Volume 7, Issue 1 (2019)
Health Educ Health Promot 2019, 7(1): 15-20 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Majlessi F, Ghaffari R, Mohsenipouya H, Nesarhosseini V, Yazdani-Charati J, Naghibi S. Effect of Self-Care Education on Patients’ Quality of Life after Coronary Artery Bypass Graft Based on Pender’s Health Promotion Model. Health Educ Health Promot 2019; 7 (1) :15-20
URL: http://hehp.modares.ac.ir/article-5-20809-en.html
URL: http://hehp.modares.ac.ir/article-5-20809-en.html
1- Health Education & Promotion Department, Public Health Faculty, Tehran University of Medical Sciences, Tehran, Iran
2- Cardiac Surgery Department, Medicine Faculty, Mazandaran University of Medical Sciences, Sari, Iran
3- Health Education & Promotion Department, Nursing Faculty, Mazandaran University of Medical Sciences, Behshahr, Iran ,hosseinmohsenipouya@gmail.com
4- Cardiology Department, Cardiovascular Research Center, Mazandaran University of medical Sciences, Sari, Iran
5- “Health Science Research Center” and “Epidemiology & Biostatistics Department, Health Faculty”, Mazandaran University of Medical Science, Sari, Iran
6- “Health Sciences Research Center” and “Public Health Department, Health Faculty”, Mazandaran University of Medical Sciences, Sari, Iran
2- Cardiac Surgery Department, Medicine Faculty, Mazandaran University of Medical Sciences, Sari, Iran
3- Health Education & Promotion Department, Nursing Faculty, Mazandaran University of Medical Sciences, Behshahr, Iran ,
4- Cardiology Department, Cardiovascular Research Center, Mazandaran University of medical Sciences, Sari, Iran
5- “Health Science Research Center” and “Epidemiology & Biostatistics Department, Health Faculty”, Mazandaran University of Medical Science, Sari, Iran
6- “Health Sciences Research Center” and “Public Health Department, Health Faculty”, Mazandaran University of Medical Sciences, Sari, Iran
Abstract: (7758 Views)
Aims: Coronary artery bypass graft (CABG) with social isolation, treatment rejection, and negative perception of the health status of patients. One of the methods to detect these problems is evaluating the quality of life. This study aimed at determining the effect of self-care behavior education on quality of life of patients after CABG based on Pender’s health promotion model.
Materials & Methods: This semi-experimental was conducted on cardiac surgery candidates, who underwent CABG in the cardiac center hospital of Mazandaran, Iran in 2017. Subjects were selected and divided into two intervention and control groups, using block randomization.at 220 individuals (110 cases per group), and data were collected, using interviews with subjects, the self-care questionnaire based on Pender’s health promotion model in cardiac surgery candidates, and SF-36 quality of life questionnaire. Moreover, the patients were followed-up and trained for 3 and 6 months after the intervention.
Findings: In this research, ANOVA results demonstrated that the different structures of quality of life significantly changed at 3 periods, including before, 3, and 6 months after the intervention (p<0.001). Furthermore, the mean total score of quality of life was higher in the intervention group (56.244±1.474), compared to the control group (48.120±1.508) in all 3 periods.
Conclusion: According to the results of the study, it is recommended that the model designed and used in the current research be applied to perform healthcare behaviors, so that the quality of life of patients can be improved after cardiac surgery.
Materials & Methods: This semi-experimental was conducted on cardiac surgery candidates, who underwent CABG in the cardiac center hospital of Mazandaran, Iran in 2017. Subjects were selected and divided into two intervention and control groups, using block randomization.
Findings: In this research, ANOVA results demonstrated that the different structures of quality of life significantly changed at 3 periods, including before, 3, and 6 months after the intervention (p<0.001). Furthermore, the mean total score of quality of life was higher in the intervention group (56.244±1.474), compared to the control group (48.120±1.508) in all 3 periods.
Conclusion: According to the results of the study, it is recommended that the model designed and used in the current research be applied to perform healthcare behaviors, so that the quality of life of patients can be improved after cardiac surgery.
