Bagheri H, Memarian R, Alhani F
Department of nursing, Shahroud faculty of medical Sciences, Shahroud, Iran.
J Clin Nurs. 2007 Feb;16(2):402-6. doi: 10.1111/j.1365-2702.2005.01498.x.
The aim of this study was to investigate the effect of group counselling program on quality of life in survivors of myocardial infarction.
Myocardial infarction is one of the most dramatic illnesses that can afflict patients. Despite decreases in mortality from coronary heart disease in most developed countries, mortality is increasing in most eastern European countries and developing countries.
A randomized-controlled trial design.
Sixty-two patients with myocardial infarction were chosen, case group, (31 patients), distributed in five subgroup (each subgroup conclude six or seven patients) and control group (31 patients). A group-counselling program was performed two days per week, each session last one hour. However, no counselling was performed for the control group. The quality of life score was estimated in both groups by the use of the MacNew Quality of Life after Myocardial Infarction questionnaire, before the group counselling program, and one month after the group counselling program, and the quality of life between both groups were compared. The data were analyzed using SPSS software.
Results indicated that there was no significant difference between the mean quality of life score of case and control groups before group counselling program. While there was a significant difference (P = 0.001) between the mean of quality of life score after the group counselling in both groups. The mean of quality of life score, before and after group counselling program indicated a significant difference (P < 0.001) in the case group, while there was no significant difference in the control group. The statistical comparison of the mean of quality of life score in general and in each dimensions before and after group counselling program indicated that there was a significant difference between before and after group counselling in the case group whereas in the control group it has slightly decreased. Pearson's correlation coefficient test (P = 0.002) showed a significant correlation between the duration of myocardial infraction and the quality of life score. The effectiveness of the planned counselling program on quality of life was estimated 24.08 by growth test.
As indicated by the results of this study, group counselling program can promote patient's quality of life in all dimensions.
There is a need for nurses and physicians to apply group counselling program in a wide variety of settings ranging from community to intensive care, as a simple and safe intervention to promote patient's quality of life.
本研究旨在探讨团体辅导计划对心肌梗死幸存者生活质量的影响。
心肌梗死是困扰患者的最严重疾病之一。尽管大多数发达国家冠心病死亡率有所下降，但大多数东欧国家和发展中国家的死亡率却在上升。
随机对照试验设计。
选取62例心肌梗死患者，病例组（31例患者）分为五个亚组（每个亚组包含六或七名患者），对照组（31例患者）。每周进行两天团体辅导计划，每次辅导持续一小时。然而，对照组不进行辅导。在团体辅导计划前及计划实施一个月后，使用心肌梗死后MacNew生活质量问卷对两组患者的生活质量得分进行评估，并比较两组的生活质量。数据使用SPSS软件进行分析。
结果表明，在团体辅导计划前，病例组和对照组的平均生活质量得分无显著差异。而两组在团体辅导后的平均生活质量得分存在显著差异（P = 0.001）。病例组在团体辅导计划前后的平均生活质量得分存在显著差异（P < 0.001），而对照组无显著差异。团体辅导计划前后总体及各维度生活质量得分的统计比较表明，病例组辅导前后存在显著差异，而对照组略有下降。Pearson相关系数检验（P = 0.002）显示心肌梗死持续时间与生活质量得分之间存在显著相关性。通过增长测试评估计划辅导对生活质量的有效性为24.08。
本研究结果表明，团体辅导计划可在各个维度提高患者的生活质量。
护士和医生需要在从社区到重症监护的各种环境中应用团体辅导计划，作为促进患者生活质量的简单安全干预措施。
