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Showing 4 results for Telephone Follow-Up
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.
Farhad Kamrani, Somayeh Nikkhah, Fariba Borhani, Mohammad Jalali, Sudeh Shahsavari, Kianoosh Nirumand-Zandi,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The aim of this study was to determine the effect of patient education and nurse-led telephone follow-up (telenursing) on adherence to treatment in patients with acute coronary syndrome admitted to cardiac care units hospitals affiliated to Alborz University of Medical Sciences.
Background. Increasing adherence to treatment is essential in patients with acute coronary syndrome to reduce readmissions and improve the recovery, but only patient education does not guarantee the adherence to treatment and it is necessary to follow-up patients after discharge.
Method. This randomized clinical trial study was conducted on patients with acute coronary syndrome admitted to the selected hospitals of Karaj, Iran, in 2014. In this study, 90 patients were selected purposively and randomly allocated in three groups of education (n=30), education/ telephone follow-up (n=30), and control (n=30). Data collection instrument was questionnaire. Data were gathered at baseline and 12 weeks after the intervention. Patients in educational groups (education, and education/ telephone follow-up groups) were trained before discharge using educational pamphlets. Telephone follow-up were implemented for education/ telephone follow-up group for 3 months; twice a week in the first six weeks and weekly in the second six weeks. The data was analyzed by descriptive and inferential statistics in SPSS version16.
Results. After intervention, there was a statistically significant difference between the groups in terms of adherence to treatment (P=0.001). Participants in the education/ telephone follow-up group and education group experienced more improvement in adherence to treatment than the control group.
Conclusion. Both patient education and education/ telephone follow-up have effect on improvement of adherence to treatment, but education/ telephone follow-up results in more improvement in adherence in comparison to education. It is recommended to implement education/ telephone follow-up for patients with acute coronary syndrome.
Farzaneh Mehrvarz, Shiva Khaleghparast, Majid Maleki, Dr. Ali Zahedmehr, Saeideh Mazloomzadeh, Bahram Mohebbi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study aimed to examine the effect of education about anti-platelet drugs consumption through telephone follow-up on medication adherence in patients with coronary angioplasty.
Background. Regarding the necessity of proper use of antiplatelet drugs after coronary angioplasty, adherence to treatment is of great importance, and it is considered as one of the major concerns.
Method. This quasi-experimental study was conducted on 392 patients with percutaneous coronary intervention. The patients were divided into two experimental (telephone fallow-up) and control (without telephone fallow-up) group for one year. Adherence to treatment was assessed using the Morisky Medication Adherence Scale before and after percutaneous coronary intervention. Data were analyzed using t-test, chi-square and linear regression model in SPSS software.
Findings. The mean age of patients was 61.71±10.28 years in the experimental group and 60.72±11.14 years in the control group. Changes in the mean score of medication adherence was 53.09±1.37 in the experimental group and 18.09±1.30 in the control group, indicating a statistically significant increase in medication adherence in the experimental group compared with the control group (P=0.001). Non-use of anticoagulants in the experimental group increased until the end of the sixth month of telephone follow-up and then, decreased until the end of the twelfth month of follow-up.
Conclusion. Since changes in the mean score of adherence to medication in the experimental and control groups was significant, it is recommended that follow-up interventions in patients be continued continuously for at least one year.
Shirin Madadkar Dehkordi,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The present study was conducted with the aim of examining the effect of multimedia education with the Leventhal model approach based on follow-up on understanding of patients with atrial fibrillation.
Background. One of the basic tools in changing the patient's perception of the disease is the existence of an educational program using modern teaching methods.
Methods. In this semi-experimental study, 48 patients with atrial fibrillation were randomly divided into intervention (24 people) and control (24 people) group in Kashani Shahrekord Hospital in 2022. In the intervention group, two virtual training sessions were held for patients through multimedia software (sound, video, image and animation) under the title of 4-hour training workshop on the date and time coordinated with the help of Adobe Connect program. There was no intervention in the control group. After the workshop, disease perception were measured using disease perception questionnaire. Data analysis was done using independent t and paired t tests in SPSS version 21.
Findings. There was no statistically significant difference in the mean score of disease perception between the two intervention and control group before the study, and the two groups were homogeneous. However, after implementation of the intervention, the mean score of disease perception was significantly difference between the groups (p≤0.0001).
Conclusion. Based on the results of the present study, patients with atrial fibrillation gained a better understanding of their disease after the educational intervention. Therefore, it is recommended to carry out educational interventions to improve the understanding of patients with atrial fibrillation.
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