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1381: Lifestyle changes after myocardial infarction; adaption of nursing to the patient perspective A theoretical study

the patients about heart failure and its treatment and teach them to follow up the symptoms in order to recognize the impairment of illness early enough at home. A home care nurse continued the education at home. Methods: The sample consisted of the patients with heart failure who had received intensive and planned education from a nurse in hospital (N =100, n =76). NYHA I 25 patients, NYHA II 33 and NYHA III–IV 11 patients. The data were collected using a structured questionnaire and an interview. The patients were asked about the medication, daily weighting, fluid restriction and diet, rest and exercise, and also about the symptoms and how to cope with them. The data were analysed statistically by SPSS 11.5 for Windows and the open questions by content analysis. Mann Whitney U-test and Kruskall–Wallis test were used to examine the statistical differences. Results: According to the results most of the patients (66%) were in a good condition although over one third of the patients had several symptoms. The patients suffered most from fatigue (49%), changes in weight (40%), dizziness (37%) and shortness of breath (29%). Women had more symptoms than men ( p =0.005). The most common problems on the regimen were related to the medication. The most common side effects caused by the medication were cough and tiredness. 46% of the patients had adopted the education well. They had the best knowledge of fluid restriction, daily weight and the meaning of diet and the least knowledge of medication. 83% of the patients could tell about the fluid restriction and 80% could demonstrate daily weighting very well. 74% of the patients knew the meaning of diet very well. Although the patients had adopted the education in most areas, nearly one third (29%) of the patients had poor knowledge about the medication. According to the opinions of the patients the support and good and clearly spoken education given by the nursing staff encouraged them to follow the regimen. Conclusion: The study showed that heart failure patients value highly the information and the support given by the nursing staff. Even though there is intense patient counselling in hospital it seems that there is still need to develop the education about the medication so that the patient would have better control on their lives.