Research code: A-12-3115-1
Ethics code: IR.UT.PSYEDU.REC.1400.050
Clinical trials code: IRCT20210307050608N1
1- University of Tehran
Abstract: (1489 Views)
Background and purpose: Coronary heart disease is one of the main causes of death and disability in the world. This disease is caused by the blockage of the coronary arteries, which causes a malfunction of the heart. The rate of this disease has increased by 20 to 25 percent in recent years in Iran. Coronary heart disease is caused by the accumulation of plaques in the heart arteries that provide blood for the normal functioning of the heart. Accumulation of plaques leads to the narrowing of the arteries of the heart and reduces the blood flow to the heart muscles, which causes malfunction of the heart. The significant increase in the incidence of heart diseases and their negative consequences for the individual and the family has forced many researchers and psychologists to try to invent and provide effective methods of treatment in this field. Health promotion is defined as the process of empowering people to exercise control over their health. Health-enhancing lifestyle is a model that consists of different dimensions and people's perceptions and behaviors that are carried out in order to improve health levels and achieve well-being. According to Walker et al., the ability of people to perform health-related behaviors that lead to lifestyle control is one of the goals of health promotion. One of the main concerns of health psychology is patients' adherence to treatment and self-care recommendations. In health promotion, adherence to drug therapy, changes in diet and physical activity are usually recommended as the primary focus of self-care behaviors. The purpose of the present study was to investigate the effectiveness of cardiac rehabilitation on self-care in men with coronary heart disease.
Method: The statistical population of this study consists of all men diagnosed with coronary heart disease, aged 40 to 65 years, who referred to Shahid Rajaei Cardiovascular Hospital in Tehran from October 2021 to February 2022 among them, 60 eligible volunteers were included in the study by purposive sampling method and were randomized into two experimental and control groups. The criteria for entering the present study include male gender, 40 to 65 years old, registration of the first and second doses of corona vaccination, percutaneous coronary intervention from October to March 2021, no congenital heart defects, no history of coronary artery bypass surgery, lack of artificial heart pacemaker in patients, lack of exercise prohibition by doctor, neuro-cognitive disorders and lack of compulsion to participate in phase one cardiac rehabilitation program during hospitalization. After obtaining permission from the hospital, the research was started by obtaining the informed consent of the participants and assuring the patients about the confidentiality of the research information in order to comply with ethical considerations and also to explain the intervention process. The research tool included Conn et al.'s (1991) Self-Care Behavior Questionnaire. To analyze the data, the method of variance analysis with repeated measurements, SPSS software and a significance level of 0.05 was used.
Findings: The results showed that cardiac rehabilitation for the experimental group had an increasing effect on the self-care of men with coronary artery disease (P<0.001). The average self-care score of men with coronary heart disease showed significant changes over time (P<0.001). The time*group interaction increased the self-care of men with coronary heart disease compared to the control group (P<0.001).
Conclusion: It was concluded that cardiac rehabilitation is effective on the self-care behavior of coronary artery disease patients. As a result of coronary heart disease health promotion, many patients survive after developing coronary heart disease and need optimal secondary prevention. One of the effective methods in secondary prevention is the cardiac rehabilitation program, which is also called cardiac rehabilitation. Cardiac rehabilitation includes a set of medical services including changing the patient's lifestyle towards a healthy lifestyle and programs to improve the health of patients, such as controlling cardiovascular risk factors, which ultimately increases their quality of life. The goal of this program is to accelerate recovery following an acute event and reduce the risk of recurrent events through structured prescribing, education, and modification of high-risk behaviors for patients.
Method: The statistical population of this study consists of all men diagnosed with coronary heart disease, aged 40 to 65 years, who referred to Shahid Rajaei Cardiovascular Hospital in Tehran from October 2021 to February 2022 among them, 60 eligible volunteers were included in the study by purposive sampling method and were randomized into two experimental and control groups. The criteria for entering the present study include male gender, 40 to 65 years old, registration of the first and second doses of corona vaccination, percutaneous coronary intervention from October to March 2021, no congenital heart defects, no history of coronary artery bypass surgery, lack of artificial heart pacemaker in patients, lack of exercise prohibition by doctor, neuro-cognitive disorders and lack of compulsion to participate in phase one cardiac rehabilitation program during hospitalization. After obtaining permission from the hospital, the research was started by obtaining the informed consent of the participants and assuring the patients about the confidentiality of the research information in order to comply with ethical considerations and also to explain the intervention process. The research tool included Conn et al.'s (1991) Self-Care Behavior Questionnaire. To analyze the data, the method of variance analysis with repeated measurements, SPSS software and a significance level of 0.05 was used.
Findings: The results showed that cardiac rehabilitation for the experimental group had an increasing effect on the self-care of men with coronary artery disease (P<0.001). The average self-care score of men with coronary heart disease showed significant changes over time (P<0.001). The time*group interaction increased the self-care of men with coronary heart disease compared to the control group (P<0.001).
Conclusion: It was concluded that cardiac rehabilitation is effective on the self-care behavior of coronary artery disease patients. As a result of coronary heart disease health promotion, many patients survive after developing coronary heart disease and need optimal secondary prevention. One of the effective methods in secondary prevention is the cardiac rehabilitation program, which is also called cardiac rehabilitation. Cardiac rehabilitation includes a set of medical services including changing the patient's lifestyle towards a healthy lifestyle and programs to improve the health of patients, such as controlling cardiovascular risk factors, which ultimately increases their quality of life. The goal of this program is to accelerate recovery following an acute event and reduce the risk of recurrent events through structured prescribing, education, and modification of high-risk behaviors for patients.
Type of Study: Original Research Article |
Subject:
Psychology
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