Introduction and need : Valvular heart disease is a cardiovascular disease process involving one or more of the four valves of the heart .These conditions occur largely as a consequence of aging, but may  also be the result of congenital (inborn) abnormalities or specific disease or physiologic processes including rheumatic heart disease and pregnancy.

Valvular heart disease (VHD) is a major contributor to loss of physical function, quality of life and longevity. The epidemiology of VHD varies substantially around the world, with a predominance of functional and degenerative disease in high-income countries, and a predominance of rheumatic heart disease in low-income and middle-income countries.Valvular heart disease (VHD) is prevalent in developed and developing countries with etiology of degenerative and, surgeries. Rheumatic heart disease burden is highest among the world’s disadvantaged populations. Its prevalence has been rising steadily since 1990, reaching 40.5 million (95% UI, 32.1-50.1 million) currently affected in 2019

Patient education is a planned interactive learning process designed to support and enable patients to manage their life with a disease and/or optimise their health and well-being.With proper education, patients might increase adherence to treatment, lifestyle changes and be able to detect early changes in their clinical condition. Educational and interventional programmes are considered to be vital strategies that can contribute to better health outcomes in patients with cardiac diseases. Proper education helps in decreasing the incidence of complications resulting from the disease and its therapeutic management.

As educational and interventional programme is necessary to reduce anxiety, helps the patients to understand their own disease condition and make patient independent for self-care activities. But presently, in cardiology units of Advance Cardiac Centre, PGIMER Chandigarh, there is no as such programme exist. Therefore there is a need of “self care package” for valvular heart surgery patients. The goal of this “self care package” is to increase patient’s interest and involvement in self care by conveying knowledge and preparing them to manage their own condition.

Objectives :-

q  To develop and implement “self care package” for valvular heart surgery patients admitted for surgery in Advanced Cardiac Centre ,PGIMER, Chandigarh.

q  To assess the effectiveness of “self care package” on selected outcome variables among valvular heart surgery patients admitted in Advanced Cardiac Centre, PGIMER, Chandigarh.

Self care package for valvular  heart surgery patients: 

The protocol will be prepared in the form of booklet containing all information regarding self care like  treatment adherence, surgical site care, life style modification but demonstration for components like  hand washing, deep breathing exercises ,steam inhalation.