Effects of a continuous care model on perceived quality of life of spouses of haemodialysis patients

Background: Self-management after myocardial infarction is fundamental to effective medical treatment. Objectives: The current study aimed to investigate the effects of applying the continuous care model on self-management of a sample of Iranian patients with post-myocardial infarction. Methods: Sixty hospitalized patients were randomly allocated into control (n = 30) and intervention (n = 30) groups. Before the intervention and at the end of it, self-management of both groups was evaluated by chronic disease self-management questionnaire. The continuous care model was performed for the intervention group for three months. The data were analyzed by SPSS version 16. In addition to descriptive statistical tests, Chi-square, the exact Fisher, Willcoxon and Mann-Whitney, and analysis of covariance (ANCOVA) tests were used. The significant level was set at P < 0.05. Results: There was no significant difference between the two groups in terms of sub-dimensions of self-management scores before the intervention (P > 0.05). At the end of the intervention, in all self-management sub-dimensions expect for shortness of breath, the status of intervention group improved significantly more than that of the control group (P < 0.005). Moreover, mean of changes in all sub-dimensions of self-management showed no significant difference, but fatigue and health care utilization between the two groups had significant difference. Conclusions: The continuous care model can be considered as a useful tool to improve patients' self-management after myocardial infarction.

show abstract

“…The CCM consists of four stages: (1) orientation, (2) sensitization, (3) control and (4) evaluation (14,15,17,18).…”

Section: Interventionmentioning

confidence: 99%

“…The main purpose of the CCM is to design a program that can effectively influence patients' attitude toward the disease, increase acceptance of treatment, and lead to proper performance for continuous care. This program is expected to be beneficial to control the disease and its potential complications (13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

Continuous Care Model and the Self-Management in Post-Myocardial Infarction Patients: A Randomized Controlled Trial

Akbari

Vagharseyyedin

Toba

et al. 2016

Jundishapur J Chronic Dis Care

View full text Add to dashboard Cite

show abstract

“…It was performed in 2016 in Baqiyatallah Allah (AS) hospital in Tehran. The sample size was calculated by using the standard deviation and mean value obtained from Rahimi's study (19). Considering a 20%, at least 32 patients were obtained.…”

Section: Methodsmentioning

confidence: 99%

Effect of Spiritual Care Based on Sound-Heart Consulting Model (SHCM) on Spiritual Health of Hemodialysis Patients

Mazandarani¹,

Asadzandi²,

Saffari³

et al. 2017

Crit Care Nurs J

View full text Add to dashboard Cite

Objectives: Anxiety and worry about the future, depression and grief caused by loss of health, along with: physical problems, decreased efficacy and self-confidence, and social isolation damage the spiritual health of hemodialysis patients. The aim of this study was to investigate the effect of spiritual care based on sound-heart consulting model on the spiritual well being of hemodialysis patients. Methods: In a semi-experimental study, in the dialysis department of Baqiyatallah hospital in Tehran, 38 patients under hemodialysis were selected according to the inclusion criteria. Regarding outpatient care, spiritual care was carried out in the form of spiritual counseling based on the sound-heart consulting model. During the 8 volunteering counseling sessions, spiritual skills were taught to improve the four-dimensional relationship (relationship with God, self, others, and the universe of nature) with an educational booklet. The spiritual health of patients with Alison's questionnaire was examined before intervention, immediately after counseling and 3 months later. Data were analyzed with descriptive statistics (mean, standard deviation) and inferential statistics (Chi-square, t-test, Fisher exact test, Friedman). The SPSS24 software was used. Results: At the beginning of the study, the level of spiritual well-being of patients was moderate (overall score of 59/93), however, after the implementation of spiritual care and 3 months after the completion of counseling, there was a significant increase in the existential health and total score of spiritual well-being (P < 0.001). Conclusions: Performing spiritual counseling based on the Sound Heart model, by training religious-based spiritual skills, is a good way to improve the level of spiritual well-being of patients and can be used as a community-based approach in a nursing educational-supportive system.

show abstract

“…The chronic and weakening nature of disease, the long-lasting and dynamic therapy and patients' actual and potential problems (Rahimi et al, 2006) show their need to support (Tayyebi et al, 2010). The findings indicated that self-transcendence will effect increase of self-care and the life quality of chronic patients (Jadid-Milani et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

The effect of peer support group on self-transcendence in patients undergoing haemodialysis

Milani¹,

Amiri²,

Vejdani³

et al. 2017

Biomed. Res. Ther.

View full text Add to dashboard Cite

Introduction: Self-transcendence helps patients undergoing haemodialysis to organize the variety of challenges caused by the disease in order to make them feel well. This study was conducted to determine the effect of counterpart group on improving selftranscendence level in patients undergoing haemodialysis. Materials and Methods: This clinical trial was conducted with two groups of intervention and control, with 55 patients undergoing hemodialysis. The samples were divided in 2 groups of intervention and control through block randomization. Two-hour counterpart group sessions were held for eight weeks for intervention group. The session's topics were based on the patients' needs and interests. Research tools were questionnaire, demographic information and "Reed's Self-Transcendence Scale (STS)". The descriptive and inferential statistics were used for data analysis using the SPSS v18. Results: There was a significant difference between self-transcendence scores in two groups of intervention and control (P<0.05). A significant increase in the level of self-transcendence in both groups was seen at the end of the study compared to basal status (P<0.05).

show abstract

Effects of a continuous care model on perceived quality of life of spouses of haemodialysis patients

Cited by 27 publications

References 12 publications

Continuous Care Model and the Self-Management in Post-Myocardial Infarction Patients: A Randomized Controlled Trial

Continuous Care Model and the Self-Management in Post-Myocardial Infarction Patients: A Randomized Controlled Trial

Effect of Spiritual Care Based on Sound-Heart Consulting Model (SHCM) on Spiritual Health of Hemodialysis Patients

The effect of peer support group on self-transcendence in patients undergoing haemodialysis

Contact Info

Product

Resources

About