Volume 22, Issue 4 (11-2023)
TB 2023, 22(4): 87-99 |
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Tabatabaei S, sarmadi G, alizadeh M, safarian M. The Effect of Lifestyle Education on the Quality of Life of Patients with Ischemic Heart Disease. TB 2023; 22 (4) :87-99
URL: http://tbj.ssu.ac.ir/article-1-3544-en.html
URL: http://tbj.ssu.ac.ir/article-1-3544-en.html
University of Medical Sciences, Rafsanjan , mammadsafarian@Gmail.com
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The Effect of Lifestyle Education on the Quality of Life of Patients with Ischemic Heart Disease
Seyedzia Tabatabaei (Ph.D.)1, Ghazal Sarmadi(MD.)2, Mojgan Alizade aliabadewazir(MS.c.)3 Mohammad Safarian(Ph.D.)4
1.Assistant Professor, Department of Community Medicine, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
2.MD. Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
3.Master of Educational Sciences, Education District One of Yazd, Hazrat Javad Aemmeh Imam Shahr yazd Boys' School.
4.Corresponding Author: Assistant Professor, Department of Internal Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. Email:mammadsafarian@gmail.com Tel: (034) 34280000
Abstract
Introduction: Ischemic heart diseases are the most important cause of death worldwide, which affect the quality of life of affected patients. In Iran, ischemic heart diseases are the first cause of death in people aged over 35 years. The main goal of this study is to investigate the effect of lifestyle education on the quality of life of patients with ischemic heart diseases.
Method: This semi-experimental study was conducted using a pre-test and post-test design and with experimental and control groups. The statistical population included all patients with ischemic heart disease hospitalized in the CCU of Ali Ibn Abi Talib (AS) Rafsanjan Hospital in 2019. The sample size of 30 people in each group was determined. A three-part questionnaire (demographic information, France and Powers quality of life questionnaire and Minnesota questionnaire) was used to collect information. First, both experimental and control groups completed the mentioned questionnaires as a pre-test, then the experimental group was educated with five 45-minute sessions, and after two weeks, a post-test was taken from both groups again using the same questionnaires. The collected data were analyzed by SPSS software version 21. Independent T, paired T, and Chi-square statistical tests, Pearson's correlation coefficient and covariance analysis were used.
Results: The mean age of the samples was 59.73±12.81 years and the average duration of coronary disease was 1953.38±2598.50 days. The results showed that the increase in scores related to the general state of quality of life after education was significant and indicated the improvement of the condition of the experimental group compared to the control group.
Conclusion: The findings of the present study showed that interventional efforts are important and necessary in order to improve the quality of life in patients with ischemic heart disease. In order to improve the quality of life and ultimately control heart disease, it is recommended to use the educational program designed and used in this study as a model.
Keywords: Ischemic Heart Disease, Quality Of Life, Educational Intervention, Lifestyle
References
1-Mahmood SS, Levy D, Vasan RS & etal. The Framingham Heart Study and the epidemiology of cardiovascular disease: a historical perspective. Lancet. 2014;383(9921):999-1008.
2-Murray, Christopher J.L. Lopez, Alan D. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Harvard School of Public Health (Cambridge, Mass.) WHO.
3-Ibrdkohi F, Salehinia H, Mohammadian-Hafshejani A. Trends in mortality from cardiovascular disease in Iran from 2006-2010. Journal of Sabzevar University of Medical Sciences. 2015;22(4):630-8.
4-González-Guerrero JL, Alonso-Fernández T, García-Mayolín N & etal. Effectiveness of a follow-up program for elderly heart failure patients after hospital discharge. A randomized controlled trial. European Geriatric Medicine. 2014;5(4):252-7.
5-Farshidi H. Causes of readmission in ischemic heart disease patients. Bimonthly Journal of Hormozgan University of Medical Sciences. 2004;15(8):67-71.
6-Katon WJ, Lin EH, Von Korff M & et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363(27):2611-20.
7-Carvalho ALdO. Quality of Life in Patients with Multivessel Coronary Artery Disease: Ten-year Follow-up of a Comparison of Surgical, Angioplasty or Medical Strategies - MASS II Trial. J Clin Trials. 2014;04(02).
