The of effect of partnership‑based education on adherence to the treatment plans in open heart surgery
نویسندگان
1 Department of Medical‑Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Australian Centre for Heart Health, Melbourne Australia, Faculty of Health, Deakin University, Geelong Australia, Honorary Professor, Centre on Behavioural Health, Hong Kong University, Hong Kong
3 Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran
4 Department of Critical Care Nursing, School of Nursing and Midwifery, Nursing and Midwifery Care Research Centre, Spiritual Health Group, Research Center of Quran, Hadith and Medicine, Tehran University of Medical Sciences, Tehran, Iran
5 Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Labbafinezhad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
doi
چکیده
BACKGROUND: Adherence to the treatment plans is one of the most effective conducts to preventand reduce postoperative side effects. Partnership‑based education is one of the most efficient ways toshape health behaviors. The aim of the present study was to determine the effect of partnership‑basededucation on adherence to the treatment plans in open heart surgery.MATERIALS AND METHODS: This quasi‑experimental study was conducted in 2019–2020 onthe patients undergoing open heart surgery in Tehran (Capital of Iran). Sampling was done in oneeducational hospital. A total of 86 patients and their caregivers participated in the study. Samplingwas done nonrandomly by tossing a coin, and patients were allocated into the odd week in theintervention group and the even week in the control group (n = 43 in each group), and data werecollected before and after intervention using the Treatment Adherence Questionnaire concerningdietary, physical activity, and medication aspects. The educational intervention was carried out afterthe pretest analysis in five 20–45 min sessions (two individual and three group educations). Datawere analyzed with Chi‑square, independent t‑test, and paired t‑test using SPSS 19 at a significancelevel of P < 0.05.RESULTS: Patients and caregivers in both groups did not have a significant difference in terms ofdemographic variables (P > 0. 05). In addition, there was no significant difference in the mean ofdietary, physical activity, and medication plans before the intervention in both groups; however, afterthe intervention, the mean of the three aspects in the intervention group was significantly higher thanthat of control (P < 0.001).CONCLUSION: Implementing partnership‑based education with participation of patients andcaregivers is influential in improving patients’ adherence to the treatment plans and it is recommendedas a clinical dynamic educational strategy.
