Volume 25, Issue 3 (9-2015)                   J Holist Nurs Midwifery 2015, 25(3): 34-45 | Back to browse issues page


XML Persian Abstract Print


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

Rouhi Balasi L, Paryad E, Kazemnezhad Leili E, Booraki S, SadeghiMeibodi A, Nassiri Sheikhani N. Study status of care adherence and its related factors in patients undergoing . J Holist Nurs Midwifery. 2015; 25 (3) :34-45
URL: http://hnmj.gums.ac.ir/article-1-525-en.html

Instructor Guilan University of Medical Sciences , eparyad@gmail.com
Full-Text [PDF 221 kb]   (915 Downloads)     |   Abstract (HTML)  (1959 Views)
Full-Text:   (599 Views)

Study status of care adherence and its related factors in patients undergoing

Coronary Artery Bypass Surgery

By: Rouhi Balasi L1, Paryad E2*, Kazemnezhad Leili E3, Booraki Sh4

 SadeghiMeibodi A.M5, Nassiri Sheikhani N 5

1- Department of Nursing(Medical-surgical), Social Determinants of Health Research Center(SDHRC), School of Nursing and Midwifery, Guilan University of  Medical Sciences, Rasht, Iran

2-Department of  Nursing(Medical-surgical), Instructor, Social Determinants of Health Research Center(SDHRC), School of Nursing and Midwifery, Guilan University of  Medical Sciences, Rasht, Iran

3- Bio-statistics, Social Determinants of Health Research Center(SDHRC), Associate professor, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran

4- Department of Nursing (Medical-surgical), Instructor, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran

5-Department of Cardiovascular Surgery  of cardiovascular surgery, Assistant Professor,  Guilan University of Medical Sciences, Rasht, Iran

Received: 2013/08/24

Accepted: 2013/10/07

Abstract

Introduction: Coronary artery disease is one of the most common forms of cardiovascular disease. In attention to high prevalence of cardiovascular disease, coronary artery bypass grafting is a common technique for its treatment. Contrary to belief of most patients, this method has the effect of relief and not treatment. Therefore adherence to care instructions after surgery is very important. Several factors can affect the adherence of care instructions.

Objective: This study aims to determine the status of adherence and its related factors in patients undergoing coronary artery bypass surgery.

Methods: In this cross-sectional study, 217 patients referring to Dr Heshmat educational therapeutic center undergoing coronary artery bypass surgery in more than 6 months ago were selected by systematic random sampling method and studied through telephone interviews using the adherence of care instructions and illness perception questionnaire. For data analysis Chi-square and Fisher's exact test were used and multiple logistic regressions were used to determine the factors associated with adherence.

Results: Findings showed that majority of patients had appropriate adherence to smoke cessation (88%) and physical activity (60.8%), but most study cases had inappropriate adherence to diet (88.5%). Regression results showed that predictive factors for adherence to smoke cessation included sex (P=0.003) and illness perception (P=0.04), and in regard to adherence of physical activity also sex(P<0.0001) and illness perception(P=0.057), and adherence to diet only sex(P=0.048)  were indicated as predictors.

Conclusion: According to the study results, adherence to care instructions is not complete. In attention to study results, rehabilitation of these patients after CABG is important and health care systems can prevent additional costs for patients and community by creating rehabilitation system.

Key words: Coronary artery bypass, patient care, secondary prevention, patient adherence

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

  Email: eparyad@gmail.com

Type of Study: Applicable | Subject: Special
Received: 2015/09/20 | Accepted: 2015/09/20 | Published: 2015/09/20

Add your comments about this article : Your username or Email:
Write the security code in the box

Send email to the article author


© 2017 All Rights Reserved | Journal of Holistic Nursing And Midwifery

Designed & Developed by : Yektaweb