The Effectiveness of Education Programs on the Management of Acute Coronary Syndrome Patients: A Scoping Review

  • Yulis Setiya Dewi Universitas Airlangga
  • Achmad Fauzi Universitas Airlangga
  • Albertina Dete Tabik Universitas Airlangga
  • Aqmarina Abidah Universitas Airlangga
  • Johanes Eban B. Dorman Universitas Airlangga
  • Yulmira Maria Tisel Universitas Airlangga
  • Ninuk Dian Kurniawati Universitas Airlangga
Keywords: ACS, disease management, educational programs

Abstract

Acute Coronary Syndrome (ACS) is a serious condition that requires quick treatment to prevent complications and death. The education program is one of the effective interventions in improving the understanding, compliance, and quality of life of ACS patients. Objective: This study aims to evaluate the effectiveness of educational programs in ACS patient management through a scoping review. Method: This study uses the scoping review method with the PRISMA-Scr protocol. Data was obtained from Scopus, ProQuest, PubMed, and EBSCO databases with relevant keywords and publication of articles in the last 5 years (2019–2024). Articles that met the inclusion criteria were analyzed using a descriptive approach. Quality assessment is carried out using the Joanna Briggs Institute (JBI) Critical Appraisal tool. Results: Of the initial 34,668 articles, 12 articles with good and medium quality were selected. Effective educational programs include behavioral, media, distance, and group-based methods. These interventions have been shown to improve patient understanding, medication adherence, and quality of life as well as reduce anxiety and depression. The instruments used included PPE-15, HADS-A, HADS-D, SF-12, HeartQoL and GENEActiv accelerometer questionnaires. Conclusions: Educational programs based on a patient-centered care approach (PCC), technology, and physical exercise have proven to be effective in improving ACS patient management. Behavioural and media-based education, such as traffic light labels for nutrition understanding, is able to support lifestyle changes and patient rehabilitation. Intensive education also has a positive impact in reducing the risk of long-term complications.

References

Al-Juboury, A. A. A. A., & Al-Janaby, M. A. al K. M. (2024). Effectiveness of life style change instructions program up on physical activity for patients’ undergoing coronary angiography. In Current Problems in Cardiology (Vol. 49, Issue 9). Elsevier Inc. https://doi.org/10.1016/j.cpcardiol.2024.102727

Andrade-Lima, A., Junior, N. D. S., Chehuen, M. R., Miyasato, R. S., Brum, P. C., Oliveira, E. M., Leicht, A. S., Wolosker, N., & Forjaz, C. L. M. (2025). Walking training decreases cardiovascular load after walking to maximal intermittent claudication in patients with peripheral artery disease. Current Problems in Cardiology, 50(1), 102887. https://doi.org/10.1016/j.cpcardiol.2024.102887

Black, J. M. and Hawks, J. H. (2014). Keperawatan Medikal Bedah : Manajemen klinis untuk hasil yang diharapkan. Elsevier Singapura.

Bretschneider, M. P., Mayer-Berger, W., Weine, J., Roth, L., Schwarz, P. E. H., & Petermann, F. (2024). Results of a Digital Multimodal Motivational and Educational Program as Follow-Up Care for Former Cardiac Rehabilitation Patients: Randomized Controlled Trial. JMIR Cardio, 8. https://doi.org/https://doi.org/10.2196/57960

Herring, L. Y., Dallosso, H., Schreder, S., Smith, E. J., Waheed, G., Gray, L. J., Khunti, K., Yates, T., Highton, P. J., Rowlands, A. V., Hudson, I., Seidu, S., & Davies, M. J. (2021). Physical activity after cardiac EventS (PACES): A group education programme with subsequent text message support designed to increase physical activity in individuals with diagnosed coronary heart disease: A randomised controlled trial. Open Heart, 8(1). https://doi.org/10.1136/openhrt-2020-001351

Janice, L. H., & Kerry, H. C. (2018). Brunner & Suddarth’s Textbook of Medikal -Surgical Nursing: Vol. (14) (12th ed.). Lippincott Williams & Wilkins.

Jiang, W., Zhang, Y., Yan, F., Liu, H., & Gao, R. (2019). Effectiveness of a nurse-led multidisciplinary self-management program for patients with coronary heart disease in communities: A randomized controlled trial. Patient Education and Counseling, 10. https://doi.org/10.1016/j.pec.2019.11.001

Kavaklı, Ö., Güvenç, G., & Coşkun, H. (2023). The Effect of Counseling and Sleep Mask Application in Coronary Intensive Care Patients on Sleep Quality and Anxiety: A Randomized Controlled Study. Journal of Turkish Sleep Medicine, 10(2), 152–162. https://doi.org/10.4274/jtsm.galenos.2022.08108

Nie, C., Li, T., & Guo, X. (2019). Intensive Patients’ Education and Lifestyle Improving Program in CAD Patients. Western Journal of Nursing Research, 41(9), 1254–1269. https://doi.org/10.1177/0193945918810205

Roshandel, M., Rakhshan, M., & Kalyani, M. N. (2021). The Effect of Using Peer on Self-Care, Quality of Life, and Adherence in Elderly People with Coronary Artery Disease. The Scientific World Journal. https://doi.org/https://doi.org/10.1155/2021/4770721

Sadeghi, F., Pashaeypoor, S., Nikpajouh, A., & Negarandeh, R. (2024). The impact of healthy nutrition education based on traffic light labels on food selection, preference, and consumption in patients with acute coronary syndrome: a randomized clinical trial. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-18805-2

Scheider, L. H., Hadjistavropoulos, H. D., Dear, B. , F., & Titov, N. (2020). Efficacy of internet-delivered cognitive behavioural therapy following an acute coronary event: A randomized controlled trial. Elsevier. https://doi.org/https://doi.org/10.1016/j.invent.2020.100324

Wahyuningsih, I. S., Sukartini, T., Dewi, Y. S., Amal, A. I., & Kismana, M. L. (2024). The effect of murottal auditory therapy on anxiety and comfort levels in patients with cardiovascular disease. Healthcare in Low-Resource Settings, 12(1). https://doi.org/10.4081/hls.2023.11816

WHO. (2023, December 15). Cardiovaskular diseases. World Health Organization. who.int/health-topics/cardiovascular-diseases#tab=tab_1

Wolf, A., Vella, R., & Fors, A. (2019). The impact of person-centred care on patients’ care experiences in relation to educational level after acute coronary syndrome: secondary outcome analysis of a randomised controlled trial. European Journal of Cardiovascular Nursing, 18(4), 299–308. https://doi.org/10.1177/1474515118821242

Zakeri, M. A., Khoshnood, Z., Dehghan, M., & Abazari, F. (2020). The effect of the Continuous Care Model on treatment adherence in patients with myocardial infarction: a randomised controlled trial. Journal of Research in Nursing, 25(1), 54–65. https://doi.org/10.1177/1744987119890666

Published
2025-06-01
How to Cite
Dewi, Y. S., Fauzi, A., Tabik, A. D., Abidah, A., Dorman, J. E. B., Tisel, Y. M., & Kurniawati, N. D. (2025). The Effectiveness of Education Programs on the Management of Acute Coronary Syndrome Patients: A Scoping Review. Indonesian Journal of Global Health Research, 7(3), 203-212. https://doi.org/10.37287/ijghr.v7i3.5662

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