Effects of collaboration care model on the quality of life in patients after coronary angioplasty: a randomized controlled clinical trial

Background: Coronary artery diseases and therapies such as coronary angioplasty would lead to changes in the quality of life in patients. The aim of this study was to determine the effects of collaborative care model on the quality of life in patients after coronary angioplasty

Methods: This randomized controlled clinical trial was conducted in Isfahan, Iran during 2015. In this study, 50 samples were selected by simple sampling and randomly allocated into two equal groups of intervention and control. Collaborative care model was performed in the intervention group for 3 months. Data were collected using quality of life [SF-36] questionnaire which includes 36 questions on physical and psychological dimensions and was completed before and one month after the intervention in both groups. Data were analyzed using descriptive and analytical statistics and by independent t- test, paired t test, Chi square and Mann-Whitney tests through SPSS 18

Results: After the intervention, the mean score of quality of life in the intervention group was significantly higher than the control group [P<0.05]. The results of independent t-test showed a significant difference between both groups regarding the mean of changes in the score of quality of life and its dimensions in patients undergoing coronary angioplasty 3 months after the intervention [P<0.001]

Conclusion: Results revealed that patients who had been cared based on collaborative care model had better scores of quality of life in all the physical, mental and social dimensions than the control group. Therefore, using this model for taking care of patients after coronary angioplasty is recommended

Lived experiences of women with ischemic heart disease

Ischemic heart disease [IHD] is one of the leading causes of death and disability among young and older women, respectively. Researches in this area mostly focused on manifestations, risk factors, and treatment of the patients with IHD. Therefore, there is a lack of information on the aspects of affects and feelings of such patients. This study aimed to describe lived experience of women with IHD to provide a suitable guide for nursing practice. This was a descriptive phenomenological study. Participants were 8 women with IHD who were hospitalized in critical care units [CCUs] and ambulatory cardiac care centers of Isfahan University of Medical Sciences in Iran. They voluntarily responded to open-ended questions of semi-structured interviews. Data was analyzed using Colaizzi's method to extract meanings and concepts. After analyzing the statements of the participants, 14 subthemes forming 5 main concepts of pain and relief, resistance, introversion, loss of control, and mutual communication were emerged. Ischemic heart event is an experience with multidimensional impact on various aspects of the patient's life. This study demonstrated this experience as having 5 fundamental elements. Women with IHD expressed their suffering from frequent cycles of pain that drove their feelings and thoughts toward themselves and provoked their sense of resistance. They also faced loss of control on various aspects of their lives and changes in their relationships with others, too. This image would help nurses design their care plan based on a better understanding of these patients.

effect of spiritual care on spiritual health of patients with cardiac ischemia

Spiritual well-being [SWB] of patients with cardiovascular diseases particularly in those admitted in coronary care unit [CCU] is threatened due to disease crisis. Therefore, implementing spiritual care is necessary for them. This study aimed to determine the effect of spiritual care program on SWB of patients with cardiac ischemia admitted in CCU in Al-Zahra Hospital, Isfahan, Iran. In a single blind randomized clinical trial, 64 ischemic patients in CCU were randomly divided into test and control groups. Spiritual care program included supportive presence, rituals and using supportive systems for 3 days. Spiritual Well-being Questionnaire were completed before and after the intervention for the both groups. Mean scores of SWB had no significant difference between the two groups before the intervention [p = 0.84]. Mean score of existence dimension [p < 0.001] and mean total score of SWB [p < 0.001] in the test group showed a significant difference comparing before and after the intervention; however, it was not significant in the control group [p = 0.17]. Mean existence dimension [p = 0.01] and mean total score SWB [p = 0.01] had a significant difference between test and control groups after the intervention; however, there was no significant difference in mean score of religious dimension between the two groups after the intervention [p = 0.25]. The spiritual care program promoted the SWB of ischemic patients in existence dimension and overall score, and nurses can use these programs to promote patients' SWB.

Effectiveness of nursing interventions based on family needs on family satisfaction in the neurosurgery intensive care unit

Since the family is a social system, the impairment in each of its component members may disrupt the entire family system. One of the stress sources for families is accidents leading to hospitalization particularly in the intensive care unit [ICU]. In many cases, the families' needs in patient care are not met that cause dissatisfaction. Since the nurses spend a lot of time with patients and their families, they are in a good position to assess their needs and perform appropriate interventions. Therefore, this study was conducted to determine the effectiveness of nursing interventions based on family needs on family satisfaction level of hospitalized patients in the neurosurgery ICU. This clinical trial was conducted in the neurosurgery ICU of Al-Zahra Hospital, Isfahan, Iran in 2010. Sixty four families were selected by simple sampling method and were randomly placed in two groups [test and control] using envelopes. In the test group, some interventions were performed to meet their needs. In the control group, the routine actions were only carried out. The satisfaction questionnaire was completed by both groups two days after admission and again on the fourth day. Both of the intervention and control groups were compared in terms of the mean satisfaction scores before and after intervention. There was no significant difference in mean satisfaction scores between test and control groups before the intervention. The mean satisfaction score significantly increased after the intervention compared to the control group. Nursing interventions based on family needs of hospitalized patients in the ICU increase their satisfaction. Attention to family nursing should be planned especially in the ICUs.