title: [Efficacy of the education program in the improvement of treatment compliance in patients with artificial heart valves].
abstract: The study included 94 patients with artificial heart valves aged 55.5 +/- 68 years including 47 (50%) with rheumatic heart diseases, 26 (27.7%) with infectious endocarditis, 21 (22.3%) with connective tissue dysplasia. Compliance with the treatment was estimated by the method of S.V. Davydov before and after education. The leading causes of poor compliance was insufficient socio-medical knowledge and dissatisfaction with the prescribed therapeutic regimen. The education program permitted to achieve a 3-fold decrease in the incidence of negative factors affecting compliance and 1.5-fold increase in the frequency of positive factors; socio-medical awareness and satisfaction with the prescribed treatment increased by 45.8% and 37.1% respectively (p < 0.05). The integral index of compliance before education +4.39 +/- 0.09 characterized it as a moderately positive one. It increased to +8.11 +/- 1.23 after education (p < 0.01). It is concluded that the education program based on the principle of continuity of in- and out-patient treatment improved compliance and socio-medical awareness of the patients, promoted their medico-social adaptation, increased satisfaction with the prescribed treatment and its outcome.
authors.forename: E V
authors.initials: EV
authors.lastname: Gorbunova
authors.forename: T V
authors.initials: TV
authors.lastname: Gorshkova
authors.forename: M P
authors.initials: MP
authors.lastname: Romanova
authors.forename: S A
authors.initials: SA
authors.lastname: Makarov
mesh_terms: D005260:Female; D006349:Heart Valve Diseases / Q000534:rehabilitation* / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods*; D015397:Program Evaluation