8-Sadeghzadeh V. Improved quality of life with cardiac rehabilitation in post-myocardial infarction patients. J Int Res Appl Basic Sci.2012;3(2):394-401.
9-Newman MC, Lawless JJ, Gelo F. Family-oriented patient care.Am Fam Physician. 2007;75(9):1306.
10-Vahedian Azimi A, Ebadi A, Saadat S & etal. What is an appropriate nursing care model in critical care units: domestic orinternational models. J Int Med Rev. 2014;1(2).
11-Riegel B, Carlson B. Facilitators and barriers to heart failure self-care. Patient education and counseling. 2002;46(4):287-95.
12-Lee YM, Kim RB, Lee HJ, Kim K & et al. Relationships among medication adherence, lifestyle modification, and health-related quality of life in patients with acute myocardial infarction: a cross-sectional study. Health and quality of life outcomes. 2018;16(1):100.
13-Zare Shurki H , Hossein Peshgoui SA, Zareian A & etal. the effect of the implementation of collaborative care model on the quality of life of heart patients, Journal of Military Care Sciences, 2016, 4(1):39-48.
14-Borzou R, Bayat Z, Salvati M & etal. A comparison of Individual and Peer Educational Methods on Quality of life in patients with heart failure. Iranian Journal of Medical Education. 2014;14(9):767-76.
15.Narimani M, Yosefi F, Kazemi R. The role of attachment styles and quality of life in predicting psychological well-being in adolescents with learning disabilities. Journal of Learning Disabilities. 2014;3(4):124-42.
16-Bigli Sh. The Effect of Self Care Education on admission numbers and Quality of Life among Patients with congestive heart failure.Thesis for nursing MS.c degree, Ahwaz Jondishapor Univ Med Sci 2018.
17-Shojaei F. Quality of life in patients with heart failure. Hayat. 2009;14(2):5-13.
18-Rector T. Patient's self-assessment of their congestive heart failure: II. Content, reli-ability and validity of a new measure-The Minnesota Living with Heart Failure Questionnaire. Heart Failure Reviews. 1987;3:198.
19-Nasrabadi T, Goodarzi Zadeh N, Shahrjerdi AR & etal. The Effect of Education on Life Style Among Patients Suffering from Ischemic Heart Disease. Journal of Mazandaran University of Medical Sciences. 2010;20(79):72-9.
20-Golmohamadi F, Aghakhani N, khadem vatan K & etal. The effect of self-care education on the self efficacy in myocardial infarction hospitalized patients in seyeid al-shohada educational & treatment center, urmia, 2017. Nursing and Midwifery Journal. 2018;16(6):412-22.
21-Shahsavari S, Nazari F, Karimyar Jahromi M & etal. Epidemiologic study of hospitalized cardiovascular patients in Jahrom hospitals in 2012- 2013. Cardiovascular Nursing Journal. 2013;2(2):14-21.
22-Fallah Taher pazir E, Zeighami Mohammadi S, Fahidy F. Perception of patients with cardiovascular disease about barriers and benefits of health promotion behaviors. Cardiovascular Nursing Journal. 2012;1(2):16-23.
23-Jamshidi L, Seif A. Comparison of cardiovascular diseases risk factors in male and female older adults of Hamadan City, 2014. Journal of Gerontology. 2016;1(1):1-10.
24-Mohamadi Zaidi E. Life style and Heart disease. Shahed University Journal. 2006;13(6):49-56.
25-Aminian Z, Mohammadzadeh S, Eslami Vaghar M & etal. Effectiveness of teaching ways to deal with stress on quality of life in patients with acute coronary syndrome admitted to hospitals of Tehran University of Medical Sciences in 2013.Medical Sciences Journal. 2014;24(3):168-74.
26-Sahranavard S, Ahadi H, Taghdisi MH & etal. The Role of Psychological Factors on The Psychological and Social Adjustment Through The Mediation of Ischemic Heart Disease Hypertension. Iran J Health Educ Health Promot. 2017; 5(2):139-146.
27-Mangolian Shahrbabaki P, Shahnazari J, Mahmoodi M & etal. The Effect of an Educational Self-Care Program on Knowledge and Performance in Patients with Heart Failure. Iranian Journal of Medical Education. 2012;11(6):609-19.
