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:: Volume 3, Issue 3 (Military Caring Sciences 2016) ::
MCS 2016, 3(3): 174-183 Back to browse issues page
The Implementation of Family-Centered Empowerment Model on the Empowerment Parameters of Patients With Prosthetic Heart Valves
Abedini. F1, Zareiyan. A 2, Alhani. F3, Teimouri. F4
1- AJA University of Medical Sciences, Faculty of Nursing.
2- AJA University of Medical Sciences, Faculty of Nursing, Health Department.
3- Tarbiat Modares University, Faculty Medical, Nursing Department.
4- AJA University of Medical Sciences, Faculty of Nursing, Pediatric Department.
Abstract:   (12801 Views)

Introduction: After heart surgery, patients are at risk of multiple problems and concerns. It is essential to prepare them to continue living with the chronic nature of the disease. Empowerment is one of functional and low-cost methods.

Objectives: The aim of this study was to assess the effect of family-centered empowerment model on empowerment parameters in patients with artificial heart valves.

Materials and Methods: This clinical trial study was done during year 2015. After the patient was transferred from the Intensive Care Unit (ICU) , the test group and control group were selected by the available sampling method. For the test group, the family-centered empowerment model was performed in four steps: threat perceived, self-efficacy, self-esteem and evaluation through group training, group problem solving and educational participation during three to five sessions. Educational cards and booklets were provided for the cases and an active member of their family. The control group received routine care. Patient capability indexes (threat perceived, self-efficacy and self-esteem) was evaluated before, immediately after the intervention and one and half months after the intervention. The data was analyzed by SPSS version 23 software.

Results: Both groups were similar before the intervention in terms of demographic variables. The level of empowerment of the two groups before the intervention, in all three areas was not significantly different, but after the intervention, the test group’s level of empowerment was significantly improved in all three areas (P<0.05). After one and half months the ability was not only stable but had also increased.

Discussion and Conclusion: Based on the findings, implementation of the model and nursing interventions as part of the family-centered empowerment model improved the empowerment parameters of patients with prosthetic heart valve.

Keywords: Artificial Heart Valves, Family-centered Empowerment Model, Indicators of Empowerment and Nursing.
Full-Text [PDF 328 kb]   (2374 Downloads)    
Type of Study: Research | Subject: Special
Received: 2016/07/18 | Accepted: 2016/09/6 | Published: 2016/12/21
1. Wang LW, Ou SH, Tsai CS, Chang YC, Kao CW. Multimedia Exercise Training Program Improves Distance Walked, Heart Rate Recovery, and Self-efficacy in Cardiac Surgery Patients. J Cardiovasc Nurs. 2016;31(4):343-9. DOI: 10.1097/JCN.0000000000000246 PMID: 25774840 [DOI] [PubMed]
2. Dickson VV, Nocella J, Yoon HW, Hammer M, Melkus GD, Chyun D. Cardiovascular disease self-care interventions. Nurs Res Pract. 2013;2013:407608. DOI: 10.1155/2013/407608 PMID: 24223305 [DOI] [PubMed]
3. Samiei N, Hakimi MR, Mirmesdagh Y, Peighambari MM, Alizadeh-Ghavidel A, Hosseini S. Surgical outcomes of heart valves replacement: A study of tertiary specialied cardiac center. ARYA Atheroscler. 2014;10(5):233-7. PMID: 25477979 [PubMed]
4. Thomson Mangnall LJ, Gallagher RD, Sibbritt DW, Fry MM. Health-related quality of life of patients after mechanical valve replacement surgery: an integrative review. Eur J Cardiovasc Nurs. 2015;14(1):16-25. DOI: 10.1177/1474515114528126 PMID: 24634389 [DOI] [PubMed]
5. Mann DL, Zipes DP, Libby P, Bonow RO. Braunwald's heart disease: a textbook of cardiovascular medicine: Elsevier Health Sciences; 2014.
6. Naso F, Gerosa G. Implications of alpha-gal epitopes in bioprosthetic heart valve degeneration. Exp Clin Cardiol. 2014;20(6):145-50.
7. Taghadosi M, Memarian R, Ahmadi F. The Experiences of “Difficult Life” in Heart Valve Replaced Patients. Iranian Red Crescent Medical Journal. 2014;16(8). DOI: 10.5812/ircmj.19147 [DOI]
8. Taghadosi M, Memarian R, Ahmadi F. Experiences of warfarin use among cardiac valve-replaced patients in Iran. J Crit Care Nurs. 2014;6(4):207-16.
9. Lapum JL, Fredericks S, Liu L, Yau TM, Retta B, Jones VM, et al. Facilitators and Barriers of Heart Surgery Discharge: Patients' and Nurses' Narrative Accounts. J Cardiovasc Nurs. 2016;31(4):350-6. DOI: 10.1097/JCN.0000000000000253 PMID: 25774842 [DOI] [PubMed]
10. Veronovici NR, Lasiuk GC, Rempel GR, Norris CM. Discharge education to promote self-management following cardiovascular surgery: an integrative review. Eur J Cardiovasc Nurs. 2014;13(1):22-31. DOI: 10.1177/1474515113504863 PMID: 24042728 [DOI] [PubMed]
11. Vahedian Azimi A, Alhani F, Ahmadi F, Kazemnejad A. Effect of family-centered empowerment model on the life style of myocardial infarction patients. J Crit Care Nurs. 2010;2(4):1-2.
12. Roshan SN, Navipor H, Alhani F. Effect of family-centered empowerment model (FCEM) on quality of life of mothers having teenagers with iron deficiency anemia. J Nurs Educ. 2014;3(2):27-40.
13. Alhani F. Desining of family based empowering model and evaluation of its effect on prevention of Iron deficiency anemia in teenager garls Thran: Tarbiat Modarss University; 2003.
14. Baljani E, Salimi S, Rahimi J, Amanpour E, Parkhashjou M, Sharifnejad A, et al. The effect of education on promoting self efficacy in patients with cardiovascular disease. J Kermanshah Univ Med Sci. 2012;16(3):227-35.
15. Sahebzamani M, Fesharaki M, Abdollahi Mofrad Z. Association of life style and self-esteem among adolescent girls of daily public high schools of Tehran. Med Sci J Islamic Azad Univ. 2010;20(1):45-51.
16. Alhani F, Niknami S-D, Kimiagar S, Anoushirvan k, AR H. Family-centered empowerment model and assess its effect on the prevention of iron deficiency anemia in adolescent girls. Pajoohandeh. 2003;8(4):9-15.
17. Allahyari A, Alhany F, Kazemnejad A. The effect of family-centered empowerment model on the quality of Life of school-age B-thalassemic children. Iranian J Pediatr. 2006;16(4):455-61.
18. Mhmmodi Rad G, Mohalli F, Alhani F. The impact of family-centered empowerment for patients with high blood pressure. Med Surg Nurs J. 2013;2(3,4):128-36.
19. Sadeghi M, Razi P, A NN, Ebrahimi H, Kazemnejad A. Comparison of the impact of education based on the empowerrment model and family-center e18-27mpowerrment model on knowledge and metabolic control of patients with type 2 diabetes mellitus. nurs educ. 2013;2(3):18-27.
20. Rajabi R, Sabzevari S, Borhani F, Haghdoost A, Bazargan N. The effect of family-centered Empowerment Model on quality of life school age children with asthma. J Health Promot Manage. 2013;2(4):7-15.
21. Masoodi R, Soleimani MA, Alhani F, Rabiei L, Bahrami N, Esmaeili SA. Effects of family-centered empowerment model on perceived satisfaction and self concept of multiple sclerosis patients care givers. Koomesh. 2013;14(2):240-8.
22. Sanaie N, Nejati S, Zolfaghari M, Alhani F, KazemNejad A. The effect of family-centered empowerment in self efficacy and self esteem in patients undergoing coronary bypass graft surgery. J Res Dev Nurs amp Midwifery. 2013;10(2):44-53.
23. Ferreira C, Marques RC, Nicola P. On evaluating health centers groups in Lisbon and Tagus Valley: efficiency, equity and quality. BMC Health Serv Res. 2013;13:529. DOI: 10.1186/1472-6963-13-529 PMID: 24359014 [DOI] [PubMed]
24. Amirabadi T, Nasiri A, Kazemi T, Kardan M. Educational needs of patients with heart valve replacement surgery in birjand, 2012. J Surg Trauma. 2014;1(4).
25. Wong C, Wong W, Lam C, Wan Y, Wong W, Chung K, et al. Effects of patient empowerment programme (pep) on clinical outcomes and health service utilization in type 2 diabetes mellitus in primary care: an observational matched cohort study. PLoS One. 2014;9(5):e95328.
26. Borimnejad L, Asemi S, Samiei N, Haghani H. Comparison of group and individual training on the patients’ compliance and incidence of warfarin side effects after cardiac valve replacement. Iran J Med Educ. 2012;12(1):10-8.
27. Sanaie N, Nejati S, Zolfaghari M, Alhani F, Kazemnezhad A. The effects of family-based empowerment on family cooperation in following patient treatment regime after coroner arteries bypass surgery. Mod Care J. 2014;11(1):19-27.
28. Kim SH, Youn CH. Efficacy of chronic disease self-management program in older Korean adults with low and high health literacy. Asian Nurs Res (Korean Soc Nurs Sci). 2015;9(1):42-6. DOI: 10.1016/j.anr.2014.10.008 PMID: 25829209 [DOI] [PubMed]
29. Vahedian-Azimi A, Miller AC, Hajiesmaieli M, Kangasniemi M, Alhani F, Jelvehmoghaddam H, et al. Cardiac rehabilitation using the Family-Centered Empowerment Model versus home-based cardiac rehabilitation in patients with myocardial infarction: a randomised controlled trial. Open Heart. 2016;3(1):e000349. DOI: 10.1136/openhrt-2015-000349 PMID: 27110376 [DOI] [PubMed]
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F A, A Z, F A, F T. The Implementation of Family-Centered Empowerment Model on the Empowerment Parameters of Patients With Prosthetic Heart Valves. MCS. 2016; 3 (3) :174-183
URL: http://mcs.ajaums.ac.ir/article-1-142-en.html

Volume 3, Issue 3 (Military Caring Sciences 2016) Back to browse issues page
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