Modern Care Journal

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Background and Aim: Coronary bypass surgery (CABG) is one of the common therapeutic methods that influence family performance. Improving and promoting the family contribution to adherence of treatment regimen for patients is important. The aim of this study was to investigate the effects of family-based empowerment on family cooperation in following patient treatment regime after CABG. Materials and Methods: This clinical trial study was conducted on 102 patients and their family in Cardiac Surgery ward in Imam Khomeini (RA) hospital. Participants selected by convenience sampling and randomly divided into experimental and control groups. For experimental group, family–center empowerment model implemented for 7 months, with four components (knowledge improvement, self–efficacy, self-esteem and evaluation) by individual education, group discussions, demonstration and practical participation. Control group received only routine care. Then families' cooperation in adherence of treatment regimen for patients was evaluated before and after intervention. Data were analyzed by PASW and Independent T Test, Paired T Test and Chi-square Test.  ResultsBefore the intervention, demographic characteristics and families' cooperation in adherence of treatment regimen include nutrition, physical activity and drug regime wasn’t different in two groups. Mean scores on all elements after the intervention on patients in the intervention group was significantly higher than control group (P≤0.001). Also mean scores of family cooperation in adherence to treatment increased significantly after intervention on all elements (P≤0.001).  ConclusionAccording to the findings, it seems family-centered empowerment model is effective for patients undergoing surgery and is associated with increase family cooperation in adherence of treatment regimen for patients.

Keywords: Coronary artery bypasses surgery, Adherence, Family-Center Empowerment, Therapeutic regime

     

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