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İlgin VE, Oral SE, Gürkan Z, Özer N. Effects of telephone nursing education and counselling on discharge satisfaction level and self-care strength of patients after coronary artery bypass grafting. ANZ J Surg 2024. [PMID: 39051496 DOI: 10.1111/ans.19175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2023] [Revised: 06/06/2024] [Accepted: 07/07/2024] [Indexed: 07/27/2024]
Abstract
BACKGROUND The aim of this study was to determine the effects of nursing education and counselling provided by telephone to individuals undergoing coronary artery bypass graft surgery on their discharge satisfaction levels and self-care power levels. METHOD The study was conducted using a randomized controlled experimental research model with a pre-test-post-test control group (30 individuals in the experiment group and 30 individuals in the control group). Routine nursing care was applied to the patients in the control group throughout their attendance, and no training or intervention was made after discharge. By contrast, in addition to routine nursing care, the for 4 weeks in the experimental group received nursing education and counselling services by phone in the post-discharge period. A 'Personal Information Form,' 'Discharge Training Satisfaction Scale,' and 'Self-Care Strength Scale,' which were prepared by the researchers and included the personal information of the patients, were used to collect the data. RESULTS The difference between the pre-test self-care power scale and discharge education satisfaction scale sub-dimensions of the groups and the mean score of the total score was not statistically significant. The post-test self-care power scale and discharge education satisfaction scale sub-dimensions and total score averages of the patients in the experimental group were higher than in the control group, and the difference between them was statistically significant (P <0.05). CONCLUSION The nursing education and counselling services given to the patients on the phone increased their self-care skill levels and discharge satisfaction levels.
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Affiliation(s)
- Vesile Eskici İlgin
- Faculty of Nursing, Department of Surgical Nursing, Atatürk University, Erzurum, Turkey
| | - Semra Erdağı Oral
- Faculty of Nursing, Department of Surgical Nursing, Kars University, Kars, Turkey
| | - Zeynep Gürkan
- Faculty of Health Sciences, Department of Surgical Nursing, Yüzüncü Yıl University, Van, Turkey
| | - Nadiye Özer
- Faculty of Nursing, Department of Surgical Nursing, Atatürk University, Erzurum, Turkey
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Shahabi N, Javdan G, Hosseini Z, Aghamolaei T, Ghanbarnejad A, Behzad A. A health promotion model-based intervention to enhance treatment adherence in patients with type 2 diabetes. BMC Public Health 2024; 24:1943. [PMID: 39030532 PMCID: PMC11264937 DOI: 10.1186/s12889-024-19452-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2024] [Accepted: 07/11/2024] [Indexed: 07/21/2024] Open
Abstract
BACKGROUND The present study aimed to determine the effect of an intervention based on Pender's health promotion model (HPM) on treatment adherence in patients with type 2 diabetes (T2D). METHODS The present quasi-experimental study with a 3-month follow-up was conducted in Bandar Abbas, a city in the south of Iran in 2023. The intervention group (IG) with a total number of 95 T2D patients was selected from Hormuz diabetes clinic and the control group (CG) with 95 T2D patients was selected from comprehensive health centers through a clustering sampling method. The educational intervention was implemented in 10 sessions to improve patients' treatment adherence. The teaching methods in training sessions were lectures, joint discussions, Q&A, role-play and peer training. The participants were evaluated using a researcher-made questionnaire including the constructs of Pender's HPM about T2D treatment adherence, hemoglobin A1C (HbA1C), and BMI. Independent-samples t-test, paired-samples t-test, covariance analysis and stepwise regression analysis were used. Data analysis was done in SPSS 26. FINDINGS Three months after the intervention, in comparison to the CG, the mean and standard deviation of treatment adherence benefits (p = 0.002), treatment adherence self-efficacy (p = 0.010), treatment adherence related affect (p = 0.001), interpersonal influences (p = 0.012), commitment to plan of action (p < 0.001), treatment adherence behavior (p = 0.022), treatment adherence experiences (p = 0.001) was higher in the IG. The mean and standard deviation of situational influences (p < 0.001), immediate competing demands and preferences (p = 0.018) were lower than the CG. The results obtained from the analysis of covariance proved the effectiveness of the intervention in the constructs of Pender's HPM and HbA1C in participants of the IG (p < 0.001). The regression analysis showed, after the intervention, for every 1 unit of change in commitment to behavior planning, action related affect and perceived self-efficacy, compared to before the intervention, there were 0.22 units, 0.16 units and 0.26 units of change in the behavior score in the IG. CONCLUSION The findings proved the effectiveness of the educational intervention in improving the constructs in Pender's HPM and the blood sugar level of T2D patients. As the results of the educational intervention showed, the use of a suitable educational approach as well as the development of appropriate educational content for the target population can significantly improve the treatment adherence behavior. TRIAL REGISTRATION This study is registered on the Iranian Registry of Clinical Trials (IRCT20211228053558N1: https://www.irct.ir/trial/61741 ) and first release date of 17th March 2022.
