Key result
An educational program based on clinical practice protocols significantly improved treatment adherence, self-efficacy, and quality of life at 1 month in CABG patients compared to control.
Why the study?
Educating patients undergoing CABG before and after surgery is considered important for success, but the impact of an educational program based on a clinical practice protocol required determination.
Does an educational program based on clinical practice protocol improve treatment adherence, self-efficacy, and quality of life in patients undergoing CABG?
RCT (n=100)
randomly assigned
No
Does an educational program based on clinical practice protocol improve treatment adherence, self-efficacy, and quality of life in patients undergoing CABG?
An educational program based on clinical practice protocols significantly improves treatment adherence, self-efficacy, and quality of life in patients undergoing CABG.
Answers are grounded in this paper and cite their sources.
Supports integrating protocol-based education into post-CABG care; confirms short-term benefits via RCT.
BACKGROUND AND AIM: Educating the patients undergoing coronary artery bypass graft (CABG) before and after surgery is one of the most important factors for success in this surgery, as it improves their treatment adherence, self-efficacy, and quality of life. The aim of this study was to determine the impact of the educational program based on clinical practice protocol upon treatment adherence, self-efficacy, and quality of life of patients undergoing CABG surgery in Tehran, Iran, during the period 2021–2022. MATERIALS AND METHODS: This experimental study was conducted on 100 patients who were undergoing CABG and were hospitalized in a public hospital (Shahid Modarres Educational Hospital) in Tehran, Iran, in 2021–2022. Patients were randomly assigned to intervention ( n = 50) and control ( n = 50) groups. Four questionnaires (demographic–clinical questionnaire, Modanloo's adherence to treatment questionnaire, Sullivan's self-efficacy questionnaire, and McNew's quality of life questionnaire) were completed by both intervention and control groups before and 1 month after the educational intervention. The intervention group received an education program based on the clinical practice protocol. Data were analyzed using descriptive and inferential methods in Statistical Package for the Social Sciences (SPSS) 22 software. RESULTS: The results of the study showed that the intervention and control groups were similar in terms of demographic and clinical characteristics. The average scores of treatment adherence, self-efficacy, and quality of life 1 month after the intervention were significantly higher in the intervention group compared to the control group. Also, the average scores of treatment adherence, self-efficacy, and quality of life were significantly higher 1 month after the intervention than before in the intervention group ( P < 0.001). CONCLUSIONS: The results of this study showed that education program based on the clinical practice protocol can be effective and useful for increasing the level of treatment adherence, self-efficacy, and quality of life of patients undergoing CABG.
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Nourali et al. (2023) conducted an RCT in coronary artery bypass graft (CABG) surgery (n=100). educational program based on the clinical practice protocol vs. control group was evaluated on treatment adherence, self-efficacy, and quality of life (p=< 0.001). An educational program based on clinical practice protocols significantly improved treatment adherence, self-efficacy, and quality of life at 1 month in CABG patients compared to control.
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