Article Type: Original Research |
Subject:
Quality of Life
Received: 2018/05/13 | Accepted: 2018/10/6 | Published: 2019/01/21
Received: 2018/05/13 | Accepted: 2018/10/6 | Published: 2019/01/21
References
1. Mohr FW, Morice MC, Kappetein AP, Feldman TE, Ståhle E, Colombo A, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet. 2013;381(9867):629-38. [Link] [DOI:10.1016/S0140-6736(13)60141-5]
2. Nair VV, Nair JTK, Das Sh, Singh KK, Kathayanat JT, Radhakrishnan R, et al. Lifestyle practices, health problems, and quality of life after coronary artery bypass grafting. Indian J Thorac Cardiovasc Surg. 2018;34(4):476-82. [Link] [DOI:10.1007/s12055-018-0671-x]
3. Smeltzer SCO, Bare BG, Hinkle JL, Cheever KH, editors. Brunner & Suddarth's textbook of medical-surgical nursing. 12th Edition. 1st Volume. Philadelphia: Lippincott Williams & Wilkins; 2010. [Link]
4. Darvish N, Ostovan MA, Askarian M. Adherence to practice guidelines for coronary artery bypass graft surgery in Shiraz, Iran. ARYA Atheroscler. 2015;11(6):370-3. [Link]
5. Moeini M, Davoodi V. Comparison of the social status of men and women after coronary artery bypass graft surgery. J Clin Nurs Midwifery. 2013;1(3):1-8. [Persian] [Link]
6. Kidd T, Poole L, Ronaldson A, Leigh E, Jahangiri M, Steptoe A. Attachment anxiety predicts depression and anxiety symptoms following coronary artery bypass graft surgery. Br J Health Psychol. 2016;21(4):796-811. [Link] [DOI:10.1111/bjhp.12191]
7. Evangelista LS, Lee JA, Moore AA, Motie M, Ghasemzadeh H, Sarrafzadeh M, et al. Examining the effects of remote monitoring systems on activation, self-care, and quality of life in older patients with chronic heart failure. J Cardiovasc Nurs. 2015;30(1):51-7. [Link] [DOI:10.1097/JCN.0000000000000110]
8. Jones CJ, Rose DJ. Physical activity instruction of older adults. 1st Edition. Champaign: Human Kinetics; 2005. [Link]
9. Bonomi AE, Patrick DL, Bushnell DM, Martin M. Validation of the United States' version of the world health organization quality of life (WHOQOL) instrument. J Clin Epidemiol. 2000;53(1):1-2. [Link] [DOI:10.1016/S0895-4356(99)00123-7]
10. Karimi M, Brazier J. Health, health-related quality of life, and quality of life: What is the difference?. Pharmacoeconomics. 2016;34(7):645-9. [Link] [DOI:10.1007/s40273-016-0389-9]
11. Höfer S, Benzer W, Schüßler G, Von Steinbüchel N, Oldridge NB. Health-related quality of life in patients with coronary artery disease treated for angina: Validity and reliability of German translations of two specific questionnaires. Qual Life Res. 2003;12(2):199-212. [Link] [DOI:10.1023/A:1022272620947]
12. Mohammadpour A, Rahmati Sharghi N, Khosravan S, Alami A, Akhond M. The effect of a supportive educational intervention developed based on the Orem's self‐care theory on the self‐care ability of patients with myocardial infarction: A randomised controlled trial. J Clin Nurs. 2015;24(11-12):1686-92. [Link] [DOI:10.1111/jocn.12775]
13. Keegan JP, Chan F, Ditchman N, Chiu CY. Predictive ability of pender's health promotion model for physical activity and exercise in people with spinal cord injuries: A hierarchical regression analysis. Rehabil Couns Bull. 2012;56(1):34-47. [Link] [DOI:10.1177/0034355212440732]
14. Ho AY, Berggren I, Dahlborg‐Lyckhage E. Diabetes empowerment related to Pender's Health Promotion Model: A meta‐synthesis. Nurs Health Sci. 2010;12(2):259-67. [Link] [DOI:10.1111/j.1442-2018.2010.00517.x]
