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Showing 20 results for Self-Care
Esmat Ataee, Majid Haghjoo, Asghar Dalvandi, Hooman Bakhshandeh,
Volume 1, Issue 4 (3-2013)
Abstract
Abstract Aim. The aim of this study was to examine the effect of self-care education on quality of life in patients following pacemaker implantation. Background. One of the most common causes of death after myocardial infarction is arrhythmia resistant to treatment. This type of arrhythmia can be managed by pacemaker. The quality of life after pacemaker implantation is usually low, and self-care education may be a method to address this issue. Method. In a randomized clinical trial study, 80 patients, candidate for permanent pacemaker implantation at Rajaie Cardiovascular, Medical and Research Center, were recruited to either control or experimental group through the blocked randomization. Data were collected using demographic form and the MacNew health-related quality of life questionnaire. The experimental group patients, in accompany with one first-degree relative, received one session of self-care education on the preimplantation day. The content of this 30 minutes session was "how to use educational footage and pamphlets, and also, a face-to-face education. At the end of the session, the patients were given an "educational package". Following implantation, the experimental group patients were contacted once a week for one-month period. The data were analyzed by SPSS, version 15, using inferential statistics. Results. There were no statistically significant difference between the experimental and control groups in the mean scores of emotional, physical, and social aspects of quality of life and overall quality of life, before self-care education however, after intervention, a statistically significant difference was found in all these variables between experimental and control groups (P=0.004). Conclusion. Self-care education could have an effect on the quality of life of patients after permanent pacemaker implantation.
Esmat Ataei, Asghar Dalvandi, Akbar Nikpajouh,
Volume 2, Issue 3 (12-2013)
Abstract
Abstract Aim.The aim of this study was to determine the effect of patient teaching on self-care behaviors with media clips in patients with permanent pacemaker. Background. One of the most common causes of death after myocardial infarction is arrhythmia. One of the methods to control the arrhythmia resistant to treatment is implantation of pacemaker. The studies that have been done on patients with electrical devices show that most of patients don’t have any information about how to take care of their device and need more education for self-care. Method. This randomized clinical trial was conducted on 80 patients scheduled to receive permanent pacemakers at Rajaie Cardiovascular, Medical and Research Center in 2012. The patients were recruited to either control or intervention group through block randomization method. Data were collected using demographic checklist. The intervention group patients together with one of their close family members received one session of self-care education on the pre-implantation day. The session was 30 minutes long and contained the use of educational media clip. At the end of the session, the patients were given an “educational package”. Following implantation, the intervention group were contacted weekly for a one-month period. Finally, the variables were compared between the two groups via independent t-test, chi-square test, repeated variance analysis, and using SPSS version 15. Findings. There were no statistically significant differences between the intervention and control groups (P=0.106) however, after intervention, a meaningful difference was observed in all these variables in the intervention group (P<0.0001). Conclusion. The results of this study showed that education of self-care behaviors with media clip could have an impact on the self-care of post-pacemaker implantation patients and we recommend this method to improve patient’s knowledge and self-care behaviors and minimize the number of re-hospitalization in these patients.
Tahereh Najafi Ghezeljeh, Maryam Shahidi,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract Aim.The aim of this paper is to review studies related to self-care education and quality of life improvement in patients with hypertension. Background. Hypertension is one of the greatest health problems in the world and also, one of the major risk factors for cardiovascular disease. One of the main aims of health care is improving quality of life. Self-care education can improve the quality of life. Due to the need for recognizing trend of studies related to self-care education and quality of life in patients with hypertension, conducting literature review in this field is necessary. Method. This article reviews the studies published during the recent 15 years regarding self-care education and quality of life in patients with hypertension that were searched out through scientific databases, including Science Direct, PubMed, Cochrane, Medline, SID, Scopus, CINAHL, OVID, Iran Doc, and Magiranby the keywords “self-care educational program”, “quality of life”, and “hypertensive patients” and their Persian equivalents. Result. The literature review revealed that few studies have examined the effectiveness of training programs on the quality of life in patients with hypertension. Results showed that patients with hypertension have low quality of life. In some studies, different educational methods were used in an attempt to improve the clinical outcomes of patients and some of these self-care educational programs had positive effects on the quality of life. Conclusion. The quality of life in patients with hypertension is low. Therefore, because of the importance of quality of life improvement and due to the limitations of the studies, it is essential to conduct further research to investigate the effect of self-care educational program on quality of life in patients with hypertension.
