Volume 18, Issue 11 (February 2021)                   Nursing and Midwifery Journal 2021, 18(11): 904-912 | Back to browse issues page

XML Persian Abstract Print


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

Sholeh P, Moradi Y, Hossein J, Alireza R. EFFECT OF THE FAMILY-CENTERED EDUCATIONAL SUPPORT ON THE QUALITY OF LIFE IN PATIENTS WITH PERMANENT CARDIAC PACEMAKER. Nursing and Midwifery Journal 2021; 18 (11) :904-912
URL: http://unmf.umsu.ac.ir/article-1-4182-en.html
1- MSc student in Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
2- Ph.D in Nursing, Patient Safety Research Center, Clinical Research Institute,Urmia University of Medical Sciences, Urmia, Iran
3- MSc in Nursing, Patient Safety Research Center, Clinical Research Institute,Urmia University of Medical Sciences, Urmia, Iran
4- MSc in Nursing, Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) , alireza.rahmani.1960@gmail.com
Abstract:   (2063 Views)
Background & Aim: Implanting a permanent pacemaker (inserting an electronic device into the heart) is an important event in a patients' life that affects their body image and impairs their socio-psychological adaptation and quality of life. Moreover, it can cause concern in their families due to the lack of knowledge about the disease, patient's needs, and patient care. Accordingly, the provision of effective patient care would be affected, so that as a vicious cycle, this can lead to poor quality of life in these patients. Considering these concerns, it is necessary to examine the educational needs and provide educational support for the patients and their families. The present study aimed to determine the effect of family-centered educational support on the quality of life in patients with permanent cardiac pacemaker who were referred to Seyed-al-Shohada Hospital in 2019-2020. Materials & Methods: In this quasi-experimental study, a total of 80 patients with permanent cardiac pacemaker were randomly assigned into two groups of intervention and control. The intervention group received family-centered educational-supportive interventions in two main steps. The control group received only routine training. Data were collected using a demographic characteristic questionnaire and the MacNew Heart Disease Health-related Quality of Life Questionnaire, and entered into SPSS Statistics for Windows, version 16.0 (SPSS Inc., Chicago, Ill., USA). Data were analyzed using the χ2 test, student's t-test, and repeated measures ANOVA. A p-value of less than 0.05 was anticipated for rejecting the null hypothesis. Results: The results of repeated measures ANOVA showed a statistically significant difference in the mean score of quality of life and its dimensions (physical, emotional and social performance) between the intervention and the control group during five measurements (P ≤0.0001). Based on the comparison of the mean scores between the two groups, it was found that the mean score of quality of life and its dimensions increased in the intervention group during the measurement intervals which has led to the significance of these differences between the two groups. Conclusion: Based on the results of the present study, it is concluded that the implementation of family-centered educational support is effective in improving the quality of life in patients with permanent cardiac pacemaker. 
Full-Text [PDF 502 kb]   (672 Downloads)    
Type of Study: Research | Subject: پرستاری

