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IRCT2016010625880N1 IRCT 2016-05-12 Ahvaze University of Medical Sciences The Effect of Education on Quality of Life in Patients With Heart Failure The Effect of Roy’s Adaptation Model-Based Patient Education on The Quality of Life of Patients with Heart Failure 2015-12-19 anticipated 76 Complete https://irct.ir/trial/21597 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A Heart Failure. Intervention 1: Control Group Did not Receive Behavioral Intervention and Receive only Treatment Routine Care. Intervention 2: Type of Intervention Is Behavioral, In addition to routine medical cares, the intervention group will receive weekly 45-minute sessions of Roy's Adaptation Model-based training for one month. This group will also receive a follow-up procedure through phone contact, during which the positive behaviors of the patients will be encouraged and strengthened by stating the advantages of such behaviors; whereas, their negative behaviors will be undermined by mentioning their complications and disadvantages. The intervention group will also receive telephone and physically individual consultation. The educational content will be gathered and developed based on nursing and medical literature review. Presentation of educational content during the 4 sessions will be as follows: • The first session: definition of heart failure, signs and symptoms of the disease, how to perform exercise and physical activities.• The second session: diet and fluid intake, tobacco use, alcohol consumption, daily weighing and its interpretation.• The third session: training in medications, their complications, and how to adjust drug dosing.• The fourth session: Management of and adaptation to symptoms, sexual problems, and stresses. If patients need more help to shape adaptation behaviors, they will be referred to other treatment team members based on the type of behavior and its stimulator (e.g. referral to a specialized physician for drug dosing adjustment). The researcher will provide patients with continuous follow-ups from the beginning of the intervention onward. In fact, these telephone follow-ups and the time spent on visiting patients physically and individually, will create a sense of support in them, which is associated with psychologically positive effect. During the whole program, patients will be encouraged to have one companion in training sessions. A handout, entitled.
public Doctor Shahram Baraz
School of Nursing, Ahvaze University of Medical Sciences, Gholstan Highway, Ahvaze, Khuzestan
Ahvaz- Iran (Islamic Republic of) 00986133738333 00 shahrambaraz@yahoo.com Ahvaz University of Medical Sciences scientific Akram Mansouri
School of Nursing, Ahvaze University of Medical Sciences, Gholstan Highway, Ahvaze, Khuzestan
Ahvaze Iran (Islamic Republic of) 00989353772927 00 Mansouri.A@ajums.ac.ir Ahvaz University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria are: diagnosis of class I, II, III heart failure by a physician, according to the American Heart Association and clinical and laboratory evidence, at least 6 months before the study; ejection fraction of 40% or below; no mental disorder; normal hearing, vision and mental capabilities that allow making communication; age range from 18 to 65 years; no contraction of other chronic diseases such as kidney or liver failure, chronic pulmonary obstructive diseases, and neural and motor disorders, except diabetes; having access to patients for follow-up controls; walking capability; and not receiving the same training in other centers. Exclusion criteria include: unwillingness to participate for any reason; moving from the research region during the study; and more than two times absence from training sessions. 18 years 65 years Both 150.20و150 Chronic Systolic (Congestive) Heart Failure Behavior Behavior Control Group Did not Receive Behavioral Intervention and Receive only Treatment Routine Care. Type of Intervention Is Behavioral, In addition to routine medical cares, the intervention group will receive weekly 45-minute sessions of Roy's Adaptation Model-based training for one month. This group will also receive a follow-up procedure through phone contact, during which the positive behaviors of the patients will be encouraged and strengthened by stating the advantages of such behaviors; whereas, their negative behaviors will be undermined by mentioning their complications and disadvantages. The intervention group will also receive telephone and physically individual consultation. The educational content will be gathered and developed based on nursing and medical literature review. Presentation of educational content during the 4 sessions will be as follows: • The first session: definition of heart failure, signs and symptoms of the disease, how to perform exercise and physical activities.• The second session: diet and fluid intake, tobacco use, alcohol consumption, daily weighing and its interpretation.• The third session: training in medications, their complications, and how to adjust drug dosing.• The fourth session: Management of and adaptation to symptoms, sexual problems, and stresses. If patients need more help to shape adaptation behaviors, they will be referred to other treatment team members based on the type of behavior and its stimulator (e.g. referral to a specialized physician for drug dosing adjustment). The researcher will provide patients with continuous follow-ups from the beginning of the intervention onward. In fact, these telephone follow-ups and the time spent on visiting patients physically and individually, will create a sense of support in them, which is associated with psychologically positive effect. During the whole program, patients will be encouraged to have one companion in training sessions. A handout, entitled Quality of Life. Timepoint: Before Intervention and one Month After Intervention. Method of measurement: Minnesota Questionnaire, Roy Questionnaire. Adaptation. Timepoint: before itervention and one month after intervention. Method of measurement: Roy Questionnaire. Ahvaze University of Medical Sciences Approved 2015-12-19 Ahvaze University of Medical Sciences Ahvaze University of Medical Sciences, Gholestan Square, Ahvaze, Khuzestan, Iran Ahvaze Iran (Islamic Republic of)