Skip to main content
Top
Gepubliceerd in:

16-10-2020

Improving health-related quality of life and adherence to health-promoting behaviors among coronary artery bypass graft patients: a non-randomized controlled trial study

Auteurs: Shabnam Zafari Nobari, Parvaneh Vasli, Meimanat Hosseini, Malihe Nasiri

Gepubliceerd in: Quality of Life Research | Uitgave 3/2021

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

This study aimed to determine the impact of a healthy lifestyle empowerment program on health-related quality of life and adherence to health-promoting behaviors in coronary artery bypass graft patients.

Methods

This non-randomized controlled trial was conducted in 2019 on 97 coronary artery bypass graft patients in Iran. Participants were selected by culturally pragmatic and non-randomized method and assigned to healthy lifestyle empowerment program group (HLEPG) (n = 49) and conventional education group (CEG) (n = 48). Data were collected by the 12-item short-form health survey (SF-12) and health-promoting lifestyle profile II (HPLP2), which were administered at baseline and three-month follow-up. The healthy lifestyle empowerment program and conventional education as two interventions were performed for HLEPG and CEG, respectively. Data analysis was performed using the paired t-test, independent t-test, analysis of covariance and linear mixed method at the 0.05 significance level.

Results

In the follow-up, both groups showed a significant increase in the mean score of health-related quality of life (p ≤ 0.001) but this increase was visibly greater in the HLEPG (from 23.47 ± 7.48 to 35.60 ± 5.95) than in the CEG (from 22.93 ± 5.93 to 27.6 ± 4.90). The healthy lifestyle empowerment program also significantly increased the mean score of adherence to health-promoting behaviors in the HLEPG (p ≤ 0.001), whereas no such change was observed in the CEG. The results of the linear mixed model showed that the follow-up scores health-related quality of life and adherence to health-promoting behaviors of the HLEPG were 27.26 and 7.56 units significantly greater than the CEG after HLEP, respectively (p < 0.001).

Conclusion

Considering the results of this study, health care providers are recommended to devise and implement healthy lifestyle empowerment programs to improve the health-related quality of life of coronary artery bypass surgery patients.

Clinical trial registration

Registered at Iranian Registry of Clinical Trials (IRCT20171213037860N1).
Literatuur
2.
go back to reference Limoee, K., Molavynejad, S., Asadizaker, M., Heidari, A., & Maraghi, E. (2019). Effect of home-based cardiac rehabilitation on health related quality of life of patients following CABG surgery: A randomized clinical trial. Journal of Hayat, 25(2), 124–137. ((in persian)). Limoee, K., Molavynejad, S., Asadizaker, M., Heidari, A., & Maraghi, E. (2019). Effect of home-based cardiac rehabilitation on health related quality of life of patients following CABG surgery: A randomized clinical trial. Journal of Hayat, 25(2), 124–137. ((in persian)).
4.
go back to reference Rakhshan, M., Kordshooli, K. R., & Ghadakpoor, S. (2015). Effects of family-center empowerment model on the lifestyle of heart failure patients: A randomized controlled clinical trial. International Journal of Community Based Nursing and Midwifery, 3(4), 255.PubMedPubMedCentral Rakhshan, M., Kordshooli, K. R., & Ghadakpoor, S. (2015). Effects of family-center empowerment model on the lifestyle of heart failure patients: A randomized controlled clinical trial. International Journal of Community Based Nursing and Midwifery, 3(4), 255.PubMedPubMedCentral
8.
go back to reference Foroushani, A. R., Estebsari, F., Mostafaei, D., Ardebili, H. E., Shojaeizadeh, D., Dastoorpour, M., et al. (2014). The effect of health promoting intervention on healthy lifestyle and social support in elders: A clinical trial study. Iranian Red Crescent Medical Journal, 16(8), e18399. https://doi.org/10.5812/ircmj.18399CrossRef Foroushani, A. R., Estebsari, F., Mostafaei, D., Ardebili, H. E., Shojaeizadeh, D., Dastoorpour, M., et al. (2014). The effect of health promoting intervention on healthy lifestyle and social support in elders: A clinical trial study. Iranian Red Crescent Medical Journal, 16(8), e18399. https://​doi.​org/​10.​5812/​ircmj.​18399CrossRef
9.
go back to reference Kuenzer Bond, M. M., Rivas de Oliveira, J. L., Farsky, P. S., Amato, V. L., Jara, A. A., Farias, E., et al. (2019). Use of quality of life in cardiovascular surgery in coronary artery bypass grafting: Validation, reproducibility, and quality of life in one year of follow-up. Annals of Thoracic Surgery, 108(3), 764–769. https://doi.org/10.1016/j.athoracsur.2019.03.012CrossRef Kuenzer Bond, M. M., Rivas de Oliveira, J. L., Farsky, P. S., Amato, V. L., Jara, A. A., Farias, E., et al. (2019). Use of quality of life in cardiovascular surgery in coronary artery bypass grafting: Validation, reproducibility, and quality of life in one year of follow-up. Annals of Thoracic Surgery, 108(3), 764–769. https://​doi.​org/​10.​1016/​j.​athoracsur.​2019.​03.​012CrossRef
11.
15.
20.
go back to reference Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The health-promoting lifestyle profile: Development and psychometric characteristics. Nursing Research, 36(2), 76–81.CrossRef Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The health-promoting lifestyle profile: Development and psychometric characteristics. Nursing Research, 36(2), 76–81.CrossRef
24.
go back to reference Plach, S., Wierenga, M. E., & Heidrich, S. M. (1996). Effect of a postdischarge education class on coronary artery disease knowledge and self-reported health-promoting behaviors. Heart & Lung: The Journal of Acute and Critical Care, 25(5), 367–372.CrossRef Plach, S., Wierenga, M. E., & Heidrich, S. M. (1996). Effect of a postdischarge education class on coronary artery disease knowledge and self-reported health-promoting behaviors. Heart & Lung: The Journal of Acute and Critical Care, 25(5), 367–372.CrossRef
26.
go back to reference Köberich, S., Lohrmann, C., Mittag, O., & Dassen, T. (2015). Effects of a hospital-based education programme on self-care behaviour, care dependency and quality of life in patients with heart failure–a randomised controlled trial. Journal of Clinical Nursing, 24(11–12), 1643–1655. