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Showing 2 results for Akbarzadeh

Zahra Poshtchaman, Maryam Jadid Milani, Foroozan Atashzadeh Shoorideh, Alireza Akbarzadeh Bagheban,
Volume 3, Issue 2 (9-2014)
Abstract

Abstract  

Background. One of the most important aspects of care and follow-up after coronary artery bypass graft surgery is treatment adherence program. As the long term success of the surgery depends on the treatment of adherence plan.

Aim. The purpose of this study was to evaluate the efficacy of phone and SMS follow-up care on patients' treatment adherence after coronary artery bypass graft.

Method. This clinical trial was performed on patients undergoing coronary artery bypass graft surgery in the heart surgery unit in Tehran hospitals in 2014. In this study, 90 patients were selected purposively and allocated into telephone follow-up group (n=30), SMS follow-up group (n=30) and control group (n=30). Demographic and treatment adherence questionnaire were completed twice (before intervention and two months after the intervention). The telephone follow-up and SMS follow-up groups were given training and booklet before discharge. In telephone follow-up intervention, three calls a week was made for two months and the SMS follow-up group received text messages daily for two months. To analyze the data, Chi-square test, Fisher exact test, t-test and ANOVA, ANCOVA, and Bonferroni test were used.

Findings. There was no statistically significant difference between the telephone follow-up and SMS follow-up groups in terms of treatment adherence scores, before and after intervention. A statistically significant difference was seen between telephone follow-up and control groups (p<0.0001), and SMS follow-up and control groups (p<0.0001) in terms of treatment adherence scores, before and after the intervention.  

Conclusion. Both SMS and telephone follow-up are effective to improve treatment adherence in patients after coronary artery bypass graft. It is suggested to use these interventions for patient following coronary artery bypass graft.


Narges Shojaei Kalatebali, Aliakbar Samari, Mahdi Akbarzadeh,
Volume 10, Issue 1 (3-2021)
Abstract

Abstract
Aim. This study was conducted to examine the effect of couple therapy with well-being therapy method on depression, marital life quality, optimism and social well-being in patients with cardiovascular disease.
Background. Patients with cardiovascular disease experience many problems in their marital life and health, and one of the effective methods for improving the characteristics of marital life and their health is possibly the couple therapy with well-being therapy method.
Method. This study was a semi-experimental pretest- posttest study with control group. The study population was patients with cardiovascular disease referred to Javad Al-Aeme Cardiovascular Hospital in Mashhad city, Iran, in 2021. Thirty patients and their couples were recruited by purposive sampling method based on inclusion criteria and allocated to experimental (n=15 couples) and control (n=15 couples) group by simple random sampling. The experimental group received 8 sessions of 90-minute duration (two sessions per week) couple therapy with well-being therapy method and during this period the control group did not receive any intervention. Data were collected through the self-reported questionnaires of depression, marital life quality, optimism and social well-being and analyzed by Chi-square, independent t-test and multivariate analysis of covariance in SPSS-19 software.
Findings. The findings showed that the experimental and control groups were not significantly different in terms of education, gender, age and duration of cardiovascular disease. Before intervention, there was no statistically significant difference between groups in terms of the mean scores of depression, marital life quality, optimism and social well-being, but after intervention, a statistically significant difference was groups between experimental and control group in the mean scores of all four variables (P≤0.0001). The couple therapy with well-being therapy method led to reduced depression (F=192.046, P≤0.0001) and increased marital life quality (F=329.770, P≤0.0001), optimism (F=230.267, P≤0.0001) and social well-being (F=359.558, P≤0.0001) in patients with cardiovascular disease.
Conclusion. The results of this study indicated the effect of couple therapy with well-being therapy method on reducing depression and increasing marital life quality, optimism and social well-being in patients with cardiovascular disease. Health professionals and therapists can use this method to improve the characteristics of marital life and those related to health.

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فصلنامه پرستاری قلب و عروق Iranian Journal of Cardiovascular Nursing
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