Comparison of the Effect of Self-Care Education by Nurse and Peer on Self-Care Ability of Candidate Patients for Angiography

Document Type : Original Article(s)

Authors

1 MSc Student, Department of Nursing, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran

2 Associate Professor, Department of Nursing, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran

3 Assistant Professor, Department of Biostatistics and Epidemiology, School of Health and Nutrition, Nutritional Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran

Abstract

Background: Patient education and enhancing self-care ability are important for cardiac patients. The study aimed to compare the effect of self-care education by nurses and peers on the self-care ability of Candidate patients
for angiography.
Methods: A quasi-experimental design with a pre-post-test was conducted in two groups of candidate patients for angiography in Shahid Madani Heart Hospital of Khorramabad in 2022. Sampling was convenient and the sample size was 56 people. The intervention included self-care education for the patient during two 30-minute sessions before and after angiography by a nurse or a peer. The research tool was Kearney and Flescher's self-care ability questionnaire (1979). Data were analyzed with t, Chi-square, and Fisher's exact tests at a significance level of less than 0.05.
Findings: The samples included 28 women (50%) and 28 men (50%), married (96.4%), with under-diploma education (75%), housewives or unemployed (48.2%), and with average income status (42.9%). The Mean ± SD of self-care ability in the two groups before intervention was 138.00 ± 12.56 and 133.11 ± 11.08 (P = 0.128), which after the intervention were reached 141.36 ± 11 and 139.11 ± 15.39 (P = 0.001). The two groups were the same in terms of education effectiveness (P = 0.216).
Conclusion: Self-care education by a nurse or peer increases the self-care ability of Candidate patients for angiography. The effectiveness of training by a nurse or a peer on self-care ability is the same. Therefore, depending on workload, the number of nurses, the ratio of nurse to patient, and the time required for caring, a peer can help or replace a nurse to educate the patient.

