Key result
Family-centered home visits improve dietary and medication adherence vs routine care in ACS.
Why the study?
Dietary and medication regimen adherence after ACS is critical for preventing readmission and complications, prompting investigation into whether a family-centered self-care program based on home visits improves adherence.
Does a family-centered self-care program based on home visits improve dietary and medication regimen adherence in discharged patients with acute coronary syndrome?
RCT (n=80)
Random numbers table
No
Does a family-centered self-care program based on home visits improve dietary and medication regimen adherence in discharged patients with acute coronary syndrome?
Absolute Event Rate: 83.72% vs 70.3%
p-value: p=<0.001
A family-centered self-care program based on home visits significantly improves dietary and medication adherence in patients recently discharged after an acute coronary syndrome.
Supports family-centered home visits to enhance post-ACS adherence; extends RCT evidence for targeted self-care programs.
Background: Dietary and medication regimen adherence in patients with history of Acute Coronary Syndrome (ACS) is very important in preventing readmission and reducing the complications of the disease. The objective of the present study was to investigate the effect of the family-centered self-care program based on home visits dietary and medication regimen adherence in patients with ACS discharged from Shahid Chamran Hospital during 2017-2018. Materials and Methods: This clinical trial was conducted on 80 ACS patients. The samples by using the random numbers table, were randomly divided into control and experimental groups. The routine interventions were administered for the control group, and family-centered self-care was conducted on patients of the experiment group. In order to obtain the quantitative data of this study, three questionnaires were used including demographic characteristics, Morisky questionnaire, and dietary adherence. Results: The difference between the mean score of medication and diet regimen adherence in both groups before the intervention was not significant ( p > 0.05). data was demonstrated that scores of medication and diet regimen adherence were significantly higher immediately and 6 weeks after the intervention; (f = 64.06, p < 0.001). Conclusions: Family-centered self-care program based on home visits can be used as an effective method to increase the dietary and medication regimen adherence in ACS patients.
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Montazami et al. (2021) conducted an RCT in Acute Coronary Syndrome (ACS) (n=80). Family-centered self-care program based on home visits vs. Routine interventions was evaluated on Dietary regimen adherence score at 6 weeks post-intervention (p=<0.001). A family-centered self-care program based on home visits significantly improved dietary and medication regimen adherence scores at 6 weeks post-intervention compared to routine care in patients with acute coronary syndrome.
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