J Caring Sci. 2019;8(2): 89-93.
doi: 10.15171/jcs.2019.013
PMID: 31249818
PMCID: PMC6589485
  Abstract View: 1734
  PDF Download: 1013

Original Research

Effect of Illness Perception Correction - Based Educational Program on Quality Of Life and Self- Care in Patients with Heart Failure: a Randomized Controlled Trial

Ali Sadeghi Akbari 1 ORCID logo, Mohammad Ali Cheraghi 2 ORCID logo, Anoushiravan kazemnejad 3 ORCID logo, Mahin Nomali 2 ORCID logo, Maasumeh Zakerimoghadam 2* ORCID logo

1 Department of Medical Surgical Nursing, Tabas Faculty of Nursing, Birjand UDepartment of Medical Surgical Nursing, Tabas Faculty of Nursing, Birjand University of Medical Sciences, Birjand, Iranniversity of Medical Sciences, Birjand, Iran
2 Department of Critical Care Nursing, Faculty of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Biostatistics, Tarbiyat Modarres University, Tehran, Iran
*Corresponding Author: Email: zakrimo@tuma.ac.ir


Introduction: Because of the chronic nature of Heart Failure (HF), low Quality of Life (QoL) and poor self-care are prevalent among patients with HF. Thus, the aim of this study was to evaluate the effect of illness perception correction- based educational program on QoL,and self- care in patients with HF. Methods: In this randomized controlled trial, 78 eligible patients were included in the study from Rajaei Heart Center (Tehran, Iran) and randomly assigned into intervention and control group with 1:1 allocation ratio. The intervention was a combination of illness perception correction- based education program (30- minute sessions over 3 consecutive days) and 10-minute phone calls made once a week in the course of 8 weeks. The control group received usual care. The primary outcome was quality of life and secondary outcomes were self- care and illness- perception which were measured at baseline and at the end of the study. SPSS version 13 was used for the analysis. Results: Out of 76 eligible patients, 70 patients with HF finished the study. Although the mean of quality of life, self-care, and illness perception were not different at baseline, QoL (45.2 (8.3) VS 66.8 (15.4); P<0.001), self-care (18.5 (4.5) VS 37.1 (7.2); P<0.001), and illness- perception (183.6 (8.4) VS 151.2 (24.5); P<0.001) improved following the program in the intervention group in comparison to the control group. Conclusion: According to the study findings, this program can be applied by nurses for patients with HF as a discharge plan in order to improve their QoL, self-care, and their illness perception.
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Submitted: 24 Apr 2018
Revision: 19 Jun 2018
Accepted: 22 Oct 2018
ePublished: 01 Jun 2019
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