Relationship between adherence to treatment plans and quality of life in patients undergoing cardiac surgery

Document Type : original articles

Authors

1 Department of Nursing, School of Nursing Hazrat Zahra (P.B.U.H) Abadeh, Shiraz University of Medical Sciences, Shiraz, Iran

2 Department of Health Administration, Hamadan University of Medical Sciences, Hamadan, Iran

3 Department of Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

4 Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran

5 Department of Nursing, Shazand School of Nursing, Arak University of Medical Sciences, Arak, Iran

6 Clinical Nurse, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Objectives: Cardiovascular diseases are the primary cause of death all around the world, and the complications of heart disease can reduce the patient's quality of life.Adherence to a therapeutic plan can reduce surgical complications and promote the healing process. This study aimed to survey the relationship between adherence to a therapeutic plan and quality of life in discharged patients after a coronary artery bypass graft (CABG).
Methods: Descriptive correlational research was carried out to discover relationships among variables. The study was conducted in Hamadan hospital in 2014. Seventyone patients undergoing CABG surgery were selected by convenience sampling method. Before discharge, the patients completed the Mac New Quality of Life Questionnaire and adherence to therapeutic plan questionnaire that included medicine adherence, recommended care, diet and exercise orders, and incentive spirometry. After five weeks, patients again completed the questionnaires, and the data were analyzed.
Results: There was a positive and significant relationship  between patients' quality of life and adherence to the treatment plan. As the treatment program increased, the patients' quality of life also increased (r= 0.695, p <0.05).
Conclusions: More adherence to treatment plans in patients undergoing CABG surgery leads to the enhancement of the quality of life in patients.