28-Heidari-Beni F, Ahmadi-Tameh Z, Tabatabaee A & etal. The effect of peer education on self-efficacy in people with heart failure. Cardiovascular Nursing Journal. 2017;6(1):40-7.
Seyedzia Tabatabaei (Ph.D.)1, Ghazal Sarmadi(MD.)2, Mojgan Alizade aliabadewazir(MS.c.)3 Mohammad Safarian(Ph.D.)4
1.Assistant Professor, Department of Community Medicine, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
2.MD. Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
3.Master of Educational Sciences, Education District One of Yazd, Hazrat Javad Aemmeh Imam Shahr yazd Boys' School.
4.Corresponding Author: Assistant Professor, Department of Internal Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. Email:mammadsafarian@gmail.com Tel: (034) 34280000
Abstract
Introduction: Ischemic heart diseases are the most important cause of death worldwide, which affect the quality of life of affected patients. In Iran, ischemic heart diseases are the first cause of death in people aged over 35 years. The main goal of this study is to investigate the effect of lifestyle education on the quality of life of patients with ischemic heart diseases.
Method: This semi-experimental study was conducted using a pre-test and post-test design and with experimental and control groups. The statistical population included all patients with ischemic heart disease hospitalized in the CCU of Ali Ibn Abi Talib (AS) Rafsanjan Hospital in 2019. The sample size of 30 people in each group was determined. A three-part questionnaire (demographic information, France and Powers quality of life questionnaire and Minnesota questionnaire) was used to collect information. First, both experimental and control groups completed the mentioned questionnaires as a pre-test, then the experimental group was educated with five 45-minute sessions, and after two weeks, a post-test was taken from both groups again using the same questionnaires. The collected data were analyzed by SPSS software version 21. Independent T, paired T, and Chi-square statistical tests, Pearson's correlation coefficient and covariance analysis were used.
Results: The mean age of the samples was 59.73±12.81 years and the average duration of coronary disease was 1953.38±2598.50 days. The results showed that the increase in scores related to the general state of quality of life after education was significant and indicated the improvement of the condition of the experimental group compared to the control group.
Conclusion: The findings of the present study showed that interventional efforts are important and necessary in order to improve the quality of life in patients with ischemic heart disease. In order to improve the quality of life and ultimately control heart disease, it is recommended to use the educational program designed and used in this study as a model.
Keywords: Ischemic Heart Disease, Quality Of Life, Educational Intervention, Lifestyle
References
1-Mahmood SS, Levy D, Vasan RS & etal. The Framingham Heart Study and the epidemiology of cardiovascular disease: a historical perspective. Lancet. 2014;383(9921):999-1008.
2-Murray, Christopher J.L. Lopez, Alan D. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Harvard School of Public Health (Cambridge, Mass.) WHO.
3-Ibrdkohi F, Salehinia H, Mohammadian-Hafshejani A. Trends in mortality from cardiovascular disease in Iran from 2006-2010. Journal of Sabzevar University of Medical Sciences. 2015;22(4):630-8.
4-González-Guerrero JL, Alonso-Fernández T, García-Mayolín N & etal. Effectiveness of a follow-up program for elderly heart failure patients after hospital discharge. A randomized controlled trial. European Geriatric Medicine. 2014;5(4):252-7.
5-Farshidi H. Causes of readmission in ischemic heart disease patients. Bimonthly Journal of Hormozgan University of Medical Sciences. 2004;15(8):67-71.
6-Katon WJ, Lin EH, Von Korff M & et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363(27):2611-20.
7-Carvalho ALdO. Quality of Life in Patients with Multivessel Coronary Artery Disease: Ten-year Follow-up of a Comparison of Surgical, Angioplasty or Medical Strategies - MASS II Trial. J Clin Trials. 2014;04(02).
8-Sadeghzadeh V. Improved quality of life with cardiac rehabilitation in post-myocardial infarction patients. J Int Res Appl Basic Sci.2012;3(2):394-401.
9-Newman MC, Lawless JJ, Gelo F. Family-oriented patient care.Am Fam Physician. 2007;75(9):1306.
10-Vahedian Azimi A, Ebadi A, Saadat S & etal. What is an appropriate nursing care model in critical care units: domestic orinternational models. J Int Med Rev. 2014;1(2).