Tahereh Najafi-Ghezeljeh, Maryam Shahidi, Shahrzad Ghiasvandian, Hamid Haghani,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. This study was aimed to assess the effect of self-care educational program on quality of life in patients with hypertension.
Background. Hypertension is a major health problem due to complications and high mortality rate. It causes problems in the ability of patients for self-care and affect their quality of life.
Method. This clinical trial study with control group was conducted in Mahmud-Abad Hospital affiliated to Mazandaran University of Medical Sciences. In this study, 70 patients who met the inclusion criteria were selected through convenience sampling and to prevent information contamination, they were allocated to groups according to whether they refer to hospital even or odd days. Before and three months after intervention, data were collected by quality of life questionnaire SF-36 in both groups. Patients in control group received routine education. Patients in intervention group participated in three face to face self-care education sessions (each session lasted 20 minutes) and received educational package including instruction booklet and CD. Data were analyzed by using Independent t-test, Paired t test, Chi-square test, and Fisher’s exact test through SPSS version 21.
Findings. The results showed that before intervention, there was not a statistically significant difference between two groups regarding quality of life, but after 3 months there was a statistically significant difference (P<0.0001). Also, in the intervention group, there were statistically significant differences regarding the total score of quality of life and all related dimensions, before and three months after education (P<0.0001).
Conclusion. Self-care education can improve quality of life among patients with hypertension. It is recommended that health care providers, particularly nurses, implement these educational programs for improving the quality of life of patients with hypertension.
Masume Zakerimoghadam, Ali Sadeghi-Akbari, Mohammad-Ali Cheraghi, Anoushirvan Kazemnejad,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. This study aimed at investigating the effect of education based on illness perception on self-care behaviors of patients with heart failure.
Background. Heart failure is the final outcome of most cardiovascular diseases, reducing patients’ self-care behaviors as a chronic condition. Changing illness perception of patients with heart failure about the disease is a way to improve the self-care behaviors in these patients.
Method. An experimental design was used to conduct the study. Seventy and six patients with heart failure who admitted to hospitals affiliated to Tehran University of Medical Sciences and were eligible to participate in the study was recruited in 2014 and were randomly divided into intervention and control group. The intervention group attended in three educational sessions and received cell phone follow-up for 8 weeks. The control group received conventional treatment. The self-care behaviors was compared in both groups before, and eight weeks after the intervention. The data were analyzed by SPSS-16 software.
Findings. There was no statistical significant difference between demographic variables of two groups. Self-care behaviors in the intervention group increased after the intervention when compared with the control group (p<0.0001). In the experimental group, the mean score of self-care behaviors after the intervention was significantly higher than mean score before intervention (p<0.0001).
Conclusion. The results showed that education based on illness perception affects self-care behaviors in patients with heart failure. It is suggested as an effective method to promote the self-care behaviors in these patients.
Nasim Naderi, Jaleh Mohammad-Aliha, Yasaman Khalili, Pari Karami,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim.This study was conducted to investigate the level of nurses’ knowledge, attitude and practice about self-care education in people with heart failure.
Background.Heart failure is one of the most common chronic diseases and the leading cause of death in the world and also, a major cause of hospital readmission, especiallyin elderly patients. Self-care education is an essential componentof care for people with heart failure. Nurses are the first providers ofself-careeducation for patients and must have a thorough knowledge, a positive attitude and skillfull practice in the field of self-care education.
Method. In this descriptive-analytical study, 174 nurses with at least one year working experience in the CCU, post CCU and medical wards of ShahidRajaie Cardiovascular and Research Center, completed a four-part questionnaire including demographics information, and knowledge, attitude and practice about self-care education in people with heart failure. Data were analyzed using descriptive and inferential statistics in SPSS, version 22.
