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

Authors

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.

Abstract

Introduction:
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).
 
Results:
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).
 
Conclusion:
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.

Keywords

Main Subjects

References

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Journal of Patient Safety & Quality Improvement
Volume 11, Issue 1
January 2023
Pages 23-31

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