Galehdar, Nasrin and Gholami, Mohammad and Abdoli Talaei, Arefeh and Mirzaei Taqi, Fereshteh and Tarrahi, Mohammad Javad and Pirinezhad, Pezhman (2021) The effect of self-management support program on patient activation and inner strength in patients with cardiovascular disease. Patient Education and Counseling.
Full text not available from this repository.Abstract
Objective The aim of the present study was to evaluate the effect of a self-management program on activation and inner strength in patients with cardiovascular diseases (CVDs). Methods This study assigned 86 patients with CVDs to an experimental and a comparison group utilizing alternate allocation based on a quasi-experimental design. The experimental group participated in a self-management program based on a theoretical framework in three stages, i.e. orientation-recognition, reinforcing-engaging and monitoring-follow-up; whereas the comparison group received routine care. The supportive program was administered through holding five individual face-to-face sessions, providing educational booklets and performing four phone-call follow-ups during three months after discharge. The outcomes were measured using the patient activation measure (PAM) and the inner strength scale (ISS). Results The between group analysis indicated a statistically-significant difference in the mean score of patient activation (P < 0.001) in the two groups. Nevertheless, there was not a statistically-insignificant difference in the mean score of inner strength between the two groups (P < 0.104). Conclusion Although a three-month nurse-led self-management support program was found to improve patient activation levels, it was ineffective in promoting inner strength. Practice implications Psychosocial dynamics should be integrated in providing self-management program by nurses. To promote patient activation, tailored consultations is recommended.
| Item Type: | Article |
|---|---|
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine, Health and Life Sciences > School of Medicine |
| Depositing User: | lorestan university |
| Date Deposited: | 27 May 2021 07:10 |
| Last Modified: | 27 May 2021 07:10 |
| URI: | http://eprints.lums.ac.ir/id/eprint/2784 |
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