Findings. The majority of nurses (70.1 percent) had an average knowledge score. The knowledge level of nurses were significantly related with level of education and working experience. Also, 67.8 percent of the participants had a good practice of self-care education about heart failure and their practice was significantly related with experiencing in-service education. More than 90 percent of nurses reported positive attitude towards self-care education about heart failure and their attitude was significantly related with level of education, in-service education and work schedule.
Conclusion. The knowledge of nurses was at average level. It is recommended to plan in-service education in order to promote nurses’ level of knowledge about self-care education about heart failure.
Azam Shahbaz, Masumeh Hemmati-Maslakpak,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. This study aimed to determine the relationship between self-care behaviors and readmission in people with heart failure.
Background. People with heart failure are frequently hospitalized due to worsening symptoms. Admission to hospital reduces quality of life of patients, also imposes large costs for them. To control this disease, adherence to self-care behaviors is important.
Method. In this descriptive analytical study, 245 heart failure patients with the history of readmission were recruited with convenience sampling method from Taleghani and Syedalshohada teaching hospitals of Urmia, in 2016. Data collection tool included self-care heart failure Index. Data were analyzed by descriptive and inferential statistics using SPSS.
Findings. Self-care mean score in participants was 45.59±7.6 and most patients had a moderate level of self-care behaviors. Pearson correlation coefficient showed a reverse statistically significant correlation between self-care score with the number of hospitalization (r=-223, p≤0.0001).
Conclusion. Self-care behaviors of the majority of patients was not favorable in terms of quality and there was a reverse correlation between self-care behaviors and readmission, It is suggested further investigating the factors affecting self-care behaviors and taking actions to deal with these factors.
Shahnaz Pooladi, Fatemeh Dehghan-Azad, Mohammadreza Yazdankhahfard, Rahim Tahmasbi, Abdolreza Ahmadi,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Background. Self-care behaviors in cardiac patients are one of the essential factors in their treatments. The failure to apply proper self-care behaviors reduces their recovery and imposes high costs on the health care system.
Aim. This study aimed for design and psychometric measurement of the questionnaire on attitude, knowledge and utilization of self-care for patients undergoing coronary artery bypass graft surgery based on Waltz model
Method. In this methodological study, the following four steps were conducted for design and psychometric measurement of the questionnaire: 1) defining the theoretical and practical self-care concept for patients undergoing coronary artery bypass graft surgery in the domains of physical activity, sexual activity, social activity, mental state, and smoking; 2) designing the items of the questionnaire using other instruments which are being used in heart diseases; 3) determining the face validity (the assessment of facility, difficulty, and ambiguity of the items and their importance for patients) and content validity of the questionnaire (the assessment of appropriateness and necessity of items by experts opinions and measuring CVR and CVI; 4) the internal consistency of the questionnaire was evaluated by determining the Cranach's alpha coefficient.
Findings. The first version of this questionnaire was produced with 56 items, of which 15 items were deleted during the process of validity and reliability confirmation. The final version of the questionnaire was provided with 41 items in three domains; knowledge domain with 14 items, attitude domain with 7 items and utilization domain with 20 items. The results of the psychometric procedure for the questionnaire was the content validity index of 0.99, the content validity ratio of 0.96 and the internal consistency of the questionnaire with Cronbach's alpha coefficient of 0.7 representing appropriate validity and reliability of the questionnaire.
Conclusion. This 41-item questionnaire can be utilized in the assessment process of these patients. Measuring construct validity is recommended for the validity of the domains of the present questionnaire.
Zahra Ahmadi, Leila Bahmani, Marhamat Farahani Nia, Hamid Haghani,
Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. The purpose of this study was to determine the effect of teaching health-promoting behaviors on self-care behaviors in people with hypertension.
Background. Hypertension is one of the chronic diseases that causes serious complications on the organs of the body and requires self-care behaviors to be managed and controlled. Education increases self-care capacity in these patients and may help reducing complications and promote disease control.
