The Effect of an Educational Intervention based on Pender's Health Promotion Model on Treatment Adherence in the Patients with Coronary Artery Disease.
Coronary artery disease
Iran
health promotion
nursing
treatment adherence and compliance
Journal
Iranian journal of nursing and midwifery research
ISSN: 1735-9066
Titre abrégé: Iran J Nurs Midwifery Res
Pays: India
ID NLM: 101558775
Informations de publication
Date de publication:
Historique:
received:
16
05
2020
revised:
06
07
2020
accepted:
23
02
2021
entrez:
19
7
2021
pubmed:
20
7
2021
medline:
20
7
2021
Statut:
epublish
Résumé
Increasing of hospitalization rates of Coronary Artery Disease (CAD) management have created major challenge for the health system. Poor adherence to treatment is one of the main reasons for treatment failure, prolongation of treatment, and increase care costs. The aim of this research was to determine the effect of educational intervention based on Pender's Health Promotion Model (HPM) on adherence in patients with CAD. This randomized controlled clinical trial was held in an educational hospital in Isfahan, Iran, February 2018-May 2019. Data were collected from 64 patients with CAD, before, 1 and 3 months after the intervention. The instrument used included treatment adherence questionnaire and a checklist Pender's HPM. The study group received dietary, exercise, and medication education based on Pender's HPM in four sessions which were held in 4 weeks. The control group received the routine educational program of the hospital. The data was analyzed using descriptive statistics, repeated measures ANOVA, independent t, Chi-square, and Mann-Whitney tests via SPSS software. The mean score of treatment adherence was significantly different between two groups in one (z = 5.28, df = 2, Educational intervention based on Pender's HPM is more effective on treatment adherence than the routine method in the patients with CAD. It is recommended to integrate the Pender's HPM as a nursing care program for these patients.
Sections du résumé
BACKGROUND
BACKGROUND
Increasing of hospitalization rates of Coronary Artery Disease (CAD) management have created major challenge for the health system. Poor adherence to treatment is one of the main reasons for treatment failure, prolongation of treatment, and increase care costs. The aim of this research was to determine the effect of educational intervention based on Pender's Health Promotion Model (HPM) on adherence in patients with CAD.
MATERIALS AND METHODS
METHODS
This randomized controlled clinical trial was held in an educational hospital in Isfahan, Iran, February 2018-May 2019. Data were collected from 64 patients with CAD, before, 1 and 3 months after the intervention. The instrument used included treatment adherence questionnaire and a checklist Pender's HPM. The study group received dietary, exercise, and medication education based on Pender's HPM in four sessions which were held in 4 weeks. The control group received the routine educational program of the hospital. The data was analyzed using descriptive statistics, repeated measures ANOVA, independent t, Chi-square, and Mann-Whitney tests via SPSS software.
RESULTS
RESULTS
The mean score of treatment adherence was significantly different between two groups in one (z = 5.28, df = 2,
CONCLUSIONS
CONCLUSIONS
Educational intervention based on Pender's HPM is more effective on treatment adherence than the routine method in the patients with CAD. It is recommended to integrate the Pender's HPM as a nursing care program for these patients.
Identifiants
pubmed: 34277372
doi: 10.4103/ijnmr.IJNMR_53_20
pii: IJNMR-26-216
pmc: PMC8262536
doi:
Types de publication
Journal Article
Langues
eng
Pagination
216-222Informations de copyright
Copyright: © 2021 Iranian Journal of Nursing and Midwifery Research.
Déclaration de conflit d'intérêts
Nothing to declare.
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