Volume 33, Issue 1 (1-2023)                   J Holist Nurs Midwifery 2023, 33(1): 69-77 | Back to browse issues page


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Biranvand H, Birjandi M, goudarzi F, Heydari H. Effect of family-centered interventions on self-efficacy of family of patients with low consciousness admitted the intensive care units : A randomized controlled trial. J Holist Nurs Midwifery 2023; 33 (1) :69-77
URL: http://hnmj.gums.ac.ir/article-1-1990-en.html
1- Nursing (MSc), School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran
2- Assistant Professor, Department of Biostatistics and Epidemiology, School of Health and Nutrition Lorestan University of Medical Sciences, Khorramabad, Iran
3- Assistant Professor, Department of Biostatistics and Epidemiology, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran
4- Associate professor, Department of Community Health Nursing, Social Determinants of Health Research Center, School of Nursing and midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran. 5-French Institute of Research and High Education (IFRES-INT), Paris, France , H-hidari@razi.tums.ac.ir
Abstract:   (226 Views)
Introduction: Families of patients with low consciousness have an important role in supporting them and should acquire the necessary capability for patient care.
Objective: This study aimed to examine the effect of family-centered interventions on the self-efficacy of the families of patients admitted to the intensive care units.
Materials and Methods: This research was a randomized clinical trial with a pretest-posttest design conducted in intensive care units of hospitals in Khorram abad City, Iran, in 2019-2020. Seventy family members of patients were selected by convenience sampling and were assigned to the intervention (n=28) and control (n=28) groups by stratified random blocks. The study data were collected through the self-efficacy questionnaire and Hospital Anxiety and Depression Scale. The intervention was carried out using a family-centered model. The collected data were analyzed using the statistical tests of the Chi-square, independent t-test, and paired t-test. Also, the generalized linear model was used to compare changes in self-efficacy scores of the two study groups after adjusting demographic, anxiety, and depression variables.
Results: Data analysis showed that most samples were male (53.8%) with a mean age of 38.15±8.68 years. The results showed a significant difference in the mean scores of self-efficacy, anxiety, and depression between the intervention and control groups (P=0.001). The intervention significantly increased the Mean±SD of caregivers’ self-efficacy (40.14±14.35, P=0.001) in the intervention group. The results showed that the self-efficacy mean score of the intervention group was 36 scores higher than the caregivers’ self-efficacy of the control group (95% CI; 20.6-51.4, P=0.028).
Conclusion: The participation of family members of patients with low consciousness in the care of the patients in the intensive care unit has an effective role in the self-efficacy of caregivers of these patients.

 
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Article Type : Research | Subject: General
Received: 2022/02/23 | Accepted: 2022/10/4 | Published: 2023/01/1

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