Method. In this quasi-experimental study, 106 patients who referred to the clinic of Shahid Rahimi Hospital in Khorramabad, affiliated to Lorestan University of Medical Sciences, were recruited based on inclusion criteria and allocated to experimental (n=53) and control group (n=53). The experimental group received three training sessions of health-promoting behaviors in three consecutive weeks. The control group received only the routine treatments. Data were collected using a demographic form and self-care behaviors questionnaire, before and one month after intervention. Data were analyzed by SPSS version 22 using descriptive and inferential statistics.
Findings. The groups did not differ significantly in terms of demographic variables and disease characteristics. Before intervention, the mean score of self-care in the control and experimental group were 8.33±1.79 and 9.7 ±2.41, respectively, and there was a statistically significant difference between the groups (P=0.002). After intervention, the mean score of self-care in the control and experimental group were respectively reported as 8.43±1.84 and 14.46±2.13. Analysis of covariance showed that after intervention, the mean score of self-care in experimental group was significantly higher than that of control group (P≤0.0001).
Conclusion. Education improved self-care in people with hypertension. Providing education for people with hypertension can be effective in promoting their self-care behaviors.
Nila Amigh, Ali Zahedmehr, Ahmad Amin, Hooman Bakhsandeh,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This study aimed to investigate the effect of clinical follow-up by a nurse on improving self-care behaviors in people with heart failure.
Background. People with heart failure are frequently hospitalized. One of the main reasons for hospitalization of these patients is the individual's inability to perform self-care behaviors. One of the ways that can help to improve self-care is clinical follow-up of these patients by nurses.
Method. This study was a randomized clinical trial which was conducted between October 2015 to May 2016 in Cardiovascular Medical and Research Center in Tehran. Eighty patients were recruited from the patients hospitalized in cardiac intensive care units and randomly assigned to control and experimental groups. Patients in experimental group received clinical follow-up by a nurse every two weeks by phone or in person. The control group received routine follow-up after discharge. Self-care behaviors were assessed by the checklist before intervention and three month after intervention. The data were analyzed in SPSS using descriptive and inferential statistics.
Findings. The mean score of self-care behaviors, before intervention was 2.64±1.62 in control group and 2.02±1.62 in the experimental group, and there was no statistically significant difference between groups. After intervention, the mean score of self-care behaviors in control and experimental group were 2.38±2.50 and 0.93±7.82, respectively and a statistically significant difference was found between the groups (p≤0.0001).
Conclusion: Clinical follow-up by a nurse can improves self-care behaviors in people with heart failure and help to lessen the burden.
Shiva Eslamiankoupaie, Samaneh Parchebafieh , Mohammad Sahebalzamani, Shabnam Madadi ,
Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of education based on Orem’s self-care model on emotional reactions in people with Implantable Cardioverter Defibrillator (ICD).
Background. ICD shock is unpredictable and associated with physical pain. After receiving shock, some patients find serious psychological problems such as anxiety, depression and stress. According to Orem, learning self-care activities can help a person to maintain health and well-being and increase the ability to adapt to illness.
Method. In this quasi-experimental study, 60 people with ICD who were admitted to Shahid Rajaie Cardiovascular Medical and Research Center in Tehran, were recruited. The data collection tool was a demographic form and DASS-21 questionnaire. The educational program based on Orem’s self-care model was performed in 3 sessions of 20-30 minutes based on individual self-care needs of the participants. Emotional responses were measured in two stages, before and one month after the end of intervention. Data were analyzed using SPSS software version 22.
Findings. Before intervention, the mean score for anxiety was 18.06±5.49 that decreased after intervention (11.26±3.49) (p≤0.0001). The mean score of depression was significantly decreased after intervention (10.78±3.91 against 16.28±5.96; (p≤0.0001). Before intervention, the mean score for stress was 23.58±6.17 that decreased after intervention (15.51±4.18) (p≤0.0001).
