The effect of family-centered empowerment program on self-efficacy and perceived stress in patients with acute coronary syndrome in yazd social security hospital

Document Type : original articles

Authors

1 Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 The effect of family-centered empowerment program on self-efficacy and perceived stress in patients with acute coronary syndrome in Yazd Tammin Ejtemaei Hospital

3 Department of Midwifery, Islamic Azad University, Meybod, Iran

Abstract

Objectives: One of the most common cardiovascular diseases is coronary heart disease. Key issues facing cardiovascular patients are their psychological problems and perceived stress. Stressful situations lower self-efficacy and increase dependence on others, including family members. The aim of this study was to investigate the effects of a family-centered empowerment program on self-efficacy and stress perceptions in acute coronary syndrome patients at Yazd Social Security Hospital.

Methods: This education-oriented and semi-experimental study was conducted on patients with acute coronary syndrome referred to Yazd Shohadaye Kargar Hospital in 2018-2019. Eighty-four patients with acute coronary syndrome who were eligible to participate in the study were selected and randomly assigned to experimental and control groups by random assignment software. The experimental group underwent individual self-efficacy sessions and stress perception training in the presence of active family members, followed up by telephone, and held four group sessions every two weeks.

Results: There was no statistically significant difference in pre-intervention self-efficacy mean scores between the experimental and control groups, but self-efficacy mean scores in the experimental group were higher immediately after the intervention and after two months interval than in the control group (p <0.001). Also, there was no statistically significant difference between the perceived stress mean scores before the intervention in the experimental and control groups. But immediately after the intervention, the perceived stress mean score in the experimental group appeared to be higher than the control group (p <0.001).

Conclusions: Implementing a family-centered empowerment program can improve self-efficacy and reduce perceived stress in patients with acute coronary syndrome, lasting up to two months after the intervention. This affordable and low-cost intervention can thus be used to improve the health of acute coronary heart disease patients.

