| Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 99 === The first time this study was to investigate the survivors of myocardi al infarction after discharge self-care knowledge and self-efficacy, and to assess the effectiveness of nursing instruction to a regional teaching hosp ital in Hsinchu, the first acute myo
cardial infarction patients office worke rs, mining quasi-experimental design, sampling method to facilitate the expe rimental group received 30 and the control group of 30 people, and a structured questionnaire to collect data, structured questionnaire includeingg basic data, health status, knowledge, self-care after myocardial infarction, self-efficacy scale and quality of life questionnaire after myocardial infarction. When all the samples at the hospital to give regular health education and collect information befor e discharge, the experimental group immediately after the "acute myocardial infarcti on patients self-care manual" in tervention in the control group one month after the first return visit to collect data, after "acute myocardial infarction patients self-care manual" intervention, both groups returned to the outpatient clinic one week after four weeks, twelve weeks after myocardial infarction by self of self-care know ledge questionnaire, Sullivan Self-Efficacy Scale, Thompson Quality of Life Products Table of the questionnaire to collect data.
The results will be used SPSS for Windows 17.0 statistical software package Chi nese version of the statistical analysis. Statistical methods include: the independence oft test, chi square test, paired t test, Pearson corr elation coefficients (Pearson''s correl ation) and analysis of variance (ANOVA) and so on. Results Results: (1) case of self- care knowledge scores hi ghest in three months after discharge, experimental group and control (1 0.8±1.3 min,9.4±1.9 points), self-care knowledge project to significantly increase the risk factor score (p <0.01). (2) cases of self-care knowledge, the lowest correct response rate before discharge, in the health education intervention, three months after discharge self-care to the highest rate of correct answers, sort the two sets of self -care are all risk factors in the highest sort of knowledge, the control group one month after discharge from hospital health education intervention, one month after discharge compared with three months after discharge rates of self-care knowledge and correct answers to correct risk factors and drug use rates were significantly different (p < 0.05). (3) cases of self-efficacy scores, the experimental group significantly increased one month after discharge, as time progress, self-efficacy scores highest in three months after discharge (F = 4.79, p < 0.01). (4) cases of self-care knowledge and self-efficacy, in the experimental group one week after discharge from hospital in three months after a positive correlation (p <0.05). Cases, the overall quality of life scores, the experimental group and control group three months after discharge (respectively 63.6 vs 82.3) than before discharge (respectively 95.4 vs 91.8) have improved significantly (p <0.01). The results can be used on nursing provides nurses with acute myocardial infarction patients for the first time I n the systematic nursing instruction given before discharge, in order to prevent disease recurrence, further improve patient quality of life.
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