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Paper Information

Journal:   MILITARY CARING SCIENCES   SPRING 2017 , Volume 4 , Number 1 (11) ; Page(s) 39 To 48.
 
Paper: 

THE EFFECT OF THE COLLABORATIVE CARE MODEL IMPLEMENTATION ON QUALITY OF LIFE IN PATIENTS WITH HEART DISEASES

 
DOI: 

10.29252/mcs.4.1.39

 
Author(s):  ZARE SHORAKIE H., PISHGOOIE S.A.H.*, ZAREIYAN A., ATASHZADE SHOORIDE F.
 
* IRAN, TEHRAN, AJA UNIVERSITY OF MEDICAL SCIENCES, FACULTY OF NURSING, MEDICAL-SURGICAL DEPARTMENT
 
Abstract: 

Introduction: Coronary heart disease is a chronic disease that requires long-term treatment, care and monitoring to prevent disease progression and its complications. The financial and social burdens of the disease in the society are too high to have made researchers look for effective solutions for reducing the side effects in order for patients to have qualitative lives. The aim of this study was to evaluate the effects of care model implementation so as to reduce the complications and improve the quality of life for these patients.
Materials and Methods: This study was a randomized clinical trial. The study population included 58 patients with coronary artery disease who were hospitalized in intensive care units of NAJA Vali-Asr and 502 AJA hospitals during February to June 2016. These patients were divided into intervention and control groups according to the inclusion criteria and the specific block method. Then, collaborative care model in the test group was administered for three months and Nottingham quality of life questionnaire was used to collect information. The data were analyzed with SPSS 22 software and independent t-test, t-test and Fisher›s exact test.
Results: Statistical analysis between the experimental and control groups showed no significant difference in demographic characteristics. Quality of life mean scores before the intervention were 141.59 ± 137.23 and 209.12 ± 144.52 in the experimental and control groups, respectively. Independent t-test showed no significant difference in quality of life between the two groups before the intervention (P=0.073). However, the quality of life scores decreased in experimental and control groups (76.11 ± 80.97 and 167.78 ± 151.98 respectively), indicating a significant difference after three months of intervention (P<0.05). Comparing the mean scores of four times of observation showed a significantly decreasing trend (P<0.05) in both groups after the intervention. The significant difference in the level of effectiveness was average.
Discussion and Conclusion: Care models have important roles in enhancing the quality of care for patients, especially in chronic diseases. Collaborative care model is effective for the care of heart disease, and training of this model is recommended for critical care nurses.

 
Keyword(s): CARE MODEL, CORONARY ARTERY DISEASE, COLLABORATION, IRAN, NURSING
 
References: 
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