References
1. Mann DL, Zipes DP, Libby P, Bonow RO. Braunwald's Heart Disease E-Book: A Textbook of Cardiovascular Medicine. Elsevier Health Sciences; 2014. [Google books]
2. Honarbakhsh S, Hunter L, Chow A, Hunter RJ. Bradyarrhythmias and pacemakers. BMJ 2018;360:k642. [DOI:10.1136/bmj.k642] [PMID]
3. Torabi M, AliAkbari F, Aien F, Deriss F. The Effect of Family-Centered Empowerment Model on the Quality of Life of the Patients With Permanent Pacemaker in Chamran Hospital in Isfahan. Journal of Clinical Nursing and Midwifery 2018;7(3):218-25. [URL]
4. Ataee E, Haghjoo M, Dalvandi A, Bakhshandeh H. Effect of self-care education on quality of life among patients with permanent pacemaker. Iranian Journal of Cardiovascular Nursing 2013;1(4):40-7. [Google Scholar]
5. Mamoureli A, Babatsikou F, Flevari P, Leftheriotis D, Fragiadakis E, Polikandrioti M. Anxiety and depression in patients with permanent cardiac pacemaker. Perioperative Nursing 2017;6(2):107-23. [URL]
6. Figueroa C, Alcocer L, Ramos B. Psychological intervention to modify anxiety, depression and quality of life in patients with an implantable pacemaker. Psychology 2016;7(03):374. [DOI:10.4236/psych.2016.73040]
7. Chapagai S, Andrews GR, Naik N. A Study to Assess the Knowledge and Quality of Life of Pacemaker Patients with a view to Develop an Information Booklet. Asian Journal of Nursing Education and Research 2017;7(1):108. [DOI:10.5958/2349-2996.2017.00022.2]
8. Udo EO, van Hemel NM, Zuithoff NPA, Nijboer H, Taks W, Doevendans PA, et al. Long term quality-of-life in patients with bradycardia pacemaker implantation. Int J Cardiol 2013;168(3):2159-63. [DOI:10.1016/j.ijcard.2013.01.253] [PMID]
9. Pyngottu A, Werner H, Lehmann P, Balmer C. Health-related quality of life and psychological adjustment of children and adolescents with pacemakers and implantable cardioverter defibrillators: a systematic review. Pediatr Cardiol 2019;40(1):1-16. [DOI:10.1007/s00246-018-2038-x] [PMID]
10. Liu X, He X, Li L, Huang L, Liu Z. Influence of Continuous Nursing on the Psychological State and Coping Style of Patients Undergoing Pacemaker Implantation. Iran J Public Health 2015;44(7):953-61. [PMCID]
11. Rakhshan M, Hassani P, Ashktorab T, alavi Majd H. Lived Experiences of Cardiac Pacemaker Patients. Journal of qualitative Research in Health Sciences 2013;2(1):33-45. [Google Scholar]
12. Strömberg A. The situation of caregivers in heart failure and their role in improving patient outcomes. Curr Heart Fail Rep 2013;10(3):270-5. [DOI:10.1007/s11897-013-0146-8] [PMID]
13. Malm D, Sandgren A. Regaining normalcy in relatives of patients with a pacemaker. Open J Nurs 2014;4(3):139-49. [DOI:10.4236/ojn.2014.43018]
14. Ghavidel A, Farokhnezhad-Afshar P, Bakhshandeh H, Ghorbanpour F. Effect of family-centered education on the quality of life patients after coronary artery bypass graft surgery. Cardiovascular Nursing Journal 2015;4(2):6-13. [Google Scholar]
15. Ghojazadeh M, Azami-Aghdash S, Sohrab-Navi Z, Kolahdouzan K. Cardiovascular patients' experiences of living with pacemaker: Qualitative study. ARYA atherosclerosis 2015;11(5):281-8. [Google Scholar]
16. Festini F. Family-centered care. Ital J Pediatr 2014;40(Suppl 1):A33-A. [DOI:10.1186/1824-7288-40-S1-A33] [PMCID]
17. Seike A, Sumigaki C, Takeda A, Endo H, Sakurai T, Toba K. Developing an interdisciplinary program of educational support for early-stage dementia patients and their family members: An investigation based on learning needs and attitude changes. Geriatr Gerontol Int 2014;14(S2):28-34. [DOI:10.1111/ggi.12263] [PMID]
18. Chi N-C, Demiris G, Lewis FM, Walker AJ, Langer SL. Behavioral and educational interventions to support family caregivers in end-of-life care: a systematic review. Am J Hosp Palliat Care 2016;33(9):894-908. [DOI:10.1177/1049909115593938] [PMID]
