The effect of education and telephone follow‐up intervention based on the Roy Adaptation Model after myocardial infarction: randomised controlled trial

Abstract

Background Patients’ lifestyle changes after myocardial infarction reduce the risk of infarction. Nursing interventions are important for the initiation and maintenance of lifestyle adaptation. Aim The aim of this study was to evaluate the effect of education and telephone follow‐up intervention based on the Roy Adaptation Model for improving myocardial infarction patients’ self‐efficacy, quality of life and lifestyle adaptation. Method In this parallel, randomised controlled trial, patients were randomly allocated to a control group or an intervention group (n = 33/group). The control group received routine care, while the intervention group received routine care plus a telephone follow‐up intervention, which consisted of a predischarge education programme and three telephone follow‐up sessions. Data were collected before discharge, in the 12th week after discharge between April 2016 and August 2017. All outcomes were assessed at baseline and at 12 weeks, and included quality of life, coping adaptation process, self‐efficacy and lifestyle changes. The CONSORT checklist was used in the study. Results In the 12th week after discharge, patients in the intervention group had significant improvements in self‐efficacy, quality of life and coping adaptation process compared with the control group. The intervention group also had more adaptation lifestyle changes concerning patients nutrition and physical activity in the 12‐week follow‐up. Conclusion This study demonstrated that education and telephone follow‐up intervention based on Roy Adaptation Model was had positive and significant results after 12 weeks compared with usual care. The findings of this study are important for supporting nursing practice and health professionals who care for individuals with myocardial infarction to develop nursing care.

The effects of nursing of Roy adaptation model on the elderly hypertensive: a randomised control study

“…The observation groups blood pressure control compliance rate (85.4%) was also significantly higher than the control groups (64.6%) (P<0.05), and their physiological function, physiological competency, physical pain, energy, social function, emotional function, mental health scores, and total score in the quality-of-life scale were all higher than the control group (P<0.05). Moreover, the effect was better than conventional nursing methods, which is in line with the results of previous studies (23,24). However, the comparison of scores between the groups in the general health status dimension was not statistically significant (P>0.05) may require further research.…”

Educational Intervention on Self Efficacy among Postoperative Fracture: A Literature Review

“…During the healing process, the patient's feelings are monitored through distance education using the telephone three times in patients with myocardial infarction. (17). The same study was conducted on patients with Rheumatoid Arthritis by monitoring their emotions four times (18).…”

“…After that, a discussion session by telephone was held in the first, third, and eighth weeks. In this telephone discussion, what language constitutes an obstacle and contributes to disease, and the researcher directs actions that can be taken to improve the patient's healing process (17).…”

Healthy nutrition in secondary prevention after myocardial infarction. What to focus on?

“…Для улучшения немедикаментозного комплаенса пациентов внедряются инновационные системы патронажа и интерактивных визитов, позволяющих улучшать адаптацию пациента к модифицированному пищевому режиму в течение 12 нед. после ИМ посредствам дистанционного обучения, психологической помощи и контроля [37]. Регистр Via Crucis на основании анализа медицинских карт показал, что повышением образовательного уровня в области правильного питания у пациентов после ИМ чаще занимаются работники частной медицинской практики, чем государственной системы здравоохранения (48,6 vs 13,2%, p<0,001), что требует оптимизации подходов к вторичной профилактике в условиях государственной медицины [38].…”