{"title":"以家庭为导向的教育对急性心肌梗死患者自我护理行为的影响：随机临床试验","authors":"Zahra Molazem, Elham Taheri, Majid Najafi Kalyani","doi":"10.30476/IJCBNM.2023.99393.2299","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Proper self-care practices play a crucial role in the well being and longevity of patients with cardiovascular disease. To effectively engage in self-care, it is imperative for patients to receive adequate education and training on the self-care process. This study was conducted to determine the effect of family-oriented education (FOE) on the self-care behaviors of patients with acute myocardial infarction (AMI).</p><p><strong>Methods: </strong>In this randomized clinical trial study, 70 patients hospitalized in two hospitals in Shiraz during November 2021-April 2022 participated after the first AMI. Patients were randomly assigned into control (N=35) and intervention groups (N=35) based on random allocation. In the intervention group, an educational program was conducted for patients and active family members during three sessions of 45 to 60 minutes. The control group received routine care. Demographic information form and Self-Care Agency scale was completed by the patients before the educational intervention, one month, and two months after the educational intervention. Data analysis was done through SPSS 22 using Chi-square test, independent t-test, Fisher's exact, and Friedman test. P˂0.05 was considered as the statistical significance level.</p><p><strong>Results: </strong>There was no significant difference in self-care behaviors between the two groups before the intervention (P=0.71). The mean score of self-care behaviors in patients one month (P<0.001) and two months (P<0.001) after FOE in the intervention group showed a statistically significant difference with the control group. Also, the mean score of self-care behaviors two months after the education in the intervention group was significantly higher than before and one month after the intervention (P<0.001).</p><p><strong>Conclusion: </strong>Given the positive effect of FOE on self-care behaviors of patients with AMI, it is recommended that educational interventions related to the treatment plan of these patients with the participation of families should be conducted.<b>Trial Registration Number:</b> IRCT20211116053078N.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"12 1","pages":"13-22"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10844874/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of Family-oriented Education on Self-care behaviors of Patients with Acute Myocardial Infarction: A Randomized Clinical Trial.\",\"authors\":\"Zahra Molazem, Elham Taheri, Majid Najafi Kalyani\",\"doi\":\"10.30476/IJCBNM.2023.99393.2299\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Proper self-care practices play a crucial role in the well being and longevity of patients with cardiovascular disease. To effectively engage in self-care, it is imperative for patients to receive adequate education and training on the self-care process. This study was conducted to determine the effect of family-oriented education (FOE) on the self-care behaviors of patients with acute myocardial infarction (AMI).</p><p><strong>Methods: </strong>In this randomized clinical trial study, 70 patients hospitalized in two hospitals in Shiraz during November 2021-April 2022 participated after the first AMI. Patients were randomly assigned into control (N=35) and intervention groups (N=35) based on random allocation. In the intervention group, an educational program was conducted for patients and active family members during three sessions of 45 to 60 minutes. The control group received routine care. Demographic information form and Self-Care Agency scale was completed by the patients before the educational intervention, one month, and two months after the educational intervention. Data analysis was done through SPSS 22 using Chi-square test, independent t-test, Fisher's exact, and Friedman test. P˂0.05 was considered as the statistical significance level.</p><p><strong>Results: </strong>There was no significant difference in self-care behaviors between the two groups before the intervention (P=0.71). The mean score of self-care behaviors in patients one month (P<0.001) and two months (P<0.001) after FOE in the intervention group showed a statistically significant difference with the control group. Also, the mean score of self-care behaviors two months after the education in the intervention group was significantly higher than before and one month after the intervention (P<0.001).</p><p><strong>Conclusion: </strong>Given the positive effect of FOE on self-care behaviors of patients with AMI, it is recommended that educational interventions related to the treatment plan of these patients with the participation of families should be conducted.<b>Trial Registration Number:</b> IRCT20211116053078N.</p>\",\"PeriodicalId\":52139,\"journal\":{\"name\":\"International Journal of Community Based Nursing and Midwifery\",\"volume\":\"12 1\",\"pages\":\"13-22\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10844874/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Community Based Nursing and Midwifery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.30476/IJCBNM.2023.99393.2299\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Community Based Nursing and Midwifery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30476/IJCBNM.2023.99393.2299","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"Nursing","Score":null,"Total":0}
Effectiveness of Family-oriented Education on Self-care behaviors of Patients with Acute Myocardial Infarction: A Randomized Clinical Trial.
Background: Proper self-care practices play a crucial role in the well being and longevity of patients with cardiovascular disease. To effectively engage in self-care, it is imperative for patients to receive adequate education and training on the self-care process. This study was conducted to determine the effect of family-oriented education (FOE) on the self-care behaviors of patients with acute myocardial infarction (AMI).
Methods: In this randomized clinical trial study, 70 patients hospitalized in two hospitals in Shiraz during November 2021-April 2022 participated after the first AMI. Patients were randomly assigned into control (N=35) and intervention groups (N=35) based on random allocation. In the intervention group, an educational program was conducted for patients and active family members during three sessions of 45 to 60 minutes. The control group received routine care. Demographic information form and Self-Care Agency scale was completed by the patients before the educational intervention, one month, and two months after the educational intervention. Data analysis was done through SPSS 22 using Chi-square test, independent t-test, Fisher's exact, and Friedman test. P˂0.05 was considered as the statistical significance level.
Results: There was no significant difference in self-care behaviors between the two groups before the intervention (P=0.71). The mean score of self-care behaviors in patients one month (P<0.001) and two months (P<0.001) after FOE in the intervention group showed a statistically significant difference with the control group. Also, the mean score of self-care behaviors two months after the education in the intervention group was significantly higher than before and one month after the intervention (P<0.001).
Conclusion: Given the positive effect of FOE on self-care behaviors of patients with AMI, it is recommended that educational interventions related to the treatment plan of these patients with the participation of families should be conducted.Trial Registration Number: IRCT20211116053078N.
期刊介绍：
Aim and Scope: International Journal of Community Based Nursing and Midwifery (IJCBNM) is an international innovating peer-reviewed quarterly publication for Nurses, Midwives, related fields educators and researchers. The Journal accepts original contributions of interest to those involved in all aspects of community practice, quantitative and qualitative research and management. Manuscripts are publishable in the form of original article, review article, case report, letter to the editor, short communications, etc. The Journal invites health care specialist concerned with any of these areas to submit material on topics including, but not limited to: Health promotion & disease prevention in all stages of human life Home - health care Patient & client education Individual care in the context of family and community Health care delivery and health out come Continuity of care.
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