Conclusion. Application of Orem’s self-care model can be effective in reducing the intensity of emotional reactions in people with ICD. Nurses can play a role in reducing emotional reactions by implementing this model and assessing educational needs of patients.
Ali Hosseinzadeh, Alireza Shameli, Somayyeh Esmailian, Esmaeil Mohammadnejad,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This study was conducted with the aim of determining the effect of peer education on outcome in people with heart failure.
Background. Heart failure is a complex clinical syndrome that is considered as a public health problem due to its chronic, progressive and irreversible nature.
Method. In this review study, a comprehensive search of scientific databases and search engines such as Science Direct, Scopus, PubMed, Google Scholar, and Medline using the keywords heart failure and peer education in both Persian and English language was done to find literature published between 2000 and 2018.
Findings. Studies about the effect of peer education on outcomes of heart failure patients in the country showed that these trainings have examined three outcomes of self-care, quality of life and self-efficacy in people with heart failure, and that this method has had a positive effect on all three components.
Conclusion. Peer education improves self-care, self-efficacy, and quality of life in people with heart failure. It is recommended to use this training program as an effective, cost-effective method without the need for specialized equipment.
Mojdeh Navidhamidi, Tahmine Salehi, Hadi Ranjbar, Fatemeh Alipoor,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. This study was conducted to examine the relationship of marital satisfaction and self-care behavior in people with chronic heart failure
Background. Chronic heart failure is one of the most important problems in public health and it would impose heavy costs on society and family. Self-care plays an important role in managing heart failure and can be influenced by social support. The patients receive the highest level of social support from their families.
Method. In this descriptive study, 251 patients were selected by convenience sampling method. The instruments were Enrich marital satisfaction questionnaire, and The European Heart Failure Self-care Behavior (EHFSCB). Collected data were analyzed in SPSS version 16 using descriptive and inferential statistics.
Findings. The results showed that 58.8 percent of participants were male, with a mean age of 59.66 years. The mean score of marital satisfaction was 145.6±41.98. Most participants (46.9 percent) had partial marital satisfaction. The mean score of self-care was 34.5±12.24 and most participants (41.2 percent) reported good self-care. There was a statistically significant negative correlation between the marital satisfaction and self-care scores.
Conclusion. Due to the positive effect of self-care behaviors on marital satisfaction and because most people with chronic heart failure have partial marital satisfaction, it is recommended to study factors influencing these components. It is suggested to support and teach patients and their families in order to improve marital satisfaction and promote self-care behaviors in these patients.
Somayeh Esmaeilian, Shahab Papi, Soroor Sohrabi,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The present review study was conducted to investigate the effect of family-centered care education on outcomes of heart failure in Iranian patients.
Background. Heart failure is a complex clinical syndrome that poses a health problem due to its chronic, progressive, and irreversible nature.
Method. A comprehensive searching out scientific databases and search engines including Science Direct, Scopus, PubMed, Google Scholar, and Medline with the keywords heart failure and family-centered care education in both Persian and English language was done to find published studies between 2000 to 2020. Six articles were found based on inclusion criteria and reviewed to report their dominant findings.
Findings. Studies on the effect of family-centered care education on outcomes of heart failure in Iranian patients showed that this educational method has yield in effective results.
Conclusion. Family-centered care training improves and promotes self-care and quality of life in people with heart failure. Using this training program is recommended as an effective, cost-effective training method without the need for special equipment.
Vida Mohamdiheris, Ali Shakerdolag, Ali Khademi, Ali Zeynali, Naser Safai,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of acceptance and commitment therapy on chronic pain, resilience and self-care in women with coronary artery disease.
Background. Women with cardiovascular disease have many problems in the field of physical and mental health and one of the effective methods to manage these problems is treatment based on acceptance and commitment.
Method. The study was conducted based on a quasi-experimental pretest-posttest with a control group design. The statistical population included all women with coronary artery disease who referred to Tabriz Heart Hospital within six months in late 2019 and early 2020. After reviewing the clinical interview, women were selected to enter the study based on inclusion criteria and randomly assigned to experimental (n=15) and control group (n=15). Data were collected using the Van Korf et al. Chronic Pain Scale, the Connor and Davidson Resilience Questionnaire, and the Rigel et al. Self-Care Scale. Data were analyzed by multivariate analysis of covariance in SPSS version 19.
