Investigating the Effect of Follow-up Care on the Self-concept of Patients under Coronary Artery Bypass Grafting
Yusef Haghighi Moghaddam *
Department of Nursing, Faculty of Nursing and Midwifery School, Urmia University of Medical Sciences, Urmia, Iran.
Neda Mobadersani
Student Research Committee, Seyed-al-Shohada Hospital, Urmia University of Medical Sciences, Urmia, Iran.
Behnam Askari
Department of General Surgery, School of Medicine, Seyedoshohda Hospital, Urmia University of Medical Sciences, Urmia, Iran.
Javad Rasouli
Department of Biostatistics and Epidemiology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Since coronary artery angina pectoris is a chronic disease, it negatively affects patients` self-concept. In this study, the effect of follow-up care on the self-concept of patients undergoing coronary artery bypass grafting was investigated.
Materials and Methodology: In this study, the clinical trial was measured using self-concept questionnaire considering the effect of follow-up or constant care on 60 patients under coronary artery bypass grafting in Seyed-al-shohada heart center of Urmia. Eight to twelve weeks after the operation, the follow-up care, which is an Iranian native model was administered through telephon. Data collection tools included patients` demographic data collection form as well as self-concept questionnaire consisting of 25 Likert-scale items of 1 to 5 (totally positive, positive, neutral, negative, totally negative), which measured 25 features.
Results: In the current study, the mean age of patients in both groups (intervention and control) was 59.68±7.43 and 59.48±5.79 years old, respectively. In addition, the mean weight of patients in both groups (intervention and control) equaled 77.82±10.67 and 75.22±7.53 kg. According to the results of the mean, the perceived threat after the intervention was 45.16±4.28 in the intervention group and it was 40.43±5.22 in the control group, showing a significant statistical difference between two groups (p<0.001). The perceived challenge after the intervention was 70.86±6.82 in the intervention group and it was 67.13±6.37 in the control group, showing a significant statistical difference between two groups (p=0.028).
Conclusion: The mean of self-concept score increased after the intervention and the observed results could have positive effects on the treatment of patients.
Keywords: Follow-up care, self-concept, coronary artery bypass grafting