The effect of educational package on recurrence and severity of bleeding in patients with epistaxis

Epitasis is a disorder that affects about 60% of the population, and the lack of treatment of this disorder causes a lot of problems for the patient. Therefore, this study aimed at examining the effect of the educational package on reducing the recurrence and severity of bleeding in patients with epistaxis. This clinical trial study was performed on 60 patients with epistaxis referred to Matini Hospital, Kashan, Iran. Patients were randomly assigned into two equal groups of intervention and control (n=30, each group). In addition to routine care services, patients in the intervention group received an educational package including face to face education and educational pamphlets. Patients in the control group only received routine care services. After one month of training, at the end of the 4th, 8th and 12th weeks, the intensity and recurrence of epistaxis were evaluated. Sixty percent of the patients in the intervention group and 66.7% of the control group were female and the rest were male. The mean age of the subjects in the intervention group was 50.8±19.39 and in the control group was 47.51±19.19 years. The frequency rates of recurrence of nasal bleeding during the first four weeks in the intervention and control groups were 20% and 46.7%, respectively (P=0.03), whereas in the 8th week, 6.7 and 16.7 percent (P=0.43) and in the 12th week were 0 and 6.7 in intervention and control groups (P=0.49). Also, the severity of bleeding was lower in the first week (P=0.07) than in the eighth week (P=0.37) and twelfth (P=0.35). A short-time education through face-to-face and pamphlet can reduce recurrence of epistaxis while having a modest effect on severity of bleeding.