Keywords

References

1.Wilkins E, Wilson L, Wickramasinghe K, et al. European cardiovascular disease statistics 2017. E H N. 2017.
2.Maracy MR, Isfahani MT, Kelishadi R, et al. Burden of ischemic heart diseases in Iran, 1990-2010: Findings from the Global Burden of Disease study 2010. J Res Med Sci. 2015;20(11):1077-83.
3.Sadeghi M, Haghdoost AA, Bahrampour A, et al. Modeling the Burden of Cardiovascular Diseases in Iran from 2005 to 2025: The Impact of Demographic Changes. Iran J Public Health. 2017;46(4):506-516.
4.Tušek-Bunc K, Petek D. Comorbidities and characteristics of coronary heart disease patients: their impact on health-related quality of life. Health Qual Life Outcomes. 2016;14(1):159.
5.D’Agostino RS, Jacobs JP, Badhwar V, et al. The Society of Thoracic Surgeons adult cardiac surgery database: 2018 update on outcomes and quality. Ann Thorac Surg. 2018;105(1):15-23.
6.Hardin SR, Kaplow R. Cardiac surgery essentials for critical care nursing. Crit Care Nurse. 2009;29 (4):79.
7.Norkienė I, Urbanaviciute I, Kezyte G, et al. Impact of pre-operative health-related quality of life on outcomes after heart surgery. ANZ J Surg. 2018;88(4):332-336.
8.Abdallah MS, Wang K, Magnuson EA, et al. Quality of life after surgery or DES in patients with 3-vessel or left main disease. J Am Coll Cardiol. 2017;69(16):2039-2050.
9.Rand CS. Measuring adherence with therapy for chronic diseases: implications for the treatment of heterozygous familial hypercholesterolemia. Am J Cardiol. 1993;72(10):68D-74D.
10.Brown MT, Bussell JK. Medication adherence: WHO cares? Mayo Clin Proc. 2011;86(4):304-14.
11.Baroletti S, Dell'Orfano H. Medication adherence in cardiovascular disease. Circulation. 2010;121(12):1455-8.
12.Choudhry NK, Dugani S, Shrank WH, et al. Despite increased use and sales of statins in India, per capita prescription rates remain far below high-income countries. Health Aff (Millwood). 2014;33(2):273-82.
13.Solans M, Pane S, Estrada MD, et al. Health‐related quality of life measurement in children and adolescents: a systematic review of generic and disease‐specific instruments. Value Health. 2008;11(4):742-64.
14.Boland MR, van Boven JF, Kruis AL, et al. Investigating the association between medication adherence and health-related quality of life in COPD: Methodological challenges when using a proxy measure of adherence. Respir Med. 2016;110:34-45.
15.Zyoud SH, Al-Jabi SW, Sweileh WM, et al. Health-related quality of life associated with treatment adherence in patients with hypertension: a cross-sectional study. Int J Cardiol. 2013;168(3):2981-3.
16.Ettinger AB, Good MB, Manjunath R, et al. The relationship of depression to antiepileptic drug adherence and quality of life in epilepsy. Epilepsy Behav. 2014;36:138-43.
17.Mohammad-Alizadeh-Charandabi S, Malakoti J, Sohrabi F, et al. The effect of telephone support on postpartum depression: a randomized controlled trial. J Caring Sci. 2013;2(2):147-55.
18.Løvlien M, Mundal L, Hall‐Lord ML. Health‐related quality of life, sense of coherence and leisure‐time physical activity in women after an acute myocardial infarction. J Clin Nurs. 2017;26(7-8):975-982.
19.Bikmoradi A, Masmouei B, Ghomeisi M, et al. Impact of telephone counseling on the quality of Life of patients discharged after coronary artery bypass grafts. Patient Educ Couns. 2017;100(12):2290-2296.
20.Cropsey KL, Clark CB, Stevens EN, et al. Predictors of medication adherence and smoking cessation among smokers under community corrections supervision. Addict Behav. 2017;65:111-117.
21.Ricci G, Netto EM, Luz E, et al. Adherence to antiretroviral therapy of Brazilian HIV-infected children and their caregivers. Braz J Infect Dis. 2016;20(5):429-36.
22.Rios-Avila L, Dwyer J, Costello R, et al. Dietary Supplement Items on Commonly Used Food Frequency Questionnaires. JFASEB. 2017;31(1):647.13.
23.Cohn LH, Adams DH . Cardiac surgery in the adult. McGraw-Hill Medica. 2017.
24.Hinkle JL, Cheever KH. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. Wolters kluwer india Pvt Ltd. 2018.
25.Bath J, Scarle E, Jones C, et al. Cardiac rehabilitation : a workbook for use with group programmes. ohn Wiley & Sons. 2009;192.
26.Mark DB, Knight JD, Velazquez EJ, et al. Quality-of-life outcomes with coronary artery bypass graft surgery in ischemic left ventricular dysfunction: a randomized trial.. Ann Intern Med. 2014;161(6):392-9.
27.Kidd T, Poole L, Leigh E, et al. Health-related personal control predicts depression symptoms and quality of life but not health behaviour following coronary artery bypass graft surgery. J Behav Med. 2016;39(1):120-7.
28.Middel B, El Baz N, Pedersen SS, et al. Decline in health-related quality of life 6 months after coronary artery bypass graft surgery: the influence of anxiety, depression, and personality traits. J Cardiovasc Nurs. 2014;29(6):544-54.
29.Dew MA, DiMartini AF, Dabbs ADV, et al. Rates and risk factors for nonadherence to the medical regimen after adult solid organ transplantation.Transplantation. 2007;83(7):858-73.
30.Chowdhury FM, Ayala CC, Dalmat D, et al. Effectiveness of telehealth on hypertension management among disparate populations: a systematic review. Circ Cardiovasc Qual Outcomes. 2017;10(suppl_3):A216-A.
31.Karekla M, Kasinopoulos O, Neto DD, et al. Best practices and recommendations for digital interventions to improve engagement and adherence in chronic illness sufferers. European Psychologist. 2019;24(1):49.
32.Tran BX, Nguyen LT, Do CD, et al. Associations between alcohol use disorders and adherence to antiretroviral treatment and quality of life amongst people living with HIV/AIDS. BMC Public Health. 2014;14:27.
33.Groessl EJ, Kaplan RM, Rejeski WJ, et al. Physical Activity and Performance Impact Long-term Quality of Life in Older Adults at Risk for Major Mobility Disability. Am J Prev Med. 2019;56(1):141-146.
34.Jacobsen RM, Ginde S, Mussatto K, et al. Can a Home‐based Cardiac Physical Activity Program Improve the Physical Function Quality of Life in Children with Fontan Circulation? Congenit Heart Dis. 2016;11(2):175-82.
35.Salavati M, Falahinia G, Vardanjani AE, et al. Comparison between effects of home based cardiac rehabilitation programs versus usual care on the patients’ health related quality of life after coronary artery bypass graft. Glob J Health Sci. 2015;8(4):196-202.
36.Nabolsi MM, Wardam L, Al‐Halabi JO. Quality of life, depression, adherence to treatment and illness perception of patients on haemodialysis. Int J Nurs Pract. 2015;21(1):1-10.
37.Bonaccio M, Di Castelnuovo A, Bonanni A, et al. Adherence to a Mediterranean diet is associated with a better health-related quality of life: a possible role of high dietary antioxidant content. BMJ open. 2013;3(8):e003003.
38.Nirula R, Allen B, Layman R, et al. Rib fracture stabilization in patients sustaining blunt chest injury. Am Surg. 2006;72(4):307-9.
39.Kerr-Valentic MA, Arthur M, Mullins RJ, et al. Rib fracture pain and disability: can we do better? J Trauma. 2003;54(6):1058-64.
40.Tambunan TFU, Angka M, Ratnawati A, et al. Effects of inspiratory muscle training with incentive spirometry to maximum inspiratory capacity and quality of life on chronic obstructive pulmonary disease patients. Indo JPMR. 2013;2(1):55-63.
41.Rondinel TZ, Corrêa IF, Hoscheidt LM, et al. Incentive spirometry combined with expiratory positive airway pressure improves asthma control and quality of life in asthma: a randomised controlled trial. J Asthma. 2015;52(2):220-6.
Cardiovascular Biomedicine
Volume 2, Issue 2
December 2022
Pages 43-48

Files

History

  • Receive Date: 19 April 2022
  • Revise Date: 25 February 2023
  • Accept Date: 05 March 2023

Share

How to cite

Statistics