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IRCT20210303050562N1 IRCT 2021-06-18 Shiraz University of Medical Sciences The effect of telephone counseling on patients with coronary angioplasty The Effect of telephone counseling based on Orem model on adherence to treatment and resilience of patients with coronary angioplasty 2021-07-13 anticipated 80 Complete https://irct.ir/trial/55950 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Initially, 80 patients with coronary angioplasty will be selected from among eligible individuals. Then, patients are divided into experimental and control groups based on a random quadruple block prepared using block generation software. N/A Acute myocardial infarction. Intervention 1: Intervention group: In the experimental group, in addition to educational pamphlets and routine hospital care, telephone counseling will be provided for 2 months after discharge. Each patient will receive a mobile and home number, as well as the mobile number of a family member, and the patient will be given the researcher's mobile number. They will be provided with a schedule of telephone calls, which includes 3 calls per week for 2 months. The average call time will be 30 minutes. The call time range is from 8 am to 9 pm Also, if you have a problem or have a question, contact the researcher within the same time frame. The patient will be referred to a physician to follow up on patients' questions and problems if needed In the first telephone call, the client's needs are assessed using the Orem Needs Assessment Questionnaire, which includes three basic categories (general self-care needs, care needs for growth and development, self-care needs when deviating from health). To take. Then, based on the needs assessment, patients are evaluated and determined from three aspects in the field of nursing diagnosis, including: 1. Self-care treatment needs (which patient needs are met and which needs are not met, and what factors cause the needs to be met) ، 2. Self-care agent (patient's potential self-care abilities) 3. Decreased self-care (where the patient is weak and unable to take care of himself).In the next stage, the care plan will be designed and developed based on the goals in the form of educational-supportive nursing system, which includes: a- meeting the patient's needs in self-care b- making the patient responsible for self-care c- increasing the patient's independence in His care and adaptation to the changes that have been made and ... is. In fact, the role of the nurse in the education-support system of Orem is more of a counseling mode. For example, a heart patient with high blood cholesterol, a nurse with training on a healthy diet, including: (reducing the consumption of saturated fats (animal fats) and replacing them with unsaturated fats (vegetable oils), consuming omega-3 oils, reducing consumption Salt, weight loss, more consumption of fruits and vegetables, etc.) helps the patient to achieve self-care by increasing awareness of their diet. Also, the heart patient who has undergone angioplasty and his self-confidence has decreased due to limitations, the nurse helps the patient to trust in his / her abilities against the disease by focusing on the patient's abilities, strengthening positive behaviors and improving the patient's behavioral and mental performance in order to adapt to the disease. Feel good despite the limitations. At this stage, the planned nursing measures will be implemented in the form of supportive counseling, and finally the evaluation will be done based on the goals of reducing needs and increasing abilities through telephone calls and repetition and practice. The content of telephone calls generally includes the following: 1. Introduce yourself and ask questions about the patient's general health status 2. Giving health advice and education related to nutrition and medicine 3. Patient adherence to diet, medication, activity and exercise 4. Enhancing patient health behaviors and agreed behavioral goals. Strengthen disease acceptance and patient adaptation to conditions 6. End the call using incentive sentences and determine the time of the next call. Intervention 2: Control group: do not receive telephone counseling over the phone, and educational pamphlets and standard hospital care include: (education about diet, activity, medications, and presentation of educational pamphlets about illness and medication) as well as how to see a doctor at the time of discharge will be provided. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is At the end of the study, if necessary, the coded data will be published along with the article.
public Khatereh Rostami
School of Nursing and Midwifery, Namazi Square, Zand st.
Shiraz Iran (Islamic Republic of) 7193613119 +98 71 3647 4254 khaterehrostami61@yahoo.com Shiraz University of Medical Sciences scientific Khatereh Rostami
School of Nursing and Midwifery, Namazi Square, Zand st.