Highlights

Hamid Taghinejad: Google Scholar

Rasool Mohammadi: Google Scholar

Masoumeh Otaghi: Google Scholar

Keywords

Main Subjects


  1. Kalani Z, Rasooli KH, Andishmand A. The effect of time of complete bed rest and keep the sand bag on the intensity of back pain after coronary angiography [in Persian]. J Shahid Sadoughi Univ Med Sci 2016; 24(4): 296-303.
  2. Raiesdana N, Kamali E, Soleimani M, Khani M. Assessment of situational and heart focused anxiety in patients with coronary artery disease before angiography [in Persian]. Koomesh 2017; 19(1): 199-206.
  3. Habibzadeh H, Rasouli D. Effect of video information on anxiety level and hemodynamic parameters of patients undergoing coronary angiography [in Persian].. Nurs Midwifery J 2018; 16(4): 295-302.
  4. Davarpanah M, Nasr-Abadi T, Nasrollah S, Ebrahimi-Abyaneh E. Knowledge and practice of nurses about nursing care before and after cardiac catheterization. Iran Cardiovasc Res J 2018; 7(2): 50-8. [In Persian].
  5. Sedighi F, Barkhordari Sharifabad M, Nasiriani K, Fallahzadeh H. The effect of bed angle on back pain, urinary retention and vascular complications after coronary angiography [in Persian]. Iran J Cardiovasc Nurs 2018; 7(3): 40-9.
  6. Sedghi Sabet M, Benvan G, Baghaie M, Atrkar-Roshan Z, Khalili M. Vascular complications and its related factors after coronary angiography [in Persian]. Iran J Nurs 2015; 27(92): 13-22.
  7. Niknam Sarabi H, Farsi Z, Pishgooie SAh. The effect of flat angle on patient comfort after sheet removal after femoral angiography in patients referred to a selected military hospital [in Persian]. Mil Caring Sci J 2020; 7(3): 215-24.
  8. Shahraki Vahed A, Abdollahimohammad A, Mohammadpoor Hodki R, Rahnama M, Shaamsizadeh M. A comparison of the effect of training by peers and nurses on anxiety in patients with myocardial infarction: a randomized control trial [in Persian]. Prev care Nurs Midwifery J 2016; 6: 12-23.
  9. Baloochi Beydokhti T, Solaimanimoghaddam R, Ghadimifar A. Comparison of the effect of face-to-face and video diet training on the quality of life of hemodialysis patients: A clinical trial [in Persian].
    J Nurs Educ 2022; 11(5): 32-45.
  10. Bayazian Sarkandi N, Rezghi Shirsavar H. Study and prioritization of the effectiveness of patients training during hospitalization, descriptive study: Baqiyatallah Hospital in 2017 [in Persian]. ESMS 2020; 13(3): 187-92.
  11. Ranjbar T, Kazemi M, Loripoor M, Ansarigjaberi A. Comparing the effectiveness of teaching communication by peer and teacher on nurses’ awareness and patients’ satisfaction [in Persian]. Community Health J 2018; 12(4): 38-46.
  12. Ghadiri E, Shahriari M, Maghsoudi J. The effects of
    peer-led education on anxiety of the family caregivers of patients undergoing coronary artery bypass surgery (CABG) in Shahid Chamran center Isfahan University of Medical Sciences [in Persian]. J Nurs Educ 2016; 4(2): 50-6.
  13. Novrouzi R, Ghaffari M, Sabouri M, Marashi T, Rakhshanderou S. Investigating the effect of self-care on the nutritional status of the elderly by structural equation modeling analysis [in Persian]. Iranian J Age 2023; 18(69): 46-59.
  14. Strömberg A, Jaarsma T, Riegel B. Self-care: who cares? Eur J Cardiovasc Nurs 2012; 11(2): 133-4.
  15. Aghakhani N, Najafi Kalyani M, Salami J. The effects of discharge planning on self-care ability in patients undergoing percutaneous transluminal coronary angioplasty in seyyedolshohada (as) hospital, URMIA, 2014-5 [in Persian]. Nurs Midwifery J 2016; 13(12): 1029-38.
  16. Ahmadi Z, Sadeghi T, Loripoor M. The effect of peer education on self-care behaviors among diabetic patients [in Persian]. IJDM 2016; 15(6): 382-91.
  17. Khodadadi A, Sayadi A, Smaeli H. Evolution of knowledge of the principles of self care in acute coronary syndrome patients admitted to Aliebn Abitaleb Rafsanjan university hospital during 2009 [in Persian]. Community Health J 2017; 5(1): 8-16.
  18. Shin ES, Hwang SY, Jeong MH, Lee ES.
    Relationships of factors affecting self-care compliance in acute coronary syndrome patients following percutaneous coronary intervention. Asian Nurs Res (Korean Soc Nurs Sci) 2013; 7(4): 205-11.
  19. Farsi Z, Eslami R, Sajadi A, Afaghi E. Comparing the effect of peer education and orientation tour on the hemodynamic indices of patients candidate for coronary angiography [in Persian]. Med Surg Nurs J 2016; 4(4): 65-72.
  20. Qin S, Gu Y, Song T. Effect of peer support on patient anxiety during the coronary angiography or percutaneous coronary intervention perioperative period: a protocol for a systematic review and meta-analysis of randomised controlled trials. BMJ Open 2023; 10(3): e031952.
  21. Gómez-Pardo E, Fernández-Alvira JM, Vilanova M, Haro D, Martínez R, Carvajal I, et al. A comprehensive lifestyle peer group-based intervention on cardiovascular risk factors: The randomized controlled fifty-fifty program. J Am Coll Cardiol 2016; 67(5): 476-85.
  22. Shahdadi H, Shamsizadeh M, Shashraki Vahed A, Mohammadpourhodki R, Rahnama M, Abdollahimohammad A. Comparison of effect of nursing education and peer education methods on self-efficacy in patients with myocardial infarction [in Persian]. Mod Care J 2018; 15(1): e56012.