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IRCT20230219057454N1 IRCT 2023-03-02 Esfahan University of Medical Sciences Investigating the effect of training on quality of life, quality of sleep and fatigue in cardiac patients Investigating the effect of education based on continuous care model on quality of life, quality of sleep and fatigue in patients undergoing coronary artery bypass surgery. 2023-06-22 anticipated 140 Complete https://irct.ir/trial/68713 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance. N/A Quality of life, quality of sleep and fatigue. Intervention 1: Description of the intervention in the intervention group: The stages of this model are: familiarization, sensitization, control and evaluation. The duration of the implementation of the continuous care model is 12 weeks, which includes a familiarization phase and 6 sensitization sessions in a period of four weeks and two control phases, and the evaluation is done by a questionnaire. The connected and coherent stages of the continuous care model are: Familiarization stage: The actions of this stage include introducing the trainer to the patient and family, clarifying the trainer's expectations in the study stages, specifying the patient's and his family's expectations and expectations, completing ethical consideration forms, Completing the questionnaire forms after selecting and accepting the patient and family through the press line, determining and agreeing on the time of training sessions, by phone and mentioning the goals and how to communicate, this step is done for both intervention and control groups. Sensitization stage: The actions of this stage include examining the situation and explaining the skill training needs of the patient and the family, explaining about the disease and the existing and possible resulting complications, examining the basic needs regarding the quality of life, sleep quality, fatigue and justifying the need to pay attention to it, explaining The problems are caused by the complications of the disease and addressing the desired questions and answers with an emphasis on the risk factors. Familiarization and sensitization stages will be held in the first 4 weeks of the implementation of the model in 6 sessions of 30 to 45 minutes according to the level of tolerance and acceptance of the patients. At this stage, the quality of life, sleep quality and fatigue questionnaires are completed by the patients of the intervention group .Control phase: The actions of this phase include direct and indirect evaluation of acquired skills, checking the stability of health behaviors, checking new needs with regard to new problems and re-sensitizing regarding problem solving, strengthening health behaviors and justifying the beneficial effects of actions with regard to improving the index. tangible things, controlling the studied variables, exchanging opinions about the success and failure of the measures taken, explaining the proposed solution with the help of the patient and family. In this stage, follow-up care consultations will be carried out frequently for two months with phone calls according to the care needs of the intervention group. Evaluation stage: The actions of this stage include the evaluation of the desired variables using questionnaires. Finally, this stage ends with completing the questionnaire at the end of the first month and the end of the second month after the intervention. Intervention 2: Control group: : Familiarization stage: The first step in the continuous care model is familiarization, the purpose of which is mutual recognition (patient, family and teacher) and explanation of the model stages. The actions of this stage include introducing the trainer to the patient and the family, clarifying the trainer's expectations during the study stages, specifying the expectations and expectations of the patient and his family, completing the ethical consideration forms, completing the questionnaire forms after selecting and accepting the patient and the family through the press line. Determining and agreeing on the time of the training sessions, on the phone, and mentioning the goals and how the communication is possible which this process is done in the control stage. No - There is not a plan to make this available Justification or reason for not sharing IPD is In this plan, there is no need to publish information
public Hossein Shahnazi
Hezarjarib Ave, School of Health, Isfahan University of Medical Sciences, Isfahan
Isfahan Iran (Islamic Republic of) 81746-73461 +98 31 3668 0048 h_shahnazi@hlth.mui.ac.ir Esfahan University of Medical Sciences scientific Hossein Shahnazi
Hezarjarib Ave, School of Health, Isfahan University of Medical Sciences, Isfahan
