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Published on: February 28, 2012
The Effect of Continuous Care Program on the Self-Efficacy of Patients with Implantable Cardioverter Defibrillator: A
Shirin Afshar Ghahreman Khani1, Pegah Matourypour2, Majid Haghjoo1
1Cardiac Electrophysiology Research Center, Rajaie Cardiovascular Medical and Research Center, Tehran, Iran.
Insights
A continuous care program significantly improved self-efficacy in patients with Implantable Cardioverter Defibrillators (ICD). This nursing intervention offers an effective model for enhancing patient confidence and well-being after ICD implantation.
Area of Science:
- Cardiology
- Nursing
- Psychology
Background:
- Ventricular dysrhythmias pose a significant mortality risk.
- Implantable Cardioverter Defibrillators (ICDs) are crucial for managing these arrhythmias.
- Patients with ICDs often face physical, psychological, and social challenges.
Purpose of the Study:
- To investigate the impact of a continuous care program on self-efficacy in patients with ICDs.
- To evaluate the effectiveness of a structured nursing intervention for ICD patients.
Main Methods:
- A randomized clinical trial involving 80 patients with ICDs.
- Intervention group received continuous care, education, and follow-up.
- Control group received routine care; self-efficacy was measured using SE-ICD and OE-ICD questionnaires.
Main Results:
- No significant difference in self-efficacy between groups pre-intervention (p > 0.05).
- Significant increase in mean self-efficacy scores in the intervention group post-intervention (t77 = 4.9, p < 0.001).
Conclusions:
- Continuous care programs enhance self-efficacy in patients with ICDs.
- This model is effective for nursing care of patients with ICDs.
- Improves patient outcomes and quality of life.
Background:
The majority of cardiac disorders resulting from ventricular dysrhythmias are fatal. The Implantable Cardioverter Defibrillator (ICD) is one of the most common treatments of ventricular dysrhythmias. Despite the benefits of ICD in preserving life, patients with ICD experience adverse physical, psychological, and social consequences. This study investigated the effects of the continuous care program on self-efficacy in patients with ICD.
Materials And Methods:
The present study was a randomized clinical trial. Based on the inclusion criteria, 80 patients attending an educational cardiovascular center in Tehran during 2017-2018, were randomly assigned to two intervention and control groups (40 in each). The intervention included the continuous care program, an educational session, and a follow-up program undertaken for the patients receiving the ICD. The control group received routine care. Self-efficacy was then measured by ICD (SE-ICD and OE-ICD) questionnaires and compared between the two groups.
Results:
The results showed no difference between the two groups before the intervention (p > 0.05). However, there was a significant difference in the mean self-efficacy score between the two groups after the intervention, being significantly higher in the intervention group (t77 = 4.9, p < 0.001).
Conclusions:
The results of the present study indicated that providing a continuous care program can increase self-efficacy in patients with ICD and can be used as an effective model in the nursing care of patients with ICD.
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