Shiraz Iran (Islamic Republic of) 7193613119 +98 71 3647 4254 khaterehrostami61@yahoo.com Shiraz University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) No known severe mental illness Ability to communicate and no hearing or speech problems Mobile or landline access and knowledge of its use Literacy for reading and writing Age 18 to 65 years 18 years 65 years Both Incomplete completion of questionnaires Failure to implement the intervention program completely Participate in a similar care program in the last 3 months 121.9 Acute myocardial infarction Behavior Behavior Intervention group: In the experimental group, in addition to educational pamphlets and routine hospital care, telephone counseling will be provided for 2 months after discharge. Each patient will receive a mobile and home number, as well as the mobile number of a family member, and the patient will be given the researcher's mobile number. They will be provided with a schedule of telephone calls, which includes 3 calls per week for 2 months. The average call time will be 30 minutes. The call time range is from 8 am to 9 pm Also, if you have a problem or have a question, contact the researcher within the same time frame. The patient will be referred to a physician to follow up on patients' questions and problems if needed In the first telephone call, the client's needs are assessed using the Orem Needs Assessment Questionnaire, which includes three basic categories (general self-care needs, care needs for growth and development, self-care needs when deviating from health). To take. Then, based on the needs assessment, patients are evaluated and determined from three aspects in the field of nursing diagnosis, including: 1. Self-care treatment needs (which patient needs are met and which needs are not met, and what factors cause the needs to be met) ، 2. Self-care agent (patient's potential self-care abilities) 3. Decreased self-care (where the patient is weak and unable to take care of himself).In the next stage, the care plan will be designed and developed based on the goals in the form of educational-supportive nursing system, which includes: a- meeting the patient's needs in self-care b- making the patient responsible for self-care c- increasing the patient's independence in His care and adaptation to the changes that have been made and ... is. In fact, the role of the nurse in the education-support system of Orem is more of a counseling mode. For example, a heart patient with high blood cholesterol, a nurse with training on a healthy diet, including: (reducing the consumption of saturated fats (animal fats) and replacing them with unsaturated fats (vegetable oils), consuming omega-3 oils, reducing consumption Salt, weight loss, more consumption of fruits and vegetables, etc.) helps the patient to achieve self-care by increasing awareness of their diet. Also, the heart patient who has undergone angioplasty and his self-confidence has decreased due to limitations, the nurse helps the patient to trust in his / her abilities against the disease by focusing on the patient's abilities, strengthening positive behaviors and improving the patient's behavioral and mental performance in order to adapt to the disease. Feel good despite the limitations. At this stage, the planned nursing measures will be implemented in the form of supportive counseling, and finally the evaluation will be done based on the goals of reducing needs and increasing abilities through telephone calls and repetition and practice. The content of telephone calls generally includes the following: 1. Introduce yourself and ask questions about the patient's general health status 2. Giving health advice and education related to nutrition and medicine 3. Patient adherence to diet, medication, activity and exercise 4. Enhancing patient health behaviors and agreed behavioral goals. Strengthen disease acceptance and patient adaptation to conditions 6. End the call using incentive sentences and determine the time of the next call. Control group: do not receive telephone counseling over the phone, and educational pamphlets and standard hospital care include: (education about diet, activity, medications, and presentation of educational pamphlets about illness and medication) as well as how to see a doctor at the time of discharge will be provided. Adherence to treatment. Timepoint: Before the intervention and immediately after the intervention. Method of measurement: Questionnaire of adherence to treatment of chronic patients Madanloo 1392. Resilience. Timepoint: Before the intervention and immediately after the intervention. Method of measurement: Resilience questionnaire for Ebadi heart and respiratory patients 2016. Shiraz University of Medical Sciences Approved 2021-05-27 Ethics committee of Shiraz University of Medical Sciences Vice Chancellor for Research, 7th floor, shiraz university of medical science, zand st. Shiraz Fars Iran (Islamic Republic of)