Evaluation of Sixty Days of Patients’ Safety Program under Self-Management Protocol among Patients with Acute Coronary Syndrome: A Clinical Trial Study

Document Type : Original Article


1 Department of Nursing, Faculty member of Nursing and Midwifery school, Sabzevar University of Medical Sciences, Sabzevar, Iran.

2 Department of Medical Surgical Nursing, Faculty member of Nursing and Midwifery school, Iran University of Medical Sciences, Tehran, Iran.


The improvement of patient safety and the quality of life in acute coronary syndrome (ACS) patients are the main objectives of health care systems. Self-management education programs are thus considered one of the effective protocols to improve patients’ quality of life. This study aimed to evaluate the effect of the self-management protocol 5A model on elderly ACS patients’ quality of life.
Materials and Methods:
This clinical trial was conducted on 53 ACS patients of the Cardiology Department, Imam Reza Hospital, Bojnourd, Iran. Patients were selected according to the permutation blocks for two groups: intervention and control. The intervention group received a self-management program based on the 5A model: Assessment, Advisement, Agreement, Assistance, and Arrangement. The two groups answered demographic and LIPAD questionnaires during the admission and after two months of follow-up. Data were analyzed by the SPSS software (version 16).
The findings presented that most ACS patients were female, married, and uneducated. All dimensions of quality of life increased significantly after the study process (P<0.05). However, these elevated levels were not statistically different between the two groups during the study (P>0.05).
We presented elevated levels of quality of life among ACS cases after the self-management program during the two-month interval. Considering any difference between the two study groups, further research is needed to improve ACS patients’ health levels and quality of life.


Main Subjects

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