Key result
Self-care education improves post-CABG quality of life scores by ~8 points versus control.
Why the study?
CABG is often associated with social isolation, treatment rejection, and negative health perceptions, prompting evaluation of whether self-care education based on Pender's health promotion model improves quality of life.
Does self-care behavior education based on Pender's health promotion model improve quality of life in patients after CABG?
RCT (n=220)
block randomization
No
Does self-care behavior education based on Pender's health promotion model improve quality of life in patients after CABG?
Absolute Event Rate: 56.244% vs 48.12%
p-value: p=<0.001
Self-care education based on Pender's health promotion model significantly improves quality of life in patients following coronary artery bypass graft surgery.
Supports integrating Pender's model-based self-care education into post-CABG protocols; extends evidence for theory-driven interventions in cardiac recovery.
1] Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease ... [2] Lifestyle practices, health problems, and quality of life after coronary ... [3] Brunner & Suddarth's textbook of medical-surgical ... [4] Adherence to practice guidelines for coronary ... [5] Comparison of the social status of men and women after ... [6] Attachment anxiety predicts depression and anxiety symptoms following ... [7] Examining the effects of remote monitoring systems on ... [8] Physical activity instruction of ... [9] Validation of the United States' version of the world health organization ... [10] Health, health-related quality of life, and quality ... [11] Health-related quality of life in patients with coronary ... [12] The effect of a supportive educational intervention ... [13] Predictive ability of pender's health promotion ... [14] Diabetes empowerment related to Pender's Health ... [15] Factors associated with future commitment and ... [16] Effect of a health education program on quality ... [17] Managing heart failure patients with multivessel disease-coronary ... [18] Quality of life in elderly patients following coronary artery ... [19] Quality of life can both influence and be an outcome of general health perceptions after heart ... [20] Development and psychometrics of self-care assessment scale in heart surgery patients based on health ... [21] Quality of life 12 months after coronary artery bypass ... [22] Experience of cardiac rehabilitation after coronary artery surgery: Effects on health and risk ... [23] Quality of life and factors related to it among cardiac patients after heart ... [24] The effect of self-care education on quality of life in unstable angina patients in Kashan Shahid Behashti ... [25] Self-care and quality of life in patients with advanced heart failure: The effect of a supportive educational ... [26] Depressive symptoms and health-related quality of life: The Heart and soul ... [27] Relation of angina pectoris to outcomes, quality of life, and response to exercise training in patients with chronic ... [28] Effect of a comprehensive rehabilitation nursing program on patients undergoing ... [29] Mechanisms of change within motivational interviewing in relation to health behaviors outcomes ...Aims Coronary artery bypass graft (CABG) is often associated with social isolation, treatment rejection, and negative perception of the health status of patients.One of the methods to detect these problems is evaluating the quality of life.This study aimed at determining the effect of self-care behavior education on quality of life of patients after CABG based on Pender's health promotion model. Materials & MethodsThis semi-experimental was conducted on cardiac surgery candidates, who underwent CABG in the cardiac center hospital of Mazandaran, Iran in 2017.Subjects were selected and divided into two intervention and control groups, using block randomization.Sample size was estimated at 220 individuals (110 cases per group), and data were collected, using interviews with subjects, the self-care questionnaire based on Pender's health promotion model in cardiac surgery candidates, and SF-36 quality of life questionnaire.Moreover, the patients were followed-up and trained for 3 and 6 months after the intervention.Findings In this research, ANOVA results demonstrated that the different structures of quality of life significantly changed at 3 periods, including before, 3, and 6 months after the intervention (p<0.001).Furthermore, the mean total score of quality of life was higher in the intervention group (56.244±1.474),compared to the control group (48.120±1.508) in all 3 periods.Conclusion According to the results of the study, it is recommended that the model designed and used in the current research be applied to perform healthcare behaviors, so that the quality of life of patients can be improved after cardiac surgery.
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Majlessi et al. (2019) conducted an RCT in Coronary artery bypass graft (CABG) (n=220). Self-care behavior education based on Pender's health promotion model vs. Control group was evaluated on Quality of life (SF-36 questionnaire) (p=<0.001). Self-care behavior education based on Pender's health promotion model significantly improved quality of life scores compared to control (56.24 vs 48.12; p<0.001) in patients after CABG.
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