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Iranian Journal of Nursing and Midwifery Research، جلد ۲۶، شماره ۳، صفحات ۲۱۶-۲۲۲
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عنوان انگلیسی The Effect of an Educational Intervention based on Pender’s Health Promotion Model on Treatment Adherence in the Patients with Coronary Artery Disease
چکیده انگلیسی مقاله Background: Increasing of hospitalization rates of Coronary Artery Disease (CAD) management have created major challenge for the health system. Poor adherence to treatment is one of the main reasons for treatment failure, prolongation of treatment, and increase care costs. The aim of this research was to determine the effect of educational intervention based on Pender’s Health Promotion Model (HPM) on adherence in patients with CAD. Materials and Methods: This randomized controlled clinical trial was held in an educational hospital in Isfahan, Iran, February 2018–May 2019. Data were collected from 64 patients with CAD, before, 1 and 3 months after the intervention. The instrument used included treatment adherence questionnaire and a checklist Pender’s HPM. The study group received dietary, exercise, and medication education based on Pender’s HPM in four sessions which were held in 4 weeks. The control group received the routine educational program of the hospital. The data was analyzed using descriptive statistics, repeated measures ANOVA, independent t , Chi‑square, and Mann–Whitney tests via SPSS software. Results: The mean score of treatment adherence was significantly different between two groups in one (z = 5.28, df = 2, p < 0.001) and three (z = 4.51, df = 2, p < 0.001) months after the intervention. The mean (SD) of treatment adherence in the study group was 139.82 (27.44) 3 months after the intervention. Conclusions: Educational intervention based on Pender’s HPM is more effective on treatment adherence than the routine method in the patients with CAD. It is recommended to integrate the Pender’s HPM as a nursing care program for these patients.
کلیدواژه‌های انگلیسی مقاله Coronary artery disease, health promotion, Iran, nursing, treatment adherence and compliance
نویسندگان مقاله | Forough Faroughi
Nursing and Midwifery Care Research Center, Adult Health Nursing Department, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran


| Mohsen Shahriari
Community Health Nursing Department, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran,


| Mahrokh Keshvari
Cardiovascular Research Institute, Chamran Hospital, Isfahan, Iran


| Farymah Shirani


نشانی اینترنتی http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/1797
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original Articles
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