Person-centered Nursing to Improve Treatment Regimen Adherence in Patients with Myocardial Infarction
Introduction: Person-Centred Care (PCC) relies on effective communication and emphasises on co-operation in care between patients and healthcare professionals. WHO advocates this type of care as a key component of quality health care. Aim: To evaluate if person-centred nursing can improve treatment...
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doaj-187ea79a363547a391e8491c992dcea32020-11-25T02:17:49ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-01-01121LC01LC0410.7860/JCDR/2018/28916.11131Person-centered Nursing to Improve Treatment Regimen Adherence in Patients with Myocardial InfarctionFarzaneh Soleimani0Sima Zohari Anbohi1Roghayeh Esmaeili2Mohamad Amin Pourhoseingholi3Fariba Borhani4Nursing Graduate Student, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Associate Professor of Biostatistics, Gastroenterology and Liver Diseases Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Associate Professor of Nursing, Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Introduction: Person-Centred Care (PCC) relies on effective communication and emphasises on co-operation in care between patients and healthcare professionals. WHO advocates this type of care as a key component of quality health care. Aim: To evaluate if person-centred nursing can improve treatment regimen adherence in patients with Myocardial Infarction (MI). Materials and Methods: During August-November 2016, 101 patients with MI, of age ≤85 years were randomly assigned to personcentred nursing group and usual care group and followed for two months. In the intervention group, a person-centred nursing process was added to care, emphasising the patient as a partner in care. Care was provided in co-operation with the patient, registered nurse and researcher. Data were collected using self-report adherence to the treatment regimen questionnaire and were analysed using SPSS software version 22 and chi-square test, independent samples t-test and paired t-test were applied wherever required. Results: Study results showed that the mean score of treatment regimen adherence did not have a significant difference before intervention, three weeks and two month after intervention in control group (p=0.692; p=0.581), but three weeks after intervention, the intervention group had a significant difference in the mean score of the treatment regimen adherence (p<0.001). Also, paired t-test results showed that two month after intervention the mean of adherence in person-centred nursing group was higher than control group (p<0.001). Conclusion: Person-centered nursing improved treatment regimen adherence in patients with MI. Further work is needed to examine whether this intervention can be sustained to improve clinical outcomes.https://jcdr.net/articles/PDF/11131/28916_F(AnG)_PF1_(EK_SL)_PFA(OM)_PF2_(EK_SL_MJ_AP)_PN(AP).pdfmedication adherencemedication non adherencenursing care plansnursing theoriesquality of care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Farzaneh Soleimani Sima Zohari Anbohi Roghayeh Esmaeili Mohamad Amin Pourhoseingholi Fariba Borhani |
spellingShingle |
Farzaneh Soleimani Sima Zohari Anbohi Roghayeh Esmaeili Mohamad Amin Pourhoseingholi Fariba Borhani Person-centered Nursing to Improve Treatment Regimen Adherence in Patients with Myocardial Infarction Journal of Clinical and Diagnostic Research medication adherence medication non adherence nursing care plans nursing theories quality of care |
author_facet |
Farzaneh Soleimani Sima Zohari Anbohi Roghayeh Esmaeili Mohamad Amin Pourhoseingholi Fariba Borhani |
author_sort |
Farzaneh Soleimani |
title |
Person-centered Nursing to Improve Treatment Regimen Adherence in Patients with Myocardial Infarction |
title_short |
Person-centered Nursing to Improve Treatment Regimen Adherence in Patients with Myocardial Infarction |
title_full |
Person-centered Nursing to Improve Treatment Regimen Adherence in Patients with Myocardial Infarction |
title_fullStr |
Person-centered Nursing to Improve Treatment Regimen Adherence in Patients with Myocardial Infarction |
title_full_unstemmed |
Person-centered Nursing to Improve Treatment Regimen Adherence in Patients with Myocardial Infarction |
title_sort |
person-centered nursing to improve treatment regimen adherence in patients with myocardial infarction |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2018-01-01 |
description |
Introduction: Person-Centred Care (PCC) relies on effective communication and emphasises on co-operation in care between patients and healthcare professionals. WHO advocates this type of care as a key component of quality health care. Aim: To evaluate if person-centred nursing can improve treatment regimen adherence in patients with Myocardial Infarction (MI). Materials and Methods: During August-November 2016, 101 patients with MI, of age ≤85 years were randomly assigned to personcentred nursing group and usual care group and followed for two months. In the intervention group, a person-centred nursing process was added to care, emphasising the patient as a partner in care. Care was provided in co-operation with the patient, registered nurse and researcher. Data were collected using self-report adherence to the treatment regimen questionnaire and were analysed using SPSS software version 22 and chi-square test, independent samples t-test and paired t-test were applied wherever required. Results: Study results showed that the mean score of treatment regimen adherence did not have a significant difference before intervention, three weeks and two month after intervention in control group (p=0.692; p=0.581), but three weeks after intervention, the intervention group had a significant difference in the mean score of the treatment regimen adherence (p<0.001). Also, paired t-test results showed that two month after intervention the mean of adherence in person-centred nursing group was higher than control group (p<0.001). Conclusion: Person-centered nursing improved treatment regimen adherence in patients with MI. Further work is needed to examine whether this intervention can be sustained to improve clinical outcomes. |
topic |
medication adherence medication non adherence nursing care plans nursing theories quality of care |
url |
https://jcdr.net/articles/PDF/11131/28916_F(AnG)_PF1_(EK_SL)_PFA(OM)_PF2_(EK_SL_MJ_AP)_PN(AP).pdf |
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