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.
Abstract

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