Authors (including presenting author) :
Siu CS (1),Cheng YN(1), Lee TCA (1),Wong WK(1),Sung KO(1),Kaur S (1)
Affiliation :
(1) Department of Medicine and Rehabilitation, Tung Wah Eastern Hospital
Introduction :
There are approximately 20,000 admission cases per year due to heart failure (HF) in HK hospitals in 2015-2017. (DH, 2018). In chronic disease management, self-care is crucial which could reduce mortality and morbidity (Albert, 2008). Improvement in self-management skills including body weight, lower limb edema and blood pressure monitoring could decrease the chance of readmission by 40% in one year of HF patients (Jovicic, 2006).
Traditional educational pamphlets compared to electronic educational video lacked variety, flexibility, accessibility, convenience and effectiveness (Choi Dongchun, 2015). Thus we introduced an E-education program on self-monitoring skills for heart failure patient in cardiac rehabilitation ward.
Objectives :
To develop a set of video education on self-monitoring skills
To evaluate the effectiveness of video training versus pamphlets
To enhance the self-monitoring of HF patients
To improve patient quality of life and self-care confidence
Methodology :
24 participants were recruited from 2 Aug-5 Oct 2021. They were randomly assigned to a control group or experimental group. In experimental group, patients received the self-monitoring education through video training. In control group, patients received the education through pamphlets.
Result & Outcome :
Results:
Both educations program can improve the self-monitoring knowledge and skills. However, the improvement of the experimental group was much higher than the control group which is 139.6% in skills and 120.9% in knowledge and 87.4% in skill and 72.2% in knowledge as respectively. This proved that the video training had a higher effectiveness on patient’s learning and self confidence in their own disease management.
Conclusion:
E-education program can improve and facilitate HF patients' learning in self-monitoring knowledge and skills on blood pressure, body weight, and edema. They were satisfied with the video training due to its interest, attractiveness, flexibility, and convenience. Hence E-education program increases patients’ self-empowerment on disease management.
Benefits and Implications:
E-education program is convenient and provides consistence HF education to patients. Furthermore, it can save manpower, reduce nurses’ workload, facilitates HF patients' self-monitoring learning and explore the full potential of e-education, which is accessibility. More types of E-education and combination such as developing QR code, educational apps could be taken into consideration
