important learning needs. Also the significant differences found between the patient's and family of patient's age with the subscales. Conclusion: There are difference between the perception of the physicians, nurses, patients and their relatives. Therefore, when planning education a comprehensive review of the patients’ learning needs is required in order to develop a suitable plan by prioritizing their educational needs.