The effects of video education combined with nursing instruction on the knowledge, attitude, and self-care behaviors of patients diagnosed with the first onset of coronary heart disease

Background: Most interventions that have been designed to enhance the coronary‐heart-disease-related selfcare knowledge, attitudes, and behaviors of patients are taught in nursing education. Purpose: This study examines the effects of a combined video and nursing instruction intervention on the personal knowledge, attitude, and self-care behaviors of patients who were recently diagnosed with their first attack of coronary heart disease. Methods: A quasi-experimental, pre- and post-test design was conducted. A purposive sample of 70 first-onset coronary heart disease (CHD) patients who were hospitalized in a regional hospital in Taoyuan City was recruited. The control group received routine care only and the experimental group received video and nursing instruction. Data were collected using a structured demographic questionnaire, CHD knowledge scale, CHD attitude scale, and CHD self-care behavior scale. Results: Both groups reported relatively high posttest scores on the knowledge scale (p < .001). However, the experimental group reported better improvement. The experimental group reported higher posttest scores on the attitude scale and on the self-care behavior scale (p < .001), while no significant changes were found in the control group between pretest and posttest scores for these scales. Conclusion / Implications for Practice: We recommended integrating this video intervention into clinical care practice as one measure to improve the quality of care provided to first-attack CHD patients.