Findings. The results showed that acceptance and commitment therapy had a statistically significant effect on chronic pain, resilience and self-care of women with coronary artery disease. Acceptance and commitment therapy reduces chronic pain and improves and increases resilience and self-care in women with coronary artery disease.
Conclusion. Acceptance and commitment therapy improved resilience and self-care and reduced chronic pain in women with coronary artery disease. It is recommended that therapists and health professionals use acceptance and commitment therapy along with other educational and therapeutic methods to improve health-related characteristics.
Nahid Ramak, Kiana Ghasemnezhad, Elahe Ghasempour, Zeinab Sadeghkhani, Eshaqh Sam Khanian, Farshid Bibak, Alireza Sangani,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of functional analytical psychotherapy on treatment adherence and self-care behaviors in female patients with acute myocardial infarction.
Background. The severity of cardiovascular disease is affected by cognitive and behavioral function in people experiencing acute myocardial infarction. Therefore, with effective and modern treatments for this problem, effective results could be expected.
Method. The research method was quasi-experimental pre-test post-test and follow-up design with control group. A sample of 30 women with a history of acute myocardial infarction who had been admitted to Seyed Al-Shohada Heart Hospital in Urmia, Iran, in 2021, were selected based on inclusion and exclusion criteria and randomly assigned to experimental (N=15) and control (N=15) group. Tsai et al. (2010) Functional Analytical Psychotherapy Package was implemented for experimental group in 10 sessions of 45 minutes duration. Before and after the sessions, and also, 3 months after intervention, both members of experimental and control groups completed Treatment Adherence Questionnaire and Self-Care Behavior Questionnaire as pre-test, post-test and follow-up measurements. Data were analyzed using mixed model analysis of covariance in SPSS Version 18.
Findings. The results showed that there was a statistically significant difference between experimental and control groups in term of the means of treatment adherence and self-care behaviors in pre-test, post-test and follow-up. Functional analytical psychotherapy had a greater effect on improving self-care behaviors (0.912) than treatment adherence (0.897) in female patients with acute myocardial infarction (P≥0.0001).
Conclusion. These results emphasize the effect of functional analytical psychotherapy in cognitive and behavioral domains in the treatment of female patients with acute myocardial infarction.
Amir Tabatabaee, Esmaeil Mohammadnejad,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The purpose of this study is to review studies that have investigated the effect of family-centered self-care program on the activity of people with cardiovascular disease after hospital discharge.
Background. Adherence to medication, diet and physical activity in people with cardiovascular disease is very crucial to prevent readmission, independence in daily activities, and complications.
Method. In this review study, a comprehensive search of scientific databases and search engines such as Science Direct, Scopus, PubMed, Google Scholar, and Medline using the keywords cardiovascular disease, adherence to treatment regimen, and family-centered self-care program in both Persian and English languages was done to find articles published between 2000 and 2020.
Findings. Family-centered post-discharge self-care program can be a principled and effective method to increase adherence to medication, diet and physical activity in heart people with cardiovascular disease.
Conclusion. One of the most important factors in effectiveness of self-care is active family participation and family-centered self-care, which can be effective in three areas after the discharge of people with cardiovascular disease.
Amir Tabatabaee, Esmaeil Mohammadnejad, Ali Karimi, Zahra Salehi, Fatemeh Sadat Izadi-Avanji,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This study was conducted with the aim of investigating the effect of family-centered self-care program based on home visits on adherence to physical activity of patients with acute coronary syndrome
Background. Coronary artery disease is one of the most common cardiovascular diseases. The importance of physical activity as an important factor in controlling and preventing the recurrence of the disease in these patients. Adherence to physical activity in patients with acute coronary syndrome (ACS) has a significant effect on preventing re-hospitalization and reducing complications.