19. Cossette S, Belaid H, Heppell S, Mailhot T, Guertin M-C. Feasibility and acceptability of a nursing intervention with family caregiver on self-care among heart failure patients: a randomized pilot trial. Pilot Feasibility Stud 2016;2(1):34. [DOI:10.1186/s40814-016-0077-8] [PMID] [PMCID]
20. Shen Z, Zheng F, Zhong Z, Ding S, Wang L. Effect of peer support on health outcomes in patients with cardiac pacemaker implantation: A randomized, controlled trial. Nurs Health Sci 2019;21(2):269-77. [DOI:10.1111/nhs.12595] [PMID]
21. Santos JEMd, Brasil VV, Moraes KL, Cordeiro JABL, Oliveira GFd, Bernardes CdP, et al. Comprehension of the education handout and health literacy of pacemaker users. Rev Bras Enferm 2017;70(3):633-9. [DOI:10.1590/0034-7167-2016-0336] [PMID]
22. Huang L-Y, Guo S-E, Tsai C-C, Huang T-Y. The effectiveness of a systematic patient education intervention on knowledge, attitudes and behavior about self care in patients with permanent pacemakers. Taiwan Gong Gong Wei Sheng Za Zhi 2014;33(2):174. [] [PMCID]
23. Aliakbari F, Delaram M, Heidari M. Effect of nurse-led group educational sessions on the quality of lifeamong patients with implanted pacemakers. J Urmia Nurs Midwifery Fac 2012;10(3):0-. [Google Scholar]
24. Khayam Nekouei Z, Yousefy A, Manshaee Q. The Effect of Cognitive-Behavioral Therapy on the Improvement of Cardiac Patients' Life Quality. Iran J Med Educ 2010;10(2):148-53. [Google Scholar]
25. Daskapan A, Höfer S, Oldridge N, Alkan N, Muderrisoglu H, Tuzun EH. The validity and reliability of the Turkish version of the MacNew Heart Disease Questionnaire in patients with angina. Journal of evaluation in clinical practice 2008;14(2):209-13. [DOI:10.1111/j.1365-2753.2007.00834.x] [PMID]
26. Höfer S, Turk-Adawi K, Oldridge N. The MacNew heart disease health-related quality of life questionnaire: Updated reference data for users. Eur J Pers Cent Healthc 2016;4(1):221-9. [DOI:10.5750/ejpch.v4i1.1076]
27. salavati m, khatiban m, moghadari koosha b, soltanian a. Evaluating the Effect of Teach Back Education on Self-Care Behaviours and Quality of Life in Patients With Myocardial Infarction in 2015: A Randomised Controlled Trial. Scientific Journal of Hamadan Nursing & Midwifery Faculty 2017;25(1):1-8. [DOI:10.21859/nmj-25011]
28. Mohammadi F, Taherian A, Hosseini MA, Rahgozar M. Effect of home-based cardiac rehabilitation quality of life in the patients with myocardical infarction. Archives of Rehabilitation 2006;7(3):0-. [Google Scholar]
29. Srisuk N, Cameron J, Ski CF, Thompson DR. Randomized controlled trial of family‐based education for patients with heart failure and their carers. J Adv Nurs 2017;73(4):857-70. [DOI:10.1111/jan.13192] [PMID]
30. Bagherzade A, Arianfar F, Arbabi M. Evaluation of cognitive and behavioral intervention on psychological heath status in patients with implantable cardioverter defibrillator. Tehran University of Medical Sciences 2012;70(1). [Google Scholar]
31. Gholizade M, Akrami R, Tadayonfar M, Akbarzadeh R. An Evaluation on the Effectiveness of Patient Care Education on Quality of Life of Stroke Caregivers: a Randomized Field Trial. J Sabzevar Univ Med Sci 2016;22(6):955-64 [Google Scholar]
32. HadiAtiyah H, Mohammed H. Nurses, knowledge concerning an implantation pacemaker for adult patients with cardiac rhythm disorder at Al-Nassirrhyia Heart Center. Kufa journal for nursing sciences 2016;6(1):216-23. [DOI:10.36321/kjns.vi20161.2621]
33. Mulpuru SK, Madhavan M, McLeod CJ, Cha Y-M, Friedman PA. Cardiac Pacemakers: Function, Troubleshooting, and Management: Part 1 of a 2-Part Series. J Am Coll Cardiol 2017;69(2):189-210. [DOI:10.1016/j.jacc.2016.10.061] [PMID]
34. Khachian A, Seyedoshohadaee M, Haghani H, Aghamohammadi F. Family-Centered Education and Self-care Behaviors of Patients With Chronic Heart Failure. Journal of Client-Centered Nursing Care 2016;2(3):177-84. [DOI:10.32598/jccnc.2.3.177]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Nursing And Midwifery Journal

Designed & Developed by : Yektaweb