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以患者为中心的教育对冠心病患者坚持治疗方案的影响。

The effect of patient-centered education in adherence to the treatment regimen in patients with coronary artery disease.

作者信息

Saki Mandana, Najmi Saba, Gholami Mohammad, Ebrahimzadeh Farzad, Pour Fatemeh Jafari

机构信息

Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.; Department of Nursing, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.

Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran.

出版信息

J Vasc Nurs. 2022 Mar;40(1):28-34. doi: 10.1016/j.jvn.2021.10.003. Epub 2021 Oct 27.

Abstract

This study aimed to determine the effect of patient-centered education on adherence to the treatment regimen in patients with coronary artery disease. It was a parallel randomized controlled study with a 1:1 allocation ratio. 104 patients who met the inclusion criteria were chosen through non-probability consecutive sampling and divided into intervention and control groups. For the intervention group, along with the usual education, two sessions of 45-60 minute patient-centered education were performed. The control group received only the usual education. The primary outcome was adherence to the treatment regimen which was measured before and after the intervention. The findings indicated that there was a statistically significant difference between the mean scores of adherence to the treatment regimen in three dimensions of diet, physical activity, and medication at the beginning and end of the research in intervention and control groups. Patient-centered education is effective in improving adherence to the treatment regimen in patients with coronary artery disease. Consequently, patient-centered education applied in the current study can be recommended as a simple, low-cost, and efficient technique in increasing adherence to the treatment regimen in patients with coronary artery disease.

摘要

本研究旨在确定以患者为中心的教育对冠心病患者治疗方案依从性的影响。这是一项分配比例为1:1的平行随机对照研究。通过非概率连续抽样选取了104名符合纳入标准的患者,并将其分为干预组和对照组。对于干预组,除常规教育外,还进行了两场时长为45 - 60分钟的以患者为中心的教育。对照组仅接受常规教育。主要结局是治疗方案依从性,在干预前后进行测量。研究结果表明,干预组和对照组在研究开始和结束时,饮食、体育活动和药物治疗这三个维度的治疗方案依从性平均得分之间存在统计学上的显著差异。以患者为中心的教育在提高冠心病患者治疗方案依从性方面是有效的。因此,本研究中应用的以患者为中心的教育可作为一种简单、低成本且有效的技术,推荐用于提高冠心病患者对治疗方案的依从性。

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