Department of Psychology and Education, University of Tehran, Tehran, Iran.
Cardiac Rehabilitation Center of Tehran Heart Center Hospital, Tehran, Iran.
Int J Impot Res. 2014 Jan;26(1):16-9. doi: 10.1038/ijir.2013.27. Epub 2013 Jun 13.
Some reports have examined ED, an important indicator of quality of life (QoL), in cardiac patients. However, the results of these studies have been contradictory. Although some studies report of improvement of ED following coronary artery bypass graft (CABG), others show either no improvement or worsening of the condition. Given such controversy, this study attempted to examine the status of ED following an educational intervention program called PRECEDE-PROCEED model in CABG patients (the PRECEDE acronym stands for predisposing, reinforcing, enabling constructs in educational/environmental diagnosis and evaluation and PROCEED stands for policy, regulatory and organizational constructs in educational and environmental development). This model is a planning model and offers a framework that enables us to recognize useful intervention strategies in achieving desired outcomes. Specifically, it works on two premises. First, it posits that the purpose of a health program is to improve the QoL for individuals. Second, it works on the principle that a diagnosis should begin with the preferred end result and work backward to assess what must be done to bring about that result. As such, the results of our study showed that the implementation of the intervention program following surgery not only significantly decreased ED but enhanced the QoL. Thus, utilization of educational intervention program after CABG operations is recommended.
一些报告检查了 ED，这是生活质量 (QoL) 的一个重要指标，在心脏病人中。然而，这些研究的结果相互矛盾。尽管一些研究报告称，在冠状动脉旁路移植术 (CABG) 后 ED 有所改善，但其他研究则表明 ED 没有改善或恶化。鉴于这种争议，本研究试图在 CABG 患者中检查一个名为 PRECEDE-PROCEED 模型的教育干预计划（PRECEDE 是指在教育/环境诊断和评估中的诱发、强化、使能结构，而 PROCEED 是指在教育和环境发展中的政策、监管和组织结构）对 ED 的影响。该模型是一个规划模型，提供了一个框架，使我们能够认识到实现预期结果的有用干预策略。具体来说，它基于两个前提。首先，它假设健康计划的目的是提高个人的生活质量。其次，它基于这样的原则，即诊断应该从期望的最终结果开始，并向后工作，以评估为实现该结果必须采取的措施。因此，我们的研究结果表明，手术后实施干预计划不仅显著降低了 ED，而且提高了生活质量。因此，建议在 CABG 手术后使用教育干预计划。