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Affiliation(s)
- Nahid Shahabi
- Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Gholamali Javdan
- Food Health Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Zahra Hosseini
- Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
| | - Teamur Aghamolaei
- Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Amin Ghanbarnejad
- Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Ahmad Behzad
- Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
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Javadzade H, Vahedparast H, Khodaminasab A, Tahmasebi R, Reisi M, Kiani J. The effect of web-based education on self-care behaviors in cardiovascular patients: application of the pender's health promotion model. Arch Public Health 2024; 82:64. [PMID: 38725040 PMCID: PMC11080192 DOI: 10.1186/s13690-024-01299-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Accepted: 04/29/2024] [Indexed: 05/12/2024] Open
Abstract
BACKGROUND Coronary artery disease is the most common cardiovascular disease, the mortality rate of which is increasing significantly. The most important way to prevent a second attack in patients undergoing angioplasty is self-care, which can be influenced by several factors such as the patient's beliefs. Thus, the present study aimed to determine the effect of a web-based intervention based on the Pender's health promotion model in patients with cardiovascular disease. METHODS The present clinical trial study was conducted with 99 patients undergoing angioplasty treatment referring to Bushehr Heart Specialist Center. Random sampling was done and the participants were divided into two groups (50 subjects in intervention group and 49 subjects in control group). The data collection tool was a three-part questionnaire (including demographic information, a researcher-made questionnaire based on the health promotion model constructs, and self-care behaviors), which was completed in three stages (before, two weeks, and three months after the intervention). In addition to routine hospital services, the intervention group received multimedia training based on the constructs of the Pender's health promotion model from the website. The control group received usual hospital services. Data were analyzed with chi-square, independent T-test and repeated measure ANOVA using SPSS-22 software. RESULTS The results showed that 2 weeks and 3 months after the intervention, the mean scores of perceived benefits, perceived self-efficacy and perceived social support had a significant increase in the intervention group compared to the control group, but the mean score of perceived barriers had a significant decrease in the intervention group (p < 0.001). Regarding self-care behaviors, after the intervention, the mean scores of self-care behaviors, physical activity, healthy diet, medication adherence and stress management had a significant increase in the intervention group compared to the control group (p < 0.001), but no significant was observed between the two groups in terms of changes in the non-smoking (p = 0.38). CONCLUSION The results of the study showed that the web-based educational intervention based on the health promotion model is useful in improving the self-care behaviors of cardiac patients undergoing angioplasty. Nursing education and care have a great role in improving the self-care behaviors of cardiovascular patients. TRIAL REGISTRATION Registration number: IRCT2017080635429N2. Registration date: 09/03/2017 ( https://en.irct.ir/trial/26775 ).
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Affiliation(s)
- Homamodin Javadzade
- Department of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Hakime Vahedparast
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Azime Khodaminasab
- Department of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, Iran.
| | - Rahim Tahmasebi
- Department of Epidemiology & Biostatistics, School of Health, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Mahnoush Reisi
- Department of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Jamile Kiani
- Clinical Research Development Center, Shohadaye-Khalije-Fars Hospital, Bushehr University of Medical Sciences, Bushehr, Iran
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Nourali N, Hosseini M, Ghasemi S, Nasiri M. The effect of educational program based on the clinical practice protocol on treatment adherence, self-efficacy and quality of life of patients undergoing coronary artery bypass graft surgery. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:323. [PMID: 38023072 PMCID: PMC10670874 DOI: 10.4103/jehp.jehp_1375_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Accepted: 11/18/2022] [Indexed: 12/01/2023]
Abstract
BACKGROUND AND AIM Educating the patients undergoing coronary artery bypass graft (CABG) before and after surgery is one of the most important factors for success in this surgery, as it improves their treatment adherence, self-efficacy, and quality of life. The aim of this study was to determine the impact of the educational program based on clinical practice protocol upon treatment adherence, self-efficacy, and quality of life of patients undergoing CABG surgery in Tehran, Iran, during the period 2021-2022. MATERIALS AND METHODS This experimental study was conducted on 100 patients who were undergoing CABG and were hospitalized in a public hospital (Shahid Modarres Educational Hospital) in Tehran, Iran, in 2021-2022. Patients were randomly assigned to intervention (n = 50) and control (n = 50) groups. Four questionnaires (demographic-clinical questionnaire, Modanloo's adherence to treatment questionnaire, Sullivan's self-efficacy questionnaire, and McNew's quality of life questionnaire) were completed by both intervention and control groups before and 1 month after the educational intervention. The intervention group received an education program based on the clinical practice protocol. Data were analyzed using descriptive and inferential methods in Statistical Package for the Social Sciences (SPSS) 22 software. RESULTS The results of the study showed that the intervention and control groups were similar in terms of demographic and clinical characteristics. The average scores of treatment adherence, self-efficacy, and quality of life 1 month after the intervention were significantly higher in the intervention group compared to the control group. Also, the average scores of treatment adherence, self-efficacy, and quality of life were significantly higher 1 month after the intervention than before in the intervention group (P < 0.001). CONCLUSIONS The results of this study showed that education program based on the clinical practice protocol can be effective and useful for increasing the level of treatment adherence, self-efficacy, and quality of life of patients undergoing CABG.
