Volume 30, Issue 3 (Summer 2022)
Avicenna J Nurs Midwifery Care 2022, 30(3): 151-162 |
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Gomar E, Karampourian A, Molavi Vardanjani M, Manafi B, Khazaei S. The effect of telephone training and follow-up on patients' adherence to the treatment regimen after myocardial infarction. Avicenna J Nurs Midwifery Care 2022; 30 (3) :151-162
URL: http://nmj.umsha.ac.ir/article-1-2354-en.html
URL: http://nmj.umsha.ac.ir/article-1-2354-en.html
Erfan Gomar1 
, Arezoou Karampourian * 2, Mehdi Molavi Vardanjani3 , Babak Manafi4 , Salaman Khazaei5
, Arezoou Karampourian * 2, Mehdi Molavi Vardanjani3 , Babak Manafi4 , Salaman Khazaei5
1- Department of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
2- 2 Urology and Nephrology Research Center, Chronic Diseases (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran , a.karampourian@umsha.ac.ir
3- Chronic Diseases (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
4- Department of Surgery, School of Medicine, Farshchian Cardiovascular Subspecialty Medical Center, Hamadan University of Medical Sciences, Hamadan, Iran
5- Department of Epidemiology, Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
2- 2 Urology and Nephrology Research Center, Chronic Diseases (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran , a.karampourian@umsha.ac.ir
3- Chronic Diseases (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
4- Department of Surgery, School of Medicine, Farshchian Cardiovascular Subspecialty Medical Center, Hamadan University of Medical Sciences, Hamadan, Iran
5- Department of Epidemiology, Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract: (1318 Views)
Background and Objective: Non-adherence to treatment increases complications and mortality after myocardial infarction. The present study aimed to assess the effect of education and telephone follow-up on patients' adherence to the treatment regimen after myocardial infarction.
Materials and Methods: This clinical trial study was performed on of 150 patients who were selected via convenience sampling method and assigned to three groups: control, intervention 1 (face-to-face training based on the training booklet), and intervention 2 (face-to-face training and follow-up telephone care). Patients in intervention group 2 were followed up by telephone for three months. Data were collected based on a questionnaire of adherence to the treatment regimen and demographic. Data analysis was performed in SPSS software (version 21) using ANOVA, Chi-square, Fisher, and Repeated Measures ANOVA.
Results: The mean score of adherence at the beginning of the study was 64.60±8.13 (P<0.001). The mean score of adherence to treatment in all three groups was increased 1.5 months after the intervention; nonetheless, it was higher in intervention group 1 (face-to-face training) than that in other groups (81.69±5.12) (P<0.001). Three months after the intervention, the mean of adherence to treatment in intervention group 2 (face-to-face training and telephone follow-up) was higher than that in other groups (87.94±4.04) (P<0.001). During the three stages, no statistically significant difference was observed between the two methods of telephone follow-up and education alone (P=0.710).
Conclusion: Education with and without telephone follow-up leads to improved adherence to treatment; therefore, one of the two educational methods can be selected to increase patients' adherence to the treatment regimen.
Materials and Methods: This clinical trial study was performed on of 150 patients who were selected via convenience sampling method and assigned to three groups: control, intervention 1 (face-to-face training based on the training booklet), and intervention 2 (face-to-face training and follow-up telephone care). Patients in intervention group 2 were followed up by telephone for three months. Data were collected based on a questionnaire of adherence to the treatment regimen and demographic. Data analysis was performed in SPSS software (version 21) using ANOVA, Chi-square, Fisher, and Repeated Measures ANOVA.
Results: The mean score of adherence at the beginning of the study was 64.60±8.13 (P<0.001). The mean score of adherence to treatment in all three groups was increased 1.5 months after the intervention; nonetheless, it was higher in intervention group 1 (face-to-face training) than that in other groups (81.69±5.12) (P<0.001). Three months after the intervention, the mean of adherence to treatment in intervention group 2 (face-to-face training and telephone follow-up) was higher than that in other groups (87.94±4.04) (P<0.001). During the three stages, no statistically significant difference was observed between the two methods of telephone follow-up and education alone (P=0.710).
Conclusion: Education with and without telephone follow-up leads to improved adherence to treatment; therefore, one of the two educational methods can be selected to increase patients' adherence to the treatment regimen.
Type of Study: Original Research |
Subject:
Education in Nursing and Midwifery
Received: 2021/07/14 | Accepted: 2022/05/16 | Published: 2022/09/5
Received: 2021/07/14 | Accepted: 2022/05/16 | Published: 2022/09/5
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