Key result
Telephone counseling boosts treatment adherence by ~83% vs routine care after PCI.
Why the study?
This study aimed to determine the effect of telephone counseling based on Orem's Self-Care Model on adherence to treatment and resilience of patients with coronary angioplasty.
Does telephone counseling based on Orem's self-care model improve adherence to treatment and resilience in post-PCI patients?
RCT (n=80)
Assessor-blinded
Block randomization
Yes
Does telephone counseling based on Orem's self-care model improve adherence to treatment and resilience in post-PCI patients?
Telephone counseling based on Orem's self-care model significantly improves treatment adherence and psychological resilience in patients recovering from percutaneous coronary intervention.
Answers are grounded in this paper and cite their sources.
Supports post-PCI adoption of Orem-based telephone counseling; extends RCT evidence for theory-driven self-care interventions.
BACKGROUND: This study aimed to determine the effect of telephone counseling based on Orem's Self-Care Model on adherence to treatment and resilience of patients with coronary angioplasty. METHODS: This randomized clinical trial was performed on 80 patients in the Cardiac Intensive Care Unit of Shiraz University of Medical Sciences. Patients were randomly divided into two groups of 40 (intervention and control). Questionnaires on adherence to treatment of chronic patients and resilience for patients with cardiovascular and respiratory diseases were filled out before and 8 weeks after the intervention. In the intervention group, the telephone call schedule consisted of three calls per week for 8 weeks. RESULTS: Before the intervention, no significant difference was found between the groups about adherence to treatment and resilience. However, after the intervention, a significant difference was found between the groups as to adherence to treatment and resilience (P < 0.001). CONCLUSION: Nursing consultation using telephone calls based on Orem's model increases the adherence to treatment and resilience of patients undergoing coronary angioplasty. Telephone counseling can help the patients adhere to their treatment plans and develop resilience skills.
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Rostami et al. (2023) conducted an RCT in Coronary angioplasty (post-PCI) (n=80). Telephone counseling based on Orem's Self-Care Model vs. Routine care (educational pamphlets and standard hospital care) was evaluated on Adherence to treatment score at 8 weeks (p=<0.001). Telephone counseling based on Orem's Self-Care Model significantly improved adherence to treatment (mean score 38.64 vs 21.13, p<0.001) in patients undergoing coronary angioplasty compared to routine care.
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