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Affiliation(s)
- Nastaran Nourali
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Meimanat Hosseini
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Saeed Ghasemi
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Malihe Nasiri
- Department of Basic Sciences, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Fecher-Jones I, Grimmett C, Edwards MR, Knight JS, Smith J, Leach H, Moyses H, Jack S, Grocott MPW, Levett DZH. Development and evaluation of a novel pre-operative surgery school and behavioural change intervention for patients undergoing elective major surgery: Fit-4-Surgery School. Anaesthesia 2021; 76:1207-1211. [PMID: 33538015 DOI: 10.1111/anae.15393] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/04/2020] [Indexed: 01/01/2023]
Abstract
Group pre-operative education has usually been limited to conditioning expectations and providing education. Prehabilitation has highlighted modifiable lifestyle factors that are amenable to change and may improve clinical outcomes. We instituted a pre-operative 'Fit-4-Surgery School' for patients scheduled for major surgery, to educate and promote healthy behaviour. We evaluated patients' views having attended the school, and after surgery we asked how it had changed their behaviour with a lifestyle questionnaire. The school was launched in May 2016 and was attended by 586/1017 (58%) of invited patients. Patients who did not attend: lived further away, median (IQR [range]) 8 (4-19 [0-123]) miles vs. 5 (3-14 [0-172]) miles, p < 0.001; and were more deprived, Index of Multiple Deprivation Rank decile median (IQR [range]), 6 (4-8 [1-10]) vs. 7 (4-9 [1-10]), p = 0.04. Of the 492/586 (84%) participants who completed an evaluation questionnaire, 462 (94%) would recommend the school to a friend having surgery and 296 (60%) planned lifestyle changes. After surgery, 232/586 (40%) completed a behavioural change questionnaire, 106 (46%) of whom reported changing at least one lifestyle factor, most commonly by increasing exercise. The pre-operative school was acceptable to patients.
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Affiliation(s)
- I Fecher-Jones
- Department of Peri-operative Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - C Grimmett
- School of Health Sciences, University of Southampton, Southampton, UK
| | - M R Edwards
- Department of Peri-operative Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - J S Knight
- Department of Colorectal Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - J Smith
- Department of Urological Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - H Leach
- Department of Prehabilitation Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - H Moyses
- NIHR Biomedical Research Centre, Southampton, UK
| | - S Jack
- Department of Prehabilitation Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - M P W Grocott
- Department of Anaesthesia and Critical Care Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - D Z H Levett
- Department of Peri-operative Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK
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Mosavi F, Aliakbari F, Rabiei L. Effect of education based on "PRECEDE" model on self-care behavior in hemodialysis patients. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2020; 9:69. [PMID: 32490004 PMCID: PMC7255572 DOI: 10.4103/jehp.jehp_534_19] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Accepted: 11/04/2019] [Indexed: 06/11/2023]
Abstract
BACKGROUND AND OBJECTIVE Patients undergoing hemodialysis due to multiple drug therapies, special diet plans, and need to acquire the ability to adapt to physical and mental disabilities require special monitoring. The PRECEDE-PROCEED model is a process for behavior change and can lead to the promotion of self-care behavior. The aim of this study was to evaluate the effect of a health promotion program based on the PRECEDE-PROCEED model on self-care behaviors in hemodialysis patients. METHODS This was a clinical trial study that was performed on 67 patients undergoing hemodialysis in Lordegan Hospital that has been distributed in two groups randomly. Data were collected using self-care assessment form according to the PRECEDE-PROCEED model. Based on the results of this questionnaire, five educational sessions were held in the fields of knowledge, attitude, enabling factors, reinforcement, and behavioral factors for the samples. Data were analyzed using descriptive and analytical statistics with SPSS version 21 software. RESULTS According to statistical analysis before intervention, no significant difference was observed between the mean scores of self-care among the two groups. However, instantly and 3 months after intervention, the mean score of self-care (P = 0/03), knowledge, attitude, reinforcement factors, and behavioral factors (P < 0.05) significantly increased in the experimental group. CONCLUSION Based on the results of this study PRECEDE-PROCESS model, the health promotion program increased the mean self-care score of hemodialysis patients. This program has been able to improve their self-care behaviors by changing knowledge, attitudes, and reinforcement and behavioral factors of patients and is recommending as an application in the nursing of these patients.
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Affiliation(s)
- Fariba Mosavi
- Community Oriented Research Center in Midwifery and Nursing Sciences, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Fatemeh Aliakbari
- Community Oriented Research Center in Midwifery and Nursing Sciences, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Leili Rabiei
- Health School, Shahrekord University of Medical Science, Shahrekord, Iran
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