Isfahan Iran (Islamic Republic of) 81746-73461 +98 31 3792 3200 h_shahnazi@hlth.mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) People who have had at least 2 months of coronary artery bypass grafting (CABG) and have been admitted to Chamran Hospital and have a hospital record Consent to participate in the study Having reading and writing literacy Internet access The ability to use virtual space to participate in web meetings and to use programs such as Skyroom Resident of Isfahan no limit no limit Both Prohibition of physical activity as determined by the physician Having a special diet recommended by the physician Having other disabilities such as blindness, deafness and mental retardation Suffering from neurological, cerebro-vascular, psychiatric, urinary-genital disorders, being treated with psychiatric drugs (due to non-cardiac diseases) based on the patient's record Acute myocardial infarction, unspecified Lifestyle Lifestyle Description of the intervention in the intervention group: The stages of this model are: familiarization, sensitization, control and evaluation. The duration of the implementation of the continuous care model is 12 weeks, which includes a familiarization phase and 6 sensitization sessions in a period of four weeks and two control phases, and the evaluation is done by a questionnaire. The connected and coherent stages of the continuous care model are: Familiarization stage: The actions of this stage include introducing the trainer to the patient and family, clarifying the trainer's expectations in the study stages, specifying the patient's and his family's expectations and expectations, completing ethical consideration forms, Completing the questionnaire forms after selecting and accepting the patient and family through the press line, determining and agreeing on the time of training sessions, by phone and mentioning the goals and how to communicate, this step is done for both intervention and control groups. Sensitization stage: The actions of this stage include examining the situation and explaining the skill training needs of the patient and the family, explaining about the disease and the existing and possible resulting complications, examining the basic needs regarding the quality of life, sleep quality, fatigue and justifying the need to pay attention to it, explaining The problems are caused by the complications of the disease and addressing the desired questions and answers with an emphasis on the risk factors. Familiarization and sensitization stages will be held in the first 4 weeks of the implementation of the model in 6 sessions of 30 to 45 minutes according to the level of tolerance and acceptance of the patients. At this stage, the quality of life, sleep quality and fatigue questionnaires are completed by the patients of the intervention group .Control phase: The actions of this phase include direct and indirect evaluation of acquired skills, checking the stability of health behaviors, checking new needs with regard to new problems and re-sensitizing regarding problem solving, strengthening health behaviors and justifying the beneficial effects of actions with regard to improving the index. tangible things, controlling the studied variables, exchanging opinions about the success and failure of the measures taken, explaining the proposed solution with the help of the patient and family. In this stage, follow-up care consultations will be carried out frequently for two months with phone calls according to the care needs of the intervention group. Evaluation stage: The actions of this stage include the evaluation of the desired variables using questionnaires. Finally, this stage ends with completing the questionnaire at the end of the first month and the end of the second month after the intervention. Control group: : Familiarization stage: The first step in the continuous care model is familiarization, the purpose of which is mutual recognition (patient, family and teacher) and explanation of the model stages. The actions of this stage include introducing the trainer to the patient and the family, clarifying the trainer's expectations during the study stages, specifying the expectations and expectations of the patient and his family, completing the ethical consideration forms, completing the questionnaire forms after selecting and accepting the patient and the family through the press line. Determining and agreeing on the time of the training sessions, on the phone, and mentioning the goals and how the communication is possible which this process is done in the control stage. Fatigue score in Chalder's Fatigue Questionnaire. Timepoint: Completing the fatigue questionnaire form before the intervention (familiarization phase) and at the end of the first month and the end of the second month after the intervention (evaluation phase). Method of measurement: Chalder fatigue questionnaire. Sleep quality score in the Pittsburgh Sleep Quality Questionnaire. Timepoint: Completing the sleep quality questionnaire form before the intervention (familiarization phase) and at the end of the first month and the end of the second month after the intervention (evaluation phase). Method of measurement: Pittsburgh sleep quality questionnaire. Quality of life score in the MًَacNew quality of life questionnaire. Timepoint: Completing the quality of life questionnaire form before the intervention (familiarization phase) and at the end of the first month and the end of the second month after the intervention (evaluation phase). Method of measurement: MacNew Quality of Life Questionnaire. Esfahan University of Medical Sciences Approved 2023-02-27 Ethical Committee of Isfahan University of Medical Sciences Hezarjarib Ave, Isfahan University of Medical Sciences, Isfahan Isfahan Isfehan Iran (Islamic Republic of)