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Open Access An Examination of Current Patient Education Interventions Delivered to Culturally Diverse Patients Following CABG Surgery Un examen des interventions actuelles en matière d'enseignement au patient menées auprès de patients de diverses cultures ayant subi un pontage aortocoronarien

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Abstract:

The design of current educational initiatives for heart surgery patients is based on feedback from individuals of Western European origin. The relevance of these initiatives is unknown when provided to individuals from non-Western European cultures. This study examined the cultural relevance of heart surgery patient educational initiatives delivered to individuals of diverse backgrounds. It used a non-experimental descriptive design involving 252 participants. Cultural relevance was assessed through self-care behaviours performed as recommended in the educational initiative. The participants of non-Western European origin were found to engage in more work-related activities and fewer self-care behaviours than their Western European counterparts in the first week following hospital discharge, indicating lack of adherence to educational recommendations. The study provides preliminary evidence suggesting that current self-care educational initiatives may not be culturally relevant. Continued evaluation to determine reasons why specific cultural groups engage in specific types of behaviour is needed.

French
Les initiatives actuelles en matière d'enseignement au patient devant subir une chirurgie cardiaque reposent sur la rétroaction de personnes originaires de l'Europe occidentale. On ne connaît pas leur pertinence dans le cas de patients d'autres origines. Les auteures de cette étude ont examiné la pertinence culturelle d'initiatives d'enseignement qui ont été menées auprès de patients de diverses origines ayant subi une chirurgie cardiaque. L'étude, qui comptait 242 participants, a été réalisée selon un modèle d'analyse descriptive non expérimentale. La pertinence culturelle a été évaluée en se fondant sur les comportements d'autogestion de la santé adoptés comme il était recommandé dans l'initiative d'enseignement au patient. Il a été constaté que pendant la première semaine suivant leur congé de l'hôpital, les participants d'une autre origine que l'Europe occidentale prenaient part à davantage d'activités liées au travail et affichaient moins de comportements d'autogestion de la santé que leurs homologues originaires de l'Europe occidentale, indiquant ainsi un manque de respect des recommandations. Cette étude fournit certaines données préliminaires suggérant que les initiatives actuelles d'enseignement au patient en matière d'autogestion de la santé ne sont pas pertinentes d'un point de vue culturel. Il sera nécessaire d'effectuer d'autres évaluations pour déterminer les raisons pour lesquelles des groupes culturels donnés adoptent certains types de comportements.

Keywords: ADULT HEALTH; CARDIOVASCULAR DISEASE; CLINICAL NURSING RESEARCH; PATIENT EDUCATION

Language: French

Document Type: Research Article

Publication date: March 1, 2012

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