International Journal of Advances in Nursing Management
  • Year: 2025
  • Volume: 13
  • Issue: 1

A study to assess the effectiveness of structured teaching programme on knowledge of early signs, symptoms and immediate management of myocardial infarction among hypertension and diabetes mellitus patients in selected hospital at Kolar

M.Sc. Nursing Student, Medical Surgical Nursing (Cardiothoracic), Sri Channegowda College of Nursing, Kolar

Online published on 29 May, 2025.

Abstract

MI is often caused by coronary artery disease (CAD). It is the leading cause of mortality and morbidity in many countries worldwide. It is estimated that it will be the single largest cause of disease burden globally by the year 2020. It is a condition where plaque buildup in the heart's arteries blocking blood flow. Symptoms can appear suddenly and require urgent medical attention. Calling emergency services and, consuming aspirin if they are conscious. Deep breathing followed by a strong cough can temporarily raise blood pressure and help stabilize the heart's rhythm. A researcher conducted a study to evaluate the impact of a Structured Teaching Programme on the understanding of early signs, symptoms, and immediate management of myocardial infarction in patients with hypertension and diabetes mellitus. The objective of a study was to assess the effectiveness of this educational intervention in enhancing the knowledge of these patients regarding critical aspects of myocardial infarction. The methodology involved an evaluative study with a sample of 60 patients suffering from hypertension and diabetes mellitus, where pre-test and post-test knowledge scores were compared following the implementation of the Structured Teaching Programme. The research employed a pre-experimental one-group pre-test post-test design with a control group to facilitate the assessment of knowledge improvement. The results indicated a significant enhancement in knowledge levels among the participants, with the mean pre-test score recorded at 8.85 and the post-test score at 20.67, resulting in a mean difference of -11.817. The calculated 't' value of -27.945 was found to be statistically significant at the p<0.001 level, leading to the acceptance of the stated hypothesis (H1). This finding suggests that the post-test knowledge scores were markedly higher than the pre-test scores, demonstrating a highly significant difference in knowledge regarding the early signs, symptoms, and immediate management of myocardial infarction among patients with hypertension and diabetes mellitus. Consequently, it can be concluded that the Structured Teaching Programme effectively enhanced the participants' knowledge in this critical area of health. In conclusion, the study affirms that the Structured Teaching Programme significantly improved the knowledge levels concerning the early signs, symptoms, and immediate management of myocardial infarction among patients with hypertension and diabetes mellitus. This underscores the importance of educational interventions in promoting better health outcomes in this vulnerable patient population.

Keywords

CVD, Left bundle branch block, Dyslipidemia, Nitroglycerin, CPR