Influence of self-adherence educational nursing Protocol on Selected health outcomes among Myocardial infarction patients

Background: Myocardial infarction (MI), often known as a heart attack, occurs when blood flow in a portion of the heart decreases or stops, causing damage to the heart's muscles. In the treatment of coronary artery disease (CAD), self-management is crucial. Aim of the study: evaluate the influence of a self-adherence educational nursing protocol on selected health outcomes among Myocardial infarction patients. Research design: A quasi-experimental research design was employed to achieve the study's objective. Subjects: A purposive sample including (80) adult patients recently diagnosed with myocardial infarction. Setting: This study was conducted at cardiothoracic surgery Minia University Hospital's that affiliated to Minia University hospitals, New Minia City, Egypt. Tools: Four tools were utilized: Tool I: structured interview sheet includes two parts (socio-demographic and medical data) Tool II: Physical Activity adherence sheet. Tool III is the nutrition Adherence sheet and Tool IV is the medication adherence sheet. Results: The present study demonstrated a marked improvement in the level of physical activity, dietary regimen adherence and medication adherence among the study participants following the implementation of the self-management protocol.Conclusion: Application of self-care management protocol was very effective in improving the level of physical activity and medication adherence among patient post MI which consequently reduced the readmission rate. Recommendations: Developing in-service training programs for nurses to enhance their knowledge and practice about the significance of patient adherence to physical activity range of motion, diet, and medication for myocardial infarction patients.