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:: Volume 6, Issue 2 (Military Caring Sciences 2019) ::
MCS 2019, 6(2): 81-91 Back to browse issues page
Effect of Cognitive-Social Based Care Program on Patient’s Compliance in Heart Valve Surgery in Selected Military Hospital
Mahboobifar. M1 , Zareiyan. A 2, Aliyari. SH3
1- MSc Student of Critical Care Nursing, Faculty of Nursing, Aja University of Medical Science, Tehran, Iran.
2- (Corresponding Author) Ph.D. in Nursing Education, Public Health Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.
3- Ph.D. in Curriculum Studies, Maternal & Newborn Health Department, Faculty of Nursing, Aja university of Medical Sciences, Tehran, Iran.
Abstract:   (463 Views)

Introduction: Controlling chronic diseases, such as heart disease, depends on the extent of adherence to the treatment. This is only possible with cooperation of patients and implementation of medical recommendations. The training in heart disease cause in achieving empowerment and patient compliance with diet therapy is desirable.
Objective: The present study aimed to determine the effect of cognitive-social based care program on adherence to treatment in patients undergoing heart valve surgery in military hospitals.
Materials and Methods: It is a semi-experimental study done on control group in a military hospital in Tehran. In the present study, thirty patients referring to the military hospitals were selected by non-random sampling method and divided into intervention and control groups through pseudo-randomization method. Data were collected by valid tools for adherence to treatment in chronic disease. The control group received only the usual care and the intervention group received a cognitive-social care program. Immediately after the intervention and twenty days later, data were recollected. Descriptive and inferential statistics were used to analyze the data using SPSS 16.
Results: In the present study, with regard to the adherence to treatment before the intervention in all areas of treatment, willingness to participate in treatment, compliance ability, combination of treatment with life, adherence to treatment, commitment to treatment and uncertainty about the treatment there was no significant difference between both groups based on independent t test(P>0/05). However, at the time of discharging and twenty days after that, differences in all areas were significant between the two groups (P<0/05). The results from the analysis of variance with repeated measures within the cases (F= (2.56) = 32.14 (P<0.001)) indicated that there was a significant difference in adherence to treatment with regard to time index at different stages. Analysis of variance with repeated measures between the cases with group index (F= (1.28) = 32.85 (P< 0.001)) showed that the effect of different times on treatment adherence in both groups was significantly different.
Discussion and Conclusion: The results of this study showed that the implementation of training based on cognitive-social theory of Bandura strain improves the treatment compliance in patients undergoing heart valve operation.


Keywords: Care Plan, Treatment Adherence, Valve Replacement.
Full-Text [PDF 696 kb]   (140 Downloads)    
Type of Study: Research | Subject: Special
Received: 2019/05/13 | Accepted: 2019/07/2 | Published: 2019/11/1
1. Venkitachalam L, Wang K, Porath A, Corbalan R, Hirsch AT, Cohen DJ, et al. Global variation in the prevalence of elevated cholesterol in outpatients with established vascular disease or 3 cardiovascular risk factors according to national indices of economic development and health system performance. Circulation. 2012;125(15):1858-69. DOI: 10.1161/CIRCULATIONAHA.111.064378 PMID: 22492667 [DOI]
2. Organization WH. Global Nutrition Policy Review 2016–2017 WHO; 2018.
3. Shabani R, Gaeini AA, Nikoo MR, Nikbackt H, Sadegifar M. Effect of cardiac rehabilitation program on exercise capacity in women undergoing coronary artery bypass graft in hamadan-iran. Int J Prev Med. 2010;1(4):247-51. PMID: 21566780 [PubMed]
4. Demirbag R, Sade LE, Aydin M, Bozkurt A, Acarturk E. The Turkish registry of heart valve disease. Turk Kardiyol Dern Ars. 2013;41(1):1-10. DOI: 10.5543/tkda.2013.71430 PMID: 23518931 [DOI] [PubMed]
5. Sedrakyan A, Vaccarino V, Paltiel AD, Elefteriades JA, Mattera JA, Roumanis SA, et al. Age does not limit quality of life improvement in cardiac valve surgery. J American College of Cardiology. 2003;42(7):1208-14. DOI: 10.1016/s0735-1097(03)00949-5 [DOI]
6. Yaman Y, Bulut H. Evaluation of discharge training given to patients who have undergone heart valve replacement. Turk J Thoracic Cardiovascular Surg. 2010;18(4):277-83.
7. Abedini F, Zareiyan A, Alhani F, Timori F. The Implementation of Family-Centered Empowerment Model on the Empowerment Parameters of Patients With Prosthetic Heart Valves. Military Caring Sciences. 2016;3(3):174-83. DOI: 10.18869/acadpub.mcs.3.3.174 [DOI]
8. Rezai Asl H, Seyyed Mazhari M, Pishgooi S, Alhani F. The Effectiveness of “Family-Centered Empowerment Model” on the Treatment Adherence of Patients with Type II Diabetes and Heart Disorder Admitted to AJA Hospitals, During Year 2015. Military Caring Sciences. 2017;4(1):58-69. DOI: 10.29252/mcs.4.1.58 [DOI]
9. Poshtchaman Z, Jadid Milan M, Atashzadeh SF, Akbarzadeh Bagheban A. The effect of two ways of using the phone and SMS follow-up care on treatment adherence in Coronary Artery Bypass Graft patients. 2014.
10. Heshmati R. Structural Relationships among Functional Status, Health Beliefs and BMI in Patients with CAD: The Mediator Role of Cardiac Self-Efficacy. J Health and Care. 2016;18(3):191-206.
11. Kooshyar H, Shoorvazi M, Dalir Z, Hosseini M. Health literacy and its relationship with medical adherence and health-related quality of life in diabetic community-residing elderly. J Mazandaran Univ of Med Sci. 2014;23(1):134-43.
12. Zakerimoghadam M, Ebrahimi S, Haghani H. The effect of self-management program after discharging on therapeutic adherence in patient with ischemic heart disease. Iranian J Nursing Res. 2016;11(1):17-24.
13. Mousavizadeh S, Ashktorab T, Ahmadi F, Zandi M. Evaluation of barriers to adherence to therapy in patients with diabetes. Quarterly J Diabetes Nursing. 2016;4:94-108.
14. Hergenan E. Theories of learning. Tehran: Publications of Doran; 2010.
15. kadivar P. Psychology of education. Tehran: Publication of Samt; 2008.
16. Javidi kalate J, Abadi T, Maedani S, Razavi B. The Cognitive Theory of Bandura's Social Learning and its Educational Arguments. The First National Conference on Cognitive Science Findings in Education; Mashhad Ferdowsi University 2012.
17. Behnam Vashani H, Hekmati Pour N, Vaghee S, Asghari Nekah S. Effect of Storytelling on Self-Efficacy in Children with Thalassemia: Application of Bandura s Social Cognitive Theory. J Health and Care. 2015;17(3):230-9.
18. Amini Moridani M, Tol A, Sadeghi R, Mohebbi B, Azam K. Assessing the effect of family-based intervention education program on perceived social support among older adults with type 2 diabetes: Application of social cognitive theory. J Nursing Education. 2015;4(3):30-40.
19. Baljani E, Rahimi J, Amanpour E, Salimi S, Parkhashjoo M. Effects of a Nursing Intervention on Improving Self-Efficacy and Reducing Cardiovascular Risk Factors in Patients with Cardiovascular Diseases. Hayat. 2011;17(1).
20. Modanloo M. Development and psychometric tools adherence of treatment in patients with chronic. Iran: Iran university. 2013.
21. Ahn S, Song R, Choi SW. Effects of Self-care Health Behaviors on Quality of Life Mediated by Cardiovascular Risk Factors Among Individuals with Coronary Artery Disease: A Structural Equation Modeling Approach. Asian Nurs Res (Korean Soc Nurs Sci). 2016;10(2):158-63. DOI: 10.1016/j.anr.2016.03.004 PMID: 27349674 [DOI] [PubMed]
22. Abolhasani S, Doosti Irani M, Haghani F. Application of learning theories in clinical education. Iranian J of Med Education. 2012;11(9):1290-8.
23. Association WM. World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Bulletin of the World Health Organization. 2001;79(4):373.
24. Sedri N, Asadi Noughabi A, Zolfaghari M, Haghani H, Tavan A. Comparison of the effect of two types of short message service (interactive and non-interactive) on anticoagulant adherence of patients with prosthetic heart valves. Journal of Nursing Education. 2014;2(4):1-11.
25. Golshahi J, Ahmadzadeh H, Sadeghi M, Mohammadifard N, Pourmoghaddas A. Effect of self-care education on lifestyle modification, medication adherence and blood pressure in hypertensive adults: Randomized controlled clinical trial. Adv Biomed Res. 2015;4:204. DOI: 10.4103/2277-9175.166140 PMID: 26601092 [DOI] [PubMed]
26. Polsook R, Aungsuroch Y, Thongvichean T. The effect of self-efficacy enhancement program on medication adherence among post-acute myocardial infarction. Appl Nurs Res. 2016;32:67-72. DOI: 10.1016/j.apnr.2016.05.002 PMID: 27969054 [DOI] [PubMed]
27. Schultz D, Schultz S. Personality Theories. Tehran2010.
28. 28. Schultz DP, Schultz SE. Personality Theories. Yahya SM, editor. Tehran 2010.
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M M, A Z, SH A. Effect of Cognitive-Social Based Care Program on Patient’s Compliance in Heart Valve Surgery in Selected Military Hospital. MCS. 2019; 6 (2) :81-91
URL: http://mcs.ajaums.ac.ir/article-1-270-en.html

Volume 6, Issue 2 (Military Caring Sciences 2019) Back to browse issues page
مجله علوم مراقبتی نظامی Military Caring Sciences Journal
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