Randomized Controlled Trial of a Peer Based Intervention on Cardiac Self-efficacy in Patients Undergoing Coronary Artery Bypass Graft Surgery: a 3-year Follow-up Results

  • Shokoh Varaei 1 1. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
  • Morteza Shamsizadeh 2 2. Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
  • Sakineh Kolahdozan 3 3. School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran.
  • Khodayar Oshvandi 2
  • Ali Dehghani 4 4. School of Nursing and Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran.
  • Ali Mohammad Parviniannasab 5 5. Dept. of Nursing, Larestan School of Medical Sciences, Larestan, Iran.
  • Hamid Reza Koohestani 6 6. Dept. of Nursing, School of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh, Iran.
  • Arash Khalili 2
  • Mehdi Molavi 2
  • Mitra Talebi 7* 7. School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran

Abstract

Background: Self-efficacy is one's belief in ability to succeed in specific situations and considerable factor to maintaining healthy behaviors. It has an important role in person-centred care and significantly improves after effects of heart attacks. This study aimed to investigate the effects of a peer based intervention on cardiac self-efficacy of the patients after bypass surgery.Methods: In this clinical trial study, 60 patients undergoing bypass surgery were chosen and assigned equally into the control and intervention groups. The patients were assigned into two groups by block randomization. While routine education was presented to the patients in the control group, intervention group were taught using the peer education in two sessions. Cardiac self-efficacy of all the selected patients was assessed orderly in 36-month (3 years) follow-up after surgery. Inclusion criteria used to choose the suitable patients were as the following: no record of CABG surgery, understanding and talking Persian language, willingness to participate in the research, age between 40 and 70 years, no dementia, confusion, mental and psychological problems which might hinder their participation. In addition, exclusion criteria in this study were patient’s death, serious physical problems after CABG surgery, emergency and unexpected surgeries, or cancellation the CABG surgery due to patient’s situation. Data was collected using cardiac self-efficacy scale and analyzed using chi-square, independent t-test and Kolmogorov-Smirnov tests. Results: The patients in both groups were homogenous in terms of demographic data. The mean score of cardiac self-efficacy in the intervention group was significantly different from control group in 3- year follow-up after surgery (P<0.038).Conclusions: Based on this study, accomplishment of peer based intervention can be a beneficial educative-supportive approach in cardiac surgery fields. 
Published
Apr 17, 2016
How to Cite
VARAEI 1, Shokoh et al. Randomized Controlled Trial of a Peer Based Intervention on Cardiac Self-efficacy in Patients Undergoing Coronary Artery Bypass Graft Surgery: a 3-year Follow-up Results. International Journal of Health Studies, [S.l.], p. page:14-19, apr. 2016. ISSN 2423-6594. Available at: <http://ijhs.shmu.ac.ir/index.php/ijhs/article/view/80>. Date accessed: 01 apr. 2020. doi: http://dx.doi.org/10.22100/ijhs.v2i1.80.
Section
Articles

Keywords

Coronary artery bypass graft, Education, Peer, Self-efficacy.