15. Kuo PF, Yeh YT, Sheu SJ, Wang TF. Factors associated with future commitment and past history of human papilloma virus vaccination among female college students in northern Taiwan. J Gynecol Oncol. 2014;25(3):188-97. [Link] [DOI:10.3802/jgo.2014.25.3.188]
16. Babaee G, Keshavarz M, Hidarnia A, Shayegan M. Effect of a health education program on quality of life in patients undergoing coronary artery bypass surgery. Acta Med Iran. 2007;45(1):69-75. [Link]
17. Pepper J. Managing heart failure patients with multivessel disease-coronary artery bypass graft versus percutaneous coronary intervention. Card Fail Rev. 2015;1(2):118-22. [Link] [DOI:10.15420/cfr.2015.1.2.118]
18. Bak E, Marcisz C. Quality of life in elderly patients following coronary artery bypass grafting. Patient Prefer Adherence. 2014;8:289-99. [Link] [DOI:10.2147/PPA.S55483]
19. Mathisen L, Andersen MH, Veenstra M, Wahl AK, Hanestad BR, Fosse E. Quality of life can both influence and be an outcome of general health perceptions after heart surgery. Health Qual Life Outcomes. 2007;5(1):27-37. [Link] [DOI:10.1186/1477-7525-5-27]
20. Mohseni Pouya H, Majlessi F, Shojazadeh D, Rahimi Foroushani A, Ghaffari R, Habibi V. Development and psychometrics of self-care assessment scale in heart surgery patients based on health promotion model. Razi J Med Sci. 2016;23(150):11-9. [Persian] [Link]
21. Hunt JO, Hendrata MV, Myles PS. Quality of life 12 months after coronary artery bypass graft surgery. Heart Lung. 2000;29(6):401-11. [Link] [DOI:10.1067/mhl.2000.110578]
22. Lindsay GM, Hanlon WP, Smith LN, Belcher PR. Experience of cardiac rehabilitation after coronary artery surgery: Effects on health and risk factors. Int J Cardiol. 2003;87(1):67-73. [Link] [DOI:10.1016/S0167-5273(02)00208-5]
23. Seyam Sh, Hidarnia A, Tavafian S. Quality of life and factors related to it among cardiac patients after heart surgery. J Birjand Univ Med Sci. 2013;19(6):33-41. [Link]
24. Mirbagher Ajorpaz N, Kafaei Atrian M. The effect of self-care education on quality of life in unstable angina patients in Kashan Shahid Behashti Hospital. J Res Dev Nurs Midwifery. 2014;11(1):1-7. [Persian] 28- Xue Y, Sun Z, Hu P, Wang F, Zuo L, Chen Y. Effect of a comprehensive rehabilitation nursing program on patients undergoing elbow arthrolysis. Int J Clin Exp Med. 2018;11(5):5117-22. [Link]
25. Jaarsma T, Halfens R, Tan F, Abu-Saad HH, Dracup K, Diederiks J. Self-care and quality of life in patients with advanced heart failure: The effect of a supportive educational intervention. Heart Lung. 2000;29(5):319-30. [Link] [DOI:10.1067/mhl.2000.108323]
26. Ruo B, Rumsfeld JS, Hlatky MA, Liu H, Browner WS, Whooley MA. Depressive symptoms and health-related quality of life: The Heart and soul study. J Am Med Assoc. 2003;290(2):215-21. [Link] [DOI:10.1001/jama.290.2.215]
27. Parikh KS, Coles A, Schulte PJ, Kraus WE, Fleg JL, Keteyian SJ, et al. Relation of angina pectoris to outcomes, quality of life, and response to exercise training in patients with chronic heart failure (from HF-ACTION). Am J Cardiol. 2016;118(8):1211-6. [Link] [DOI:10.1016/j.amjcard.2016.07.040]
28. Xue Y, Sun Z, Hu P, Wang F, Zuo L, Chen Y. Effect of a comprehensive rehabilitation nursing program on patients undergoing elbow arthrolysis. Int J Clin Exp Med. 2018;11(5):5117-22. [Link]
29. Copeland L, McNamara R, Kelson M, Simpson S. Mechanisms of change within motivational interviewing in relation to health behaviors outcomes: A systematic review. Patient Educa Couns. 2015;98(4):401-11. [Link] [DOI:10.1016/j.pec.2014.11.022]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |