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Effect of Self-Care Education on Patients’ Quality of Life After Coronary Artery Bypass Graft Based on Pender’S Health Promotion Model Publisher



Majlessi F1 ; Ghaffari R2 ; Mohsenipouya H3 ; Nesarhosseini V4 ; Yazdanicharati J5 ; Naghibi S6
Authors
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Authors Affiliations
  1. 1. Health Education & Promotion Department, Public Health Faculty, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Cardiac Surgery Department, Medicine Faculty, Mazandaran University of Medical Sciences, Sari, Iran
  3. 3. Health Education & Promotion Department, Nursing Faculty, Mazan-daran University of Medical Sciences, Behshahr, Sari, Iran
  4. 4. Cardiology Department, Cardiovascular Research Center, Mazandaran University of medical Sciences, Sari, Iran
  5. 5. “Health Science Research Center� and “Epidemiology & Biostatistics Department, Health Faculty, Mazandaran University of Medical Science, Sari, Iran
  6. 6. “Health Sciences Research Center� and “Public Health Department, Health Faculty, Mazandaran University of Medical Sciences, Sari, Iran

Source: Health Education and Health Promotion Published:2019


Abstract

Aims Coronary artery bypass graft (CABG) is often associated 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. Sample size was estimated 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. © 2019, Tarbiat Modares University. All rights reserved.
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1. Predictors of Health-Promoting Behaviors in Coronary Artery Bypass Surgery Patients: An Application of Pender’S Health Promotion Model, Iranian Red Crescent Medical Journal (2016)
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