Key result
Family-centered empowerment program improves self-efficacy, self-esteem, and quality of life after pacemaker implantation.
Why the study?
The important role of family in caring for patients after pacemaker implantation motivated evaluation of a family-centered empowerment model on patients' activities of daily living.
Does a family-centered educational empowerment program improve quality of life, self-efficacy, and self-esteem in patients after pacemaker implantation?
RCT (n=70)
randomized
No
Does a family-centered educational empowerment program improve quality of life, self-efficacy, and self-esteem in patients after pacemaker implantation?
A family-centered empowerment program significantly improves self-efficacy, self-esteem, and quality of life in patients following pacemaker implantation.
Supports incorporating family-centered empowerment into post-pacemaker care; extends RCT evidence for psychosocial interventions in device recipients.
BACKGROUND: Cardiac problem causes changes in different aspects of life in patients, including their activities of daily living (ADL). Because of the important role of family in caring for patient after pacemaker implantation, this study was done to evaluate the effect of family-centered empowerment model on ADL of patient after pacemaker implantation. METHODS: This randomized clinical trial study was performed on 70 patients who underwent pacemaker implantation in Shahid Chamran Hospital, Isfahan, Iran. Patients and their family in the intervention group received educational program according to family-based empowerment program. The control group only received routine interventions. Data were collected using a valid specific quality of life (QOL) questionnaire and analyzed by SPSS software. RESULTS: Patient's self-efficacy, self-esteem, and personal QOL have been improved after the empowerment program compared with the baseline and the control group (P < 0.05 for all). CONCLUSION: The QOL in patients with pacemaker is relatively low. Similar to previous studies, family-centered empowerment model, due to participation of the patients and their families in education, learning, and taking care of the patients, could be an appropriate model to implement.
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Aliakbari et al. (2022) conducted an RCT in pacemaker implantation (n=70). family-centered empowerment program vs. routine interventions was evaluated on self-efficacy, self-esteem, and personal QOL (p=< 0.05). A family-centered empowerment program improved self-efficacy, self-esteem, and personal quality of life in patients after pacemaker implantation compared with routine care (P < 0.05 for all).
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