Title : A randomized controlled trial of a symptom management education package for people with acute coronary syndrome
Acute Coronary Syndrome (ACS) is the acute event of the chronic condition coronary heart disease that requires patient self-management of medications. The aim of this study was to evaluate the effectiveness of a symptom management education package (SMEP) for people with ACS delivered in-hospital to prepare them for self-management. Using Symptom Management Theory in conjunction with Knowles’s Adult Learning Theory an intervention was developed consisting of an information leaflet, a refrigerator magnet with key messages and a digital video disc on symptom management of sublingual nitroglycerin (SLN).
A randomized control trial evaluated if (1) people with ACS who received the SMEP had improved knowledge and knowledge of SLN use when measured using Sublingual Nitroglycerin Interview Schedule; (2) people with ACS who received the SMEP had improved quality of life (QOL) when measured using the Seattle Angina Questionnaire. There were 169 participants. The intervention group’s knowledge improved significantly more than the control group’s (p<0.001). No significant differences were evident between the two groups for knowledge of SLN use or QOL. A targeted SMEP shows promise in improving symptom management knowledge of SLGTN for people with ACS. Recommendations are that the SMEP be implemented into clinical practice in the in-hospital setting to optimize patient self-management of SLN early in their illness.