Rahimi Kordshooli Khadijeh, Rakhshan Mahnaz, Ghanbari Alireza
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Medical-Surgical Nursing, Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
J Caring Sci. 2018 Dec 1;7(4):189-195. doi: 10.15171/jcs.2018.029. eCollection 2018 Dec.
Heart failure is a chronic medical condition that, despite the existing therapies, involves different aspects of an individual's life (such as self-care capability). Illness perception is one of the most important variables which seem to improve the self-efficacy skills in chronic diseases such as heart failure. Therefore, this study aimed to investigate the effect of family-centered empowerment model on the perception of the illness in heart failure patients. This interventional study was performed on 70 heart failure patients, assigned into control and experimental groups, admitted to the heart clinic of Hazrate Fatemeh hospital in Shiraz. After the convenience sampling, the patients were divided into two control and intervention groups by block randomization method. For experimental group, the family-centered empowerment modeling was done in 5 sessions. The research materials included demographic information and Brief illness perception questionnaires (B-IPQ). Data were analyzed using SPSS v.13 software. The statistical tests included Wilcoxon, Man-Whitney, and Independent t-test. P value less than 0.05 was considered as significant. In this study, both control and experimental groups were homogeneous with demographic information. Before the intervention in different dimensions of illness perception, all of the values in both groups were the same; However, after the intervention, a significant difference was observed in all of the dimensions of illness perception, except for Time line; so that the most and the least changes were related to the concern (1.09 (0.61) vs 3 (0.93)), and identity dimensions (0.97 (0.61) vs 2.11 (0.67)), respectively. On the basis of the above, it can be concluded that this model modifies the illness perceptions in heart failure patients. Cardiac nurses should consider family- based empowerment model as a treatment for heart failure patients.
心力衰竭是一种慢性疾病，尽管现有治疗手段多样，但仍会影响患者生活的方方面面（如自我护理能力）。疾病认知是改善心力衰竭等慢性疾病自我效能技能的最重要变量之一。因此，本研究旨在探讨以家庭为中心的赋权模式对心力衰竭患者疾病认知的影响。本干预性研究对70名心力衰竭患者进行，这些患者被分配到对照组和实验组，均入住设拉子哈兹拉特·法蒂玛医院心脏科。采用便利抽样后，通过整群随机化方法将患者分为两个对照组和干预组。对实验组进行了5次以家庭为中心的赋权模式干预。研究材料包括人口统计学信息和简短疾病认知问卷（B-IPQ）。使用SPSS v.13软件对数据进行分析。统计检验包括Wilcoxon检验、曼-惠特尼检验和独立样本t检验。P值小于0.05被认为具有统计学意义。在本研究中，对照组和实验组在人口统计学信息方面具有同质性。在干预前，两组在疾病认知的不同维度上所有值均相同；然而，干预后，除时间线维度外，疾病认知的所有维度均观察到显著差异；变化最大和最小的维度分别是担忧（1.09（0.61）对3（0.93））和身份维度（0.97（0.61）对2.11（0.67））。基于以上情况，可以得出结论，该模式改变了心力衰竭患者的疾病认知。心脏科护士应将基于家庭的赋权模式视为心力衰竭患者的一种治疗方法。
