Educational Program to Improve Health Indices Among Adult Patients with Myocardial Infarction: Evidence-Based Nursing

Background: Myocardial infarction (MI) is a leading cause of morbidity and mortality worldwide, including in Bangladesh. Educational programs have been developed to improve health indices among adult patients with MI, but their effectiveness remains unclear. Objective: This study aimed to review the evidence on educational programs for adult MI patients and assess their impact on health indices. Method: A systematic search was conducted in Mahidol University electronic databases for English-language publications from 2009 to 2014, following the PICO framework. Studies included randomized controlled trials, quasi-experimental studies, and systematic reviews. Data on program delivery, content, and outcomes were extracted and analyzed. Result: The review identified nine studies meeting the inclusion criteria. Educational programs were commonly delivered in hospital settings, consisting of group and individual sessions led by nurses and multidisciplinary teams. Key content areas included disease information, lifestyle modifications, and smoking cessation. Overall, the programs showed a significant improvement in health indices among adult MI patients, with an average increase of 15-20% in adherence to healthy lifestyle practices. Conclusion: Educational programs are effective in improving health indices among adult patients with MI. Implementing tailored programs in Bangladesh's clinical settings is recommended. Further research is needed to evaluate long-term outcomes and optimize program effectiveness.