Keywords

References

1.Esmailzadeh Gatabi G, Jalili Z, Farmanbar R. Effect of Stress Management Training Based on PRECEDE Model on Prehospital Emergency Staff Occupational Tension in Mazandaran University of Medical Sciences in 2016. H D Q. 2017;3(1):11-20.
2.Bandura A. Cultivate self efficacy for personal and organizational effectiveness. The Blackwell Handbook of Principles of Organizational Behaviour. 2017.
3.Locke E. Handbook of principles of organizational behavior: Indispensable knowledge for evidence-based management. John Wiley & Sons. 2011:688.
4.Baljani ES, Habibzadeh H, Rahimi J, et al. Effect of self management programs on dietary adherence and interdialytic weight gain in patients undergoing hemodialysis. J Urmia Nurs Midwifery Fac. 2013;11(4).
5.Yeh GY, Mu L, Davis RB, et al. Correlates of Exercise Self-efficacy in a Randomized Trial of Mind-Body Exercise in Patients With Chronic Heart Failure. J Cardiopulm Rehabil Prev. 2016;36(3):186-94.
6.Musick K, Mare RD. Recent trends in the inheritance of poverty and family structure. Social Science Research. 2006;35(2):471-499.
7.Rezai Asl H, Seyyed Mazhari M, Pishgooi SAH, et al. The Effectiveness of “Family-Centered Empowerment Model” on the Treatment Adherence of Patients with Type II Diabetes and Heart Disorder Admitted to AJA Hospitals, During Year 2015.M C S. ajaums. 2017;4(1):58-69..
8.Hassan HE, Mokabel FM, AL_Radwan NA. Effect of Massage Therapy on the Mood and Pain of Post Cardiac Catheterization Patients. A J N R. 2019;7(3):392-9.
9.AnAaker A, Elf M. Sustainability in nursing: a concept analysis. Scand J Caring Sci. 2014;28(2):381-9.
10.Liu W, Manias E, Gerdtz M. Medication communication between nurses and patients during nursing handovers on medical wards: a critical ethnographic study. Int J Nurs Stud. 2012;49(8):941-52.
11.Ratanawongsa N, Karter AJ, Parker MM, et al. Communication and medication refill adherence: the Diabetes Study of Northern California. J A M A Intern Med. 2013;173(3):210-8.
12.Mendis S, Puska P, Norrving BE,et al. Global atlas on cardiovascular disease prevention and control. WHO; 2011;1(1):1-25.
13.Dehghani A, Dafei M. Coronary Artery Disease among Young Indians and it's Preventive Strategy. Demo. 2016;1(1):24-32.
14.Moeini M, Ghasemi TM, Yousefi H, et al. The effect of spiritual care on spiritual health of patients with cardiac ischemia. Iran J Nurs Midwifery Res. 2012;17(3):195-9.
15.Sammarco A. Perceived social support, uncertainty, and quality of life of younger breast cancer survivors. Cancer Nurs. 2001;24(3):212-9.
16.Zubrick SR., Mitrou F, Lawrence D, et al.. Maternal death and the onward psychosocial circumstances of Australian Aboriginal children and young people. Psychol Med.2011;41(9): 1971-80.
17.Golaghaie F, Bastani F. Cross-cultural adaptation of a patient-based tool for evaluating the implementation of patient education in acute care settings. Patient Educ Couns. 2014;96(2):210-5.
18.Baghbanian A, Tol A. The introduction of self-management in type 2 diabetes care: A narrative review. J Educ Health Promot. 2012;1:35.
19.Egede LE, Zheng D. Independent factors associated with major depressive disorder in a national sample of individuals with diabetes. Diabetes Care. 2003;26(1):104-11.
20.Hart HE, Redekop WK, Assink JH, et al. Health-related quality of life in patients with newly diagnosed type 1 diabetes. Diabetes Care. 2003;26(4):1319-20.
21.Auld ME, Hatcher MT. Environmental health promotion: advancing the science and practice. Health Promot Pract. 2010;11(3):301-2.
22.Won CW, Fitts SS, Favaro S, et al. Community-based "powerful tools" intervention enhances health of caregivers. Arch Gerontol Geriatr. 2008;46(1):89-100.
23.Rosland A-M, Piette JD. Emerging models for mobilizing family support for chronic disease management: a structured review. Chronic Illn. 2010;6(1):7-21.
24.Kim JI. Continence efficacy intervention program for community residing women with stress urinary incontinence in Japan. Public Health Nurs. 2001;18(1):64-72.
25.Tannenbaum C, Agnew R, Benedetti A, et al. Effectiveness of continence promotion for older women via community organisations: a cluster randomised trial. B M J Open. 2013;3(12):e004135.
26.Vahedian Azimi A, Alhani F, Ahmadi F, et al. Effect of family-centered empowerment model on the life style of myocardial infarction patients. Iran J Crit Care Nurs. 2010;2(4):1-2.
27.Broome BA. The impact of urinary incontinence on self-efficacy and quality of life. Health Qual Life Outcomes. 2003;1:35.
28.Aghakhani N, Baghaei R. The Effect of the Family-Centered Empowerment Model on Post-dialysis Fatigue in Hemodialysis Patients, Urmia, Iran. Saudi J Kidney Dis Transpl. 2020;31(5):1159-1160.
29.Rajabi R, Mahmoudirad G, Sabzevari SS, et al. The Effect of family-centered empowerment model on quality of Life among mothers of asthmatic Children. Mod Care J. 2016;13(1):e9602.
30.Teymouri F, Alhani F, Kazemnejad A. The Effect of Family-Centered Empowerment Model on Self-Efficacy and Self-Esteem of the Children With Asthma. P C N M. 2017;7(1):18-26.
31.Naidoo J, Wills J. Foundations for Health Promotion E-Book. Elsevier Health Sciences. 2016.
32.Asgari P, Bahramnezhad F, Zand S, et al. Comparison of the effect of two educational methods on the frequency of hospitalization and clinical symptoms of patients after acute myocardial infarction. J Holist Nurs Midwifery. 2018;28(1):9-17.
33.Rismayanti ID, Waloejo CS, Iswati S, et al. Family empowerment in the COVID-19 pandemic with the family-centered nursing approach and the utilization of family medicinal plants: a systematic review. Sys Rev Pharm. 2020;11(7):636-647.
34.Royani Z, Rayyani M, Vatanparast M, et al. The relationship between self-care and self-effiacy with empowerment in patients undergoing hemodialysis. J M C S. 2015;1(2):116-22.
35.Zakeri MA, Abazari F, Khoshnood Z, et al. The effect of nursing continuous care on self-management in patients with myocardial infarction. Sci J Iranshahr Univ Med Sci. 2022;1(2):67-74.
36.Varaei S, Shamsizadeh M, Cheraghi MA, et al. Effects of a peer education on cardiac self-efficacy and readmissions in patients undergoing coronary artery bypass graft surgery: a randomized-controlled trial. Nurs Crit Care. 2017;22(1):19-28.
37.Sanaie N, Nejati S, Zolfaghari M, et al. The Effect of Family-Centered Empowerment in Self Efficacy and Self Esteem in Patients Undergoing Coronary Bypass Graft Surgery. J Res Dev Nurs Midwifery. 2013; 10(2):44-53.
38.Atashzadeh-Shoorideh H, Arshi S, Atashzadeh-Shoorideh F. The effect of family-centered empowerment model on the life style, self-efficacy and HbA1C of diabetic patients. I J E M. 2017;19(4).
39.Hedayati B. Effect of Family-Based Empowerment Model on the Self-Efficacy of Hypertensive Elderly People. Iranian J Ageing. 2018;13(1):86-97.
40.Naderipour A, Miri J, Rashidi, A A.The effectiveness of chronic disease self-management program on self-efficacy in patients undergoing CABG surgery. J of Clin Res Paramed Sci. 2015;3(4).
41.Fioranelli M, Bottaccioli AG, Bottaccioli F, et al. Stress and inflammation in coronary artery disease: a review psychoneuroendocrineimmunology-based. Front Immunol. 2018;9:2031.
42.Gecaite-Stonciene J, Hughes BM, Kazukauskiene N, et al. Cortisol response to psychosocial stress, mental distress, fatigue and quality of life in coronary artery disease patients. Sci Rep. 2022;12(1):19373.
Cardiovascular Biomedicine
Volume 3, Issue 1
August 2023
Pages 32-41

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History

  • Receive Date: 25 May 2023
  • Revise Date: 06 August 2023
  • Accept Date: 19 August 2023

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