11-Riegel B, Carlson B. Facilitators and barriers to heart failure self-care. Patient education and counseling. 2002;46(4):287-95.
12-Lee YM, Kim RB, Lee HJ, Kim K & et al. Relationships among medication adherence, lifestyle modification, and health-related quality of life in patients with acute myocardial infarction: a cross-sectional study. Health and quality of life outcomes. 2018;16(1):100.
13-Zare Shurki H , Hossein Peshgoui SA, Zareian A & etal. the effect of the implementation of collaborative care model on the quality of life of heart patients, Journal of Military Care Sciences, 2016, 4(1):39-48.
14-Borzou R, Bayat Z, Salvati M & etal. A comparison of Individual and Peer Educational Methods on Quality of life in patients with heart failure. Iranian Journal of Medical Education. 2014;14(9):767-76.
15.Narimani M, Yosefi F, Kazemi R. The role of attachment styles and quality of life in predicting psychological well-being in adolescents with learning disabilities. Journal of Learning Disabilities. 2014;3(4):124-42.
16-Bigli Sh. The Effect of Self Care Education on admission numbers and Quality of Life among Patients with congestive heart failure.Thesis for nursing MS.c degree, Ahwaz Jondishapor Univ Med Sci 2018.
17-Shojaei F. Quality of life in patients with heart failure. Hayat. 2009;14(2):5-13.
18-Rector T. Patient's self-assessment of their congestive heart failure: II. Content, reli-ability and validity of a new measure-The Minnesota Living with Heart Failure Questionnaire. Heart Failure Reviews. 1987;3:198.
19-Nasrabadi T, Goodarzi Zadeh N, Shahrjerdi AR & etal. The Effect of Education on Life Style Among Patients Suffering from Ischemic Heart Disease. Journal of Mazandaran University of Medical Sciences. 2010;20(79):72-9.
20-Golmohamadi F, Aghakhani N, khadem vatan K & etal. The effect of self-care education on the self efficacy in myocardial infarction hospitalized patients in seyeid al-shohada educational & treatment center, urmia, 2017. Nursing and Midwifery Journal. 2018;16(6):412-22.
21-Shahsavari S, Nazari F, Karimyar Jahromi M & etal. Epidemiologic study of hospitalized cardiovascular patients in Jahrom hospitals in 2012- 2013. Cardiovascular Nursing Journal. 2013;2(2):14-21.
22-Fallah Taher pazir E, Zeighami Mohammadi S, Fahidy F. Perception of patients with cardiovascular disease about barriers and benefits of health promotion behaviors. Cardiovascular Nursing Journal. 2012;1(2):16-23.
23-Jamshidi L, Seif A. Comparison of cardiovascular diseases risk factors in male and female older adults of Hamadan City, 2014. Journal of Gerontology. 2016;1(1):1-10.
24-Mohamadi Zaidi E. Life style and Heart disease. Shahed University Journal. 2006;13(6):49-56.
25-Aminian Z, Mohammadzadeh S, Eslami Vaghar M & etal. Effectiveness of teaching ways to deal with stress on quality of life in patients with acute coronary syndrome admitted to hospitals of Tehran University of Medical Sciences in 2013.Medical Sciences Journal. 2014;24(3):168-74.
26-Sahranavard S, Ahadi H, Taghdisi MH & etal. The Role of Psychological Factors on The Psychological and Social Adjustment Through The Mediation of Ischemic Heart Disease Hypertension. Iran J Health Educ Health Promot. 2017; 5(2):139-146.
27-Mangolian Shahrbabaki P, Shahnazari J, Mahmoodi M & etal. The Effect of an Educational Self-Care Program on Knowledge and Performance in Patients with Heart Failure. Iranian Journal of Medical Education. 2012;11(6):609-19.
28-Heidari-Beni F, Ahmadi-Tameh Z, Tabatabaee A & etal. The effect of peer education on self-efficacy in people with heart failure. Cardiovascular Nursing Journal. 2017;6(1):40-7.
Type of Study: Research |
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Received: 2022/11/14 | Accepted: 2023/03/5 | Published: 2023/11/11
Received: 2022/11/14 | Accepted: 2023/03/5 | Published: 2023/11/11
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