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.

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.

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.