Method. In this semi-experimental study conducted in 2021-2002, 72 people with ACS were randomly divided into experimental and control groups (32 people in each group). For the control group, routine interventions, and for the experimental group, family-centered self-care was delivered. Data collection tools were demographic questionnaire and Beck's physical activity level questionnaire.
Findings. Before intervention, there was no statistically significant difference between groups in the mean score of adherence to physical activity. Immediately after the intervention, the mean score in the experimental and control group was 6.31±2.01 and 5.98±1.21, respectively, indicating a statistical significant difference between groups. One and half month after the intervention, the mean score in the experimental and control group was 9.14±1.44 and 78±0.9, respectively, showing a statistical significant difference between groups.
Conclusion. Family-centered self-care in patients with acute coronary syndrome is effective on adherence to physical activity of these patients. Therefore, it is recommended to use this educational method as one of the effective and non-pharmacological methods for people with ACS in medical centers and at home to improve the quality of life among these patients.
Mahin Roohani, Omid Omid Aghazadeh Godello, Mohammadreza Dinmohammadi, Asma Ghorbani, Seyede Fatemeh Gheiasi,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This study aimed to investigate the effect of individual and group self-care training on self-care behaviors and readmission in patients with heart failure.
Background. Teaching patients with heart failure plays an important role in achieving favorable treatment outcome, management of disease complications and reduction in readmission.
Method. This semi-experimental study was conducted with a pre-test post-test design with a control group and follow-up on 75 patients with heart failure. In individual education group, educational intervention was done individually and in another experimental group, it was done in groups of 3-5 people in two sessions. In control group, routine training was delivered. Self-care behaviors were evaluated using the European Heart Failure Self-care Behavior Scale (EHFScBs) at the beginning, and 30 and 90 days after discharge. The frequency of readmission was evaluated 30, 60 and 90 days after discharge. Data analysis was done in SPSS version 21 using Chi-square and Kruskal-Wallis statistical tests.
Findings. Self-care behaviors in 30 and 90 days after the intervention showed a statistically significant difference between experimental and control groups (p=0.002 and p=0.027, respectively). Regarding the frequency of readmission, at the end of 30, 60 and 90 days after discharge, there was no statistically significant difference between groups.
Conclusion. Providing educational intervention (in individual and group forms) is recommended to improve self-care behaviors in patients with heart failure. The effect of these educational interventions on the frequency of readmission was not significant; therefore, it is suggested to conduct future studies with more samples and in a longer period of time.
Vida Mohamdiheris, Ali Shakerdolag, Ali Khademi, Ali Zeynali, Naser Safai,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of acceptance and commitment-based therapy and emotion regulation education on chronic pain and self-care in women with coronary artery disease.
Background. Research shows that coronary heart disease is one of the leading causes of death and disability in the world, which reduces the useful efficiency of people. Psychological factors can change many aspects of patients' lives and relationships.
Method. The research design was quasi-experimental pre-test-post-test with control group. The statistical population in this study included all women with coronary artery disease referred to Tabriz Heart Hospital in 2020. Women who had inclusion criteria were selected and randomly assigned to the first experimental group (n=15), the second experimental group (n=15) and the control group (n=15). The first experimental group (emotion regulation education) was subjected to 12 sessions of 90-minute duration (three sessions per week), The second experimental group (acceptance and commitment-based therapy) received 8 sessions of 90-minute duration, and the control group did not receive any intervention. The chronic pain scale of Von Korff et al. and the self-care scale of Rigel et al. were used to collect the data. Data were analyzed by multivariate analysis of covariance and LSD post hoc test in SPSS Version 21.
Findings. The results showed that treatment based on acceptance and commitment and emotion regulation education have an effect on chronic pain and self-care of patients with coronary artery occlusion (P ≤0.0001), as they reduced chronic pain and improve patients' self-care. The results also showed that acceptance and commitment therapy has a greater effect on chronic pain and patients' self-care than emotion regulation education.
Conclusion. Attention to acceptance and commitment therapy and emotion regulation education can play a role in reducing the psychological problems of women with coronary artery disease.
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