Mohammad Gholami1, Arefeh Abdoli Talaei2, Mohammad Javad Tarrahi3, Fereshteh Mirzaei Taqi4, Nasrin Galehdar5, Pezhman Pirinezhad6. 1. School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad 6814993165, Iran. Electronic address: mohammad13565@yahoo.com. 2. Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran. Electronic address: abdoli1373121@gmail.com. 3. Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address: tarrahi_mj@yahoo.com. 4. Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran. Electronic address: mirzaei0085@gmail.com. 5. Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran. Electronic address: galehdar_n@yahoo.com. 6. Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran. Electronic address: pezhman.piri1997@yahoo.com.
Abstract
OBJECTIVE: The aim of the present study was to evaluate the effect of a self-management program on activation and inner strength in patients with cardiovascular diseases (CVDs). METHODS: This study assigned 86 patients with CVDs to an experimental and a comparison group utilizing alternate allocation based on a quasi-experimental design. The experimental group participated in a self-management program based on a theoretical framework in three stages, i.e. orientation-recognition, reinforcing-engaging and monitoring-follow-up; whereas the comparison group received routine care. The supportive program was administered through holding five individual face-to-face sessions, providing educational booklets and performing four phone-call follow-ups during three months after discharge. The outcomes were measured using the patient activation measure (PAM) and the inner strength scale (ISS). RESULTS: The between group analysis indicated a statistically-significant difference in the mean score of patient activation (P < 0.001) in the two groups. Nevertheless, there was not a statistically-insignificant difference in the mean score of inner strength between the two groups (P < 0.104). CONCLUSION: Although a three-month nurse-led self-management support program was found to improve patient activation levels, it was ineffective in promoting inner strength. PRACTICE IMPLICATIONS: Psychosocial dynamics should be integrated in providing self-management program by nurses. To promote patient activation, tailored consultations is recommended.
OBJECTIVE: The aim of the present study was to evaluate the effect of a self-management program on activation and inner strength in patients with cardiovascular diseases (CVDs). METHODS: This study assigned 86 patients with CVDs to an experimental and a comparison group utilizing alternate allocation based on a quasi-experimental design. The experimental group participated in a self-management program based on a theoretical framework in three stages, i.e. orientation-recognition, reinforcing-engaging and monitoring-follow-up; whereas the comparison group received routine care. The supportive program was administered through holding five individual face-to-face sessions, providing educational booklets and performing four phone-call follow-ups during three months after discharge. The outcomes were measured using the patient activation measure (PAM) and the inner strength scale (ISS). RESULTS: The between group analysis indicated a statistically-significant difference in the mean score of patient activation (P < 0.001) in the two groups. Nevertheless, there was not a statistically-insignificant difference in the mean score of inner strength between the two groups (P < 0.104). CONCLUSION: Although a three-month nurse-led self-management support program was found to improve patient activation levels, it was ineffective in promoting inner strength. PRACTICE IMPLICATIONS: Psychosocial dynamics should be integrated in providing self-management program by nurses. To promote patient activation, tailored consultations is recommended.