The Effect of an Empowerment Program on the Perceived Risk and Physical Health of Patients With Coronary Artery Disease

Abstract

This study was conducted to assess the effect of an empowerment program on the perceived risk and physical health of patients with coronary artery disease. This randomized clinical trial recruited 84 patients with coronary artery disease admitted to post-cardiac care unit (CCU) wards in Tehran Heart Center in 2017. The study subjects were selected and assessed according to inclusion criteria and assigned to intervention and control groups by block randomization. Both groups completed questionnaires for demographic details and disease history, perceived risk in cardiac patients, and physical health. The Magic Empowerment Program was performed for the intervention group as 3 workshops on 3 successive days. Intervention continued after patients' discharge from the hospital through phone calls once a week for 8 weeks. The perceived risk in cardiac patients and physical health questionnaires were completed for both groups. Postintervention results showed significant differences between the 2 groups in total score of perceived risk (P = .001) and its subscales. The Empowerment Program changed patients' attitudes toward risk-motivating behavior change and improving physical health.

Nursing Interventions for Patient Empowerment During Intensive Care Unit Discharge: A Systematic Review

“…In four out of eight studies the main intervention was information and education for patients and relatives [31,33,34,36]. Various studies have demonstrated the importance of these issues [7,40], and have shown that, when they are lacking, it is more difficult for patients to participate actively during the transition [47].…”

“…Twenty-one full texts remained, which were assessed for eligibility leading to the exclusion of 13 studies due to wrong study design (n=7), wrong population (n=4), and wrong outcome (n=2). Eight articles were finally included [31][32][33][34][35][36][37][38].…”

“…Four studies were conducted in England [31,33,35,38], two in the USA [32,37], one in Iran [34], and one in Turkey [36]. Individual study characteristics including the study design, sample and setting, interventions and outcomes are summarized in Table 2.…”

“…The sample size ranged from 36 [33] to 1458 [35], and 1108 (46%) of patients received the nursing intervention. The patients' age included in the studies ranged between 54.6 ± 7.9 [34] and 60.4 ± 15.0 [35] in the nursing intervention group. A summary of patient characteristics is shown in Table 2.…”

“…The results of the quality assessment are shown in Figure 3. training programs or educational programs [31,33,36] for patients and family, and one an "magic empowerment program" with information and education [34] only for patients.…”