Impact of Interactive Educational Session Regarding Prevention of Rheumatic Fever / Rheumatic Heart Disease on Patient's Attendants

Abstract

Objective:

To determine the impact of intervention on patients attendant about Rheumatic fever /

Rheumatic heart disease (RF/RH) prevention.

Study design: Quasi experimental study

Place & Duration: North ward, NICVD Karachi, from 24-12-2011 to 23-06-2013.

Material & Methods:

Cases were collected from all medical wards and OPD at NICVD Karachi

comprising of 150 consecutive attendants of patients of either gender suffering from RF/RHD

not less than duration of two years, attending OPD or admitted at NICVD Hospital. After taking informed

consent, a series of interactive workshops were conducted by researcher in three sessions at Seminar Room

of department of Cardiac Rehabilitation and Secondary prevention of NICVD, the data was collected

accordingly and results were tabulated.

Results: Median score of pre and post education about rheumatic heart disease / rheumatic fever were

1.0(IQR=7) and 18(IQR=3) respectively. Median scorewas significantly high after education as compare to

pre education in all age groups (p<0.01). Effect of intervention was higher in attendants who were

matriculate and above and it was lower in below matriculate and uneducated. Impact of intervention was

observed above 10% in 120(80%) cases while it was below 10% in 30(20%) cases Impact of intervention

was high (86.3%) in younger age. Positive impact of intervention was slightly high in female than male that

is 81.5% and 76.2% respectively. Similarly positive impact of intervention was 81.6% in matric and above

educated attendants while it was 67.3% effective in below matriculate and uneducated. Irrespective of

duration of disease every attendant of patient got benefited, the impact of education was 75% to 92%.

Conclusion: Significant impact of intervention on patient's attendant about Rheumatic fever/Rheumatic heart disease prevention was observed. Impact of intervention was high in younger age than older age groups. Positive impact of intervention was slightly high in female than male.