[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 4, Issue 1 (Military Caring Sciences 2017) ::
MCS 2017, 4(1): 39-48 Back to browse issues page
The Effect of the Collaborative Care Model Implementation on Quality of Life in Patients with Heart Diseases
Zare Shorakie. H1, Pishgooie. SAH 2, Zareian. A3 , Atashzade Shooride. F4
1- Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing.
2- Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Medical-Surgical Department.
3- Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Health Department.
4- Iran, Tehran,Shahid Beheshti University of Medical Sciences, Faculty of Nursing & Midwifery,Nursing Managment Department.
Abstract:   (8922 Views)

Introduction: Coronary heart disease is a chronic disease that requires long-term treatment, care and monitoring to prevent disease progression and its complications. The financial and social burdens of the disease in the society are too high to have made researchers look for effective solutions for reducing the side effects in order for patients to have qualitative lives. The aim of this study was to evaluate the effects of care model implementation so as to reduce the complications and improve the quality of life for these patients.

Materials and Methods: This study was a randomized clinical trial. The study population included 58 patients with coronary artery disease who were hospitalized in intensive care units of NAJA Vali-Asr and 502 AJA hospitals during February to June 2016. These patients were divided into intervention and control groups according to the inclusion criteria and the specific block method. Then, collaborative care model in the test group was administered for three months and Nottingham quality of life questionnaire was used to collect information. The data were analyzed with SPSS 22 software and independent t-test, t-test and Fisher›s exact test.

Results: Statistical analysis between the experimental and control groups showed no significant difference in demographic characteristics. Quality of life mean scores before the intervention were 141.59 ± 137.23 and 209.12 ± 144.52 in the experimental and control groups, respectively. Independent t-test showed no significant difference in quality of life between the two groups before the intervention (P = 0.073). However, the quality of life scores decreased in experimental and control groups (76.11 ± 80.97 and 167.78 ± 151.98 respectively), indicating a significant difference after three months of intervention (P < 0.05). Comparing the mean scores of four times of observation showed a significantly decreasing trend (P < 0.05) in both groups after the intervention. The significant difference in the level of effectiveness was average.

Discussion and Conclusion: Care models have important roles in enhancing the quality of care for patients, especially in chronic diseases. Collaborative care model is effective for the care of heart disease, and training of this model is recommended for critical care nurses.

Keywords: coronary artery disease, care model, collaboration, nursing, Iran
Full-Text [PDF 858 kb]   (2112 Downloads)    
Type of Study: Research | Subject: Special
Received: 2016/12/5 | Accepted: 2017/01/29 | Published: 2017/06/21
1. Lee Geraldine A. Coronary artery disease and quality of life: Center for International Rehabilitation Research Information and Exchange (CIRRIE); 2010 [cited 2016 7/8]. Available from: http://cirrie.buffalo.edu/encyclopedia/en/article/134.
2. Jaberi P, Baraz S, Beiranvand S, Makvandi M. A study on the quality of life in coronary artery bypass graft surgery patients. J Jundishapur Sci Med. 2014;13(5):545-55.
3. Katon WJ, Lin EH, Von Korff M, Ciechanowski P, Ludman EJ, Young B, et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363(27):2611-20. DOI: 10.1056/NEJMoa1003955 PMID: 21190455 [DOI] [PubMed]
4. Ziegelstein RC. Depression after myocardial infarction. J Cardiol Rev. 2001;9(1):45-51. DOI: 10.1097/00045415-200101000-00009 PMID: 11174915 [DOI] [PubMed]
5. Carvalho ALdO. Quality of Life in Patients with Multivessel Coronary Artery Disease: Ten-year Follow-up of a Comparison of Surgical, Angioplasty or Medical Strategies - MASS II Trial. J Clin Trials. 2014;04(02). DOI: 10.4172/2167-0870.1000159 [DOI]
6. Sadeghzadeh V. Improved quality of life with cardiac rehabilitation in post-myocardial infarction patients. J Int Res Appl Basic Sci. 2012;3(2):394-401.
7. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics--2013 update: a report from the American Heart Association. J Circulation. 2013;127(1):e6-e245. DOI: 10.1161/CIR.0b013e31828124ad PMID: 23239837
8. Beckie TM, Beckstead JW. The effects of a cardiac rehabilitation program tailored for women on their perceptions of health: a randomized clinical trial. J Cardiopulm Rehabil Prev. 2011;31(1):25-34. DOI: 10.1097/HCR.0b013e3181f68acc PMID: 21037482 [DOI] [PubMed]
9. Newman MC, Lawless JJ, Gelo F. Family-oriented patient care. Am Fam Physician. 2007;75(9):1306, 10. PMID: 17508523 [PubMed]
10. Vahedian Azimi A, Ebadi A, Saadat S, Ahmadi F. What is an appropriate nursing care model in critical care units: domestic or international models. J Int Med Rev. 2014;1(2).
11. Sadeghi Shermeh M, Alavi Zerang F, Ahmadi FE, Karimi ZA, Babatabar Darzi H, Ebadi A, et al. Effect of applying continuous care model on quality of life in heart failure patients. J Behav Sci. 2009;3(1):9-13.
12. Berra K, Miller NH, Jennings C. Nurse-based models for cardiovascular disease prevention: from research to clinical practice. J Cardiovasc Nurs. 2011;26(4 Suppl):S46-55. DOI: 10.1097/JCN.0b013e318213ef5c PMID: 21659813 [DOI] [PubMed]
13. Jennings BM. Care Models. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Advances in Patient Safety. Rockville (MD)2008.
14. Dubois CA, D'Amour D, Tchouaket E, Clarke S, Rivard M, Blais R. Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals. Int J Qual Health Care. 2013;25(2):110-7. DOI: 10.1093/intqhc/mzt019 PMID: 23422039 [DOI] [PubMed]
15. Pridmore JA, Murphy F, Williams A. Nursing models and contemporary nursing 2: can they raise standards of care? Nurs Times. 2010;106(24):22-5. PMID: 20642215 [PubMed]
16. Mohammadi E. Design and evaluation of partnership care model for high blood pressure. granded theory. Tehran: Tehran Tarbeiat Modares University; 2002.
17. Alamdarloo A, Hosseini M, Reza K, Noroozi K, Reza Soltani P, Mazki S. [The effect of collaborative care model on sleep quality of patients'undergoing Coronary Artery Bypass Graft Surgery]. Iranian J Rehabil Rec Nurs. 2015;1(4):49-59.
18. Nayyeri S, Golafrooz M, Sadaghi H, Amini S, Zarrabi L, Rakhshani M. [The effect of the partnership care model on the quality of sleep among patients with heart failure]. Q J Sabzevar Univ Med Sci. 2015;22(2):289-99.
19. Borhani F, Khoshab H, Abbaszadeh A, Rashidinejad H, Mohammadi E. Study of the effect of partnership care model on the quality of life in patients with heart failure. J Crit Care Nurs. 2012;5(1):43-8.
20. Najafi S, Vahedparast H, Hafezi S, Saghafi A, Farsi Z, Vahabi Y. Effect of self-care education on quality of life in patients suffering from myocardial infarction. Iranian J Crit Care Nurs. 2008;1(1):35-9.
21. O'Brien BJ, Banner NR, Gibson S, Yacoub MH. The Nottingham Health Profile as a measure of quality of life following combined heart and lung transplantation. J Epidemiol Community Health. 1988;42(3):232-4. PMID: 3150765 [PubMed]
22. Hunt SM, McKenna SP, McEwen J, Backett EM, Williams J, Papp E. A quantitative approach to perceived health status: a validation study. J Epidemiol Community Health. 1980;34(4):281-6. PMID: 7241028 [PubMed]
23. Dehdari T, Hashemifare T, Heidarnia A, Kazemnegad A. [Continuing impact of health education on quality of life in patients after coronary artery bypass surgery]. Med Sci J Islamic Azad Univ. 2005;15(1):41-6.
24. Unsar S, Sut N, Durna Z. Health-related quality of life in patients with coronary artery disease. J Cardiovasc Nurs. 2007;22(6):501-7. DOI: 10.1097/01.JCN.0000297382.91131.8d PMID: 18090192 [DOI] [PubMed]
25. Hao Y, Liu J, Liu J, Smith SC, Huo Y, Fonarow GC, et al. Quality of Care for Patients Hospitalized With Acute Coronary Syndrome in China: Findings From the Improving Care for Cardiovascular Disease in China (CCC) Project-Acute Coronary Syndrome Program. American Heart Association; 2016.
26. Ghasemi E, Mohammad Aliha J, Bastani F, Haghani H, Samiei N. Quality of life in women with coronary artery disease. Iran Red Crescent Med J. 2014;16(7):e10188. DOI: 10.5812/ircmj.10188 PMID: 25237559 [DOI] [PubMed]
27. Ghavidel F, Mohammadzadeh S, Pirasteh H, Alavi Majd H. Effect assessment of applying the partnership care model on quality of life in hemodialysis patients reffering to Be'sat Hospital of IRI Air Force. Ebnesina. 2009;12(2):22-7.
28. Chew-Graham CA, Lovell K, Roberts C, Baldwin R, Morley M, Burns A, et al. A randomised controlled trial to test the feasibility of a collaborative care model for the management of depression in older people. Br J Gen Pract. 2007;57(538):364-70. PMID: 17504586 [PubMed]
29. Lourenco LB, Rodrigues RC, Sao-Joao TM, Gallani MC, Cornelio ME. Quality of life of coronary artery disease patients after the implementation of planning strategies for medication adherence. Rev Lat Am Enfermagem. 2015;23(1):11-9. DOI: 10.1590/0104-1169.0144.2519 PMID: 25806626 [DOI] [PubMed]
30. Afrand M. Effect of Off-Pump Coronary Artery Bypass Surgery on Patients’ Quality of Life. Cardiol Res. 2014;5(1):30-7. DOI: 10.14740/cr326e [DOI]
31. Sadeghi Sherme M, Ghafori F, Tadrisi SD, Tayyebi A. The effect of follow-up care by telephone and short massage services on patient’s quality of life after cardiac valve replacement surgery. J Crit Care Nurs. 2013;6(1):65-72.
Send email to the article author

Add your comments about this article
Your username or Email:


XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

H Z S, SAH P, A Z, F A S. The Effect of the Collaborative Care Model Implementation on Quality of Life in Patients with Heart Diseases. MCS. 2017; 4 (1) :39-48
URL: http://mcs.ajaums.ac.ir/article-1-152-en.html

Volume 4, Issue 1 (Military Caring Sciences 2017) Back to browse issues page
مجله علوم مراقبتی نظامی Military Caring Sciences Journal
Persian site map - English site map - Created in 0.06 seconds with 30 queries by YEKTAWEB 4256