Nurse-Led Education Improves Self-Management Knowledge in Cardiovascular Inpatients: A Quasi-experimental Study

Mulyanti Roberto Muliantino; Yuanita Ananda; Rika Syafitri; Muhamad Nurmansyah

doi:10.25077/njk.v22i2.485

Authors

Mulyanti Roberto Muliantino Faculty of Nursing, Universitas Andalas, Padang, West Sumatra, Indonesia
Yuanita Ananda Faculty of Nursing, Universitas Andalas, Padang, West Sumatra, Indonesia
Rika Syafitri Faculty of Health Technology Information, Universitas Alifah, Padang, West Sumatra, Indonesia
Muhamad Nurmansyah Faculty of Medicine, Universitas Sam Ratulangi, Manado, North Sulawesi, Indonesia

DOI:

https://doi.org/10.25077/njk.v22i2.485

Keywords:

Cardiovascular disease, Heart disease, Knowledge, Nurse-led education, Self-Management

Abstract

Cardiovascular disease contributes significantly to global morbidity and repeated hospitalization. Many patients leave hospital ill-prepared to manage their condition independently, highlighting the need for structured predischarge education. Evidence supporting such interventions within Indonesian inpatient settings, however, remains scarce. This study evaluated whether a nurse-delivered educational intervention could enhance self-management knowledge among hospitalized cardiovascular patients before discharge. Using a quasi-experimental pretest-posttest design, sixty patients at a cardiovascular center of public hospital in Padang, Indonesia were enrolled consecutively and divided equally into intervention and control groups (n = 30 each). Participants in the intervention group underwent two individualized 30-minute education sessions addressing disease understanding and self-care behaviors, supplemented with a take-home booklet, within the final two days of hospitalization. Controls received usual ward care. A 24-item validated instrument assessed knowledge at enrollment and upon program completion. Baseline self-management knowledge was lower in the intervention group than in the control group (33.33 ± 7.59 vs 39.56 ± 4.61). Following intervention, knowledge scores increased substantially in the intervention group (44.67 ± 4.68), whereas the control group (41.03 ± 4.64). The between group difference in improvement was statistically significant (mean difference = 9.867, t = 10.64, p < 0.001), with a large effect size (Cohen's d = 0.927). A concise, structured nurse-led program administered before discharge substantially enhanced cardiovascular patients' self-management knowledge. Incorporating such educational initiatives into standard predischarge nursing care is strongly recommended.

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