The effect of continuous care model on quality of life of patients after coronary angioplasty in Bou Ali Sina hospital

Document Type: Original Quantitative and Qualitative Research Paper

Authors

1 Assistant professor in Cardiovascular Medicine Department, School of medical, Qazvin University of Medical Sciences, Qazvin, Iran

2 Assistant Professor of Nursing, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran

3 Ms in critical care nursing, School of nursing and midwifery, Qazvin University of Medical sciences, Qazvin, Iran

4 Assistant professor in Biostatistics Department, School of medical, Qazvin University of Medical Sciences, Qazvin, Iran

Abstract

Background: Due to high prevalence of coronary artery disorders and increasing need for surgical interventions, especially angioplastic surgery, it is expected that the quality of life increases to an acceptable level with this surgery; although studies have shown an unremarkable development in this regard.
Aim: To determine the effect of continuous care model on the post-angioplasty patient’s quality of life.
Methods: This clinical trial study was performed in Bou Ali Sina hospital of Qazvin in 2012 on 93 candidates of angioplasty, which were divided into two groups entitled experiment and control with random allocations. Continuous care model was applied on the experiment group for period of two months. For data collection, demographic checklist and “MacNew quality of life” questionnaire in three stages were used .Data were analyzed with paired t-test, chi-square and repeated measure ANOVA.
Results: In the experiment group, the average score of the quality of life before the intervention was 126 ± 3.1, while it was 132 ± 3.05 after one month, and 147 ± 2.6 after two months. The same scores for the control group were114 ±3.7, 104 ± 3.6 and 110 ± 3.8, respectively. The average score in physical, emotional and social domains of the quality of life showed significant difference in the experience group (p<0.001).
Conclusion: The results confirmed the positive effect of applying continuous care model on the score of post-angioplasty patients’ quality of life.

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Main Subjects


  1. Jamshidi N, Abbaszadeh A, NajafiKalyani M, the Effects of Video Education on Comfort and Tolerability of Patients Undergoing Coronary Angiography. Iranian Journal of Nursing Research 2010;5(16):38-44 (Persian)
  2. HarissonTinsely Randolph. Harrisons Principles of Internal Medicine (Cardiovascular system) 2005.Translated by Mousavy M, Rahmany G and Salary A.Tehran: Samat. 2005:380
  3. Hatmi ZN, Tahvildari S, Gafarzadeh-Motlag A and Sabouri-Kashani A. Prevalence of Coronary Artery Disease Risk Factors in Iran: A population based survey. BMC Cardiovasc Disord. 2007; 7: 32. Published online Oct 30, 2007. doi:  10.1186/1471-2261-7-32
  4. http://behdasht.gov.ir/index.aspx?siteid=1&pageid=27467&newsview=16754&pro=nobak, Accessed Jul 9,2012
  5. Ahmadi F.Design and evaluation of continuous care model in control of coronary arteryproblems. Ph.D Dissertation, TarbiatModares University 2002 (Persian).
  6. Apostolakis E, Merkouris A, Pistolas D, Papagiannaki V, and Diakomopoulou E, Patiraki E. Quality of Life after Coronary Artery Bypasssurgery in Male Patients: 1 year follow up 2006.www.nursing.gr/cabg
  7. Buffon A, liuzzo G, Biasussi LM, etal. Preprocedural Serum Level of C - reactive protein Predict Early Complications and Late Restenosis after Coronary Angioplasty. J Am collcardiol 1999;34:1512-21
  8. L.Marino Paul٫The ICU Book٫Third edition 2007
  9. Lukkarinen H. Quality of life in Coronary Artery Disease. Nursing Research 1998;48:337-42
  10. The World Health Organization Quality of Life Assessment (WHOQoL). Development and General Psychometric Properties. Soc Sci Med Jun 1998;46(12):1569-85
  11.  Mi-Jeong K,  Doo Soo J, Hyeon-Cheol G, Soo-Joong K,  Kiyuk Ch,  Hyo-Soo K, Seung-Jea T. Health-Related Quality-of-Life after Percutaneous Coronary Intervention in Patients with UA/NSTEMI and STEMI. the Korean Multicenter Registry http://dx.doi.org/10.3346/jkms .2013.28.6.848 • J Korean Med Sci 2013; 28
  12. Sadeghi Sherme M, Razmjooei N, Ebadi A, Najafi Mehri S, Asadi-Lari M, Bozorgzad P.
    Effect of Applying Continuous Care Model on Quality of Life of Patients after Coronary Artery Bypassgraft. Iranian Journal of Critical Care Nursing 2009; 2(1):1-6 (Persian)
  13. Ghavami h, Ahmadi F, Meamarian R, Entezami h, FaghihZadeh S.
    Effectiveness of Applying Continuous Care Model on Diabetic Patients Body Mass Index and Weight. Ofogh-e-danesh, Journal of Gonabad University of Medical Sciences And Health Services 2006; 12(2):10-5 (Persian)
  14. SadeghiSherme M, AlaviZerang F, Ahmadi F, KarimiZarchi A, Babatabar H. D, Ebadi A. Effect of Applying Continuous Care Model on Quality of Life in Heart Failure Patients. Journal of Behavioral Sciences 2009;3 (1):3-4 (Persian)
  15. Rahimi A. Effect of Follow-up Care Model on Quality of Life Hemodialysis Patients. [Master Thesis]. Tehran: Tarbiat Modarres University; 2005 (Persian).
  16. Mehdizade S. Effect of Applying the Model to Followup Care on Quality of Life in Chemical Injured Patients with Obstructive Bronchiolitis [Master Thesis]. Tehran: Baqiyatallah University of Medical Sciences; 2008 (Persian).
  17. Hofer S, Lim L, Guyatt G, Oldridge N. The MacNewheart Disease Health-Related Quality of Life Instrument. Health QualLife Outcom 2004;2(3) Available from: http://www.hqlo.com doi:10.1186/1477-7525-2-3
  18. Jafari M. Validation of the Quality of Life MacNew Questionnaire for Cardiac Patients. [Dessetation]. Isfahan: Khorasgan University 2004 (Persian).
  19. Daskapan A, Hofer S, Oldridge N, Alkan N, Muderrisoglu H, Tuzun E. The Validity and Reliability of the Turkish Version of the MacNew Heart Disease Questionnaire in Patients with Angina. J Evalu Clin Practice 2008;14(2):209-13
  20. Bagheri H. Effects of Group Counseling Program Onquality of Life of Patients with Myocardial Infarction Referred to Clinics Affiliated to Tehran Medical Universities' Hospitals [Master Thesis]. Tehran: TarbiatModarres University 2001(Persian).
  21. Asadi-Lari M, Javadi H, Melville M, Martin R, Oldridge N, Gray D. Adaptation of the MacNew Quality of Life Questionnaire after Myocardial Infarction in an Iranianpopulation. Health Qual Life Outcom 2003; 1:23 Availablefrom: http://www.hqlo.com.
  22. Salar AR, Ahmadi F, FaghihZadeh S. Study of Effectiveness of Continuous Care Consultationon the Quality of Life of Elderly Clients. Tabibeshargh Journal 2004;5(4) (Persian)
  23. Ahmadi F, Ghofranpour F, Abedi HA, Arefi SH, Faghih-zadeh S. The Effect of Continuous Consultation Care Model on Rehospitalization and Chest Pain in Patients with Coronary Artery Disease. The Journal of Qazvin Univ. of Med. Sci 2005;35 (Persian)
  24. KhayamNekouei Z, Yousefy A, Manshaee Q. The Effect of Cognitive-Behavioral Therapy on the Improvement of Cardiac Patients' Life Quality. Iranian journal of Medical Education 2010; 10(2):148-54. (Persian)
  25. Furuya RK, Mata LR, Veras VS, Appoloni AH, Dantas RA, Silveira RC, Rossi LA. Original Research: Telephone Follow-Up for Patients After Myocardial Revascularization: a Systematic Review. Am J Nurs 2013 May;113(5):28-31
  26. Harkness K, Smith KM, Taraba L, Mackenzie CL, Gunn E, Arthur HM. Hamilton Health Sciences, Ontario, Canada. Effect of a Postoperative Telephone Intervention on Attendance at Intake for Cardiac Rehabilitation after Coronary Artery Bypass Graft Surgery Heart Lung.The Journal of Acute and Critical Care, 2005 May-Jun; 34(3):179-86