Volume 23, Number 2 (10-2013)                   J Holist Nurs Midwifery 2013, 23(2): 63-70 | Back to browse issues page


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Niakan M, Paryad E, Shekholeslam F, Kazemnezhad Leili E, Assadian Rad M, Bonakdar H R et al . Self Care Behaviors in Patients after Myocardial Infarction. J Holist Nurs Midwifery. 2013; 23 (2) :63-70
URL: http://hnmj.gums.ac.ir/article-1-29-en.html

Depatment of nursing(medical-sergical),Instructor, Social determinants of health research center,School of nursing and midwifery, Guilan University of Medical Science, Rasht, Iran , e_ paryad@gums.ac.ir.com
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Self Care Behaviors in Patients after Myocardial Infarction

By:Niakan M1, Paryad E*2, Shekholeslami F3, Kazemnezhad Leili E4, Assadian rad M5, Bonakdar H R5, Bouraki Sh6

1. Msc in nursing(medical-sergical)

2. Depatment of nursing(medical-sergical),Instructor, Social determinants of health research center,School of nursing and midwifery, Guilan University of Medical Science, Rasht, Iran

3. Department of Nursing(Psychiatric Nursing), Instructor, School of Nursing and Midwifery,Guilan University of Medical Science, Rasht, Iran

  1. Biostatistics, Assistant professor, Social determinants of health research center, School of nursing and midwifery, Guilan University of Medical Science, Rasht, Iran

5. Department of Cardiologi, Assistant professor, School of medicen, Guilan University of Medical Sciences, Rash, Iran

6. Depatment of nursing(medical-sergical),Instructor, School of nursing and midwifery, Guilan University of Medical Science, Rasht, Iran

Received:2012/6/26

Accept: 2013/1/29

Abstract

Introduction: One of determining and effective factors in health maintenance and prevention of progression of signs and symptoms of disease after heart attack is self care behaviors. The self care behaviors which can start after passing the acute period of disease has special importance in health maintanance and its recurrence.

Objective: The aim of this study was to determine self care behavior of patients after myocardial infarction during 30 days after discharge.

Method: This is a cross sectional study and its samples were 132 patients after myocardial  infarction who entered to study sequentially. Data collection was done in 15th and 30th days  after MI by questioner from June 2011 to January 2012. Analysis was done by descriptive and inferential statistics such as Mann-whitney and Kruskal-wallis tests in SPSS version 19.

Results: The results of this study showed the majority of patients (72%) were adhered to self care behaviors at 15th day but at 30th, 84.1 percent not adhered to these behaviors. Significant difference was showed in adherence of  self care behaviors (p<0.0001) and its dimensions (diet regimen, physical activity, stressor modification and smoking) at those days (p<0. 001) but not in medication adherence.

Conclusion: In attention to decrease of mean score of selfcare behavores in 30th day after myocardial infarction than in 15th day, it seems proper teaching about self care and the importance of its continuity should be presented.

Key Words: Myocardial InfarctionSelf Care/Coronary Artery Disease

*Corresponding Author: Ezzat Paryad, Rasht, School of Nursing and Midwifery                    

  Email: e_ paryad@gums.ac.ir.com

Type of Study: Research | Subject: Special
Received: 2013/10/28 | Accepted: 2013/11/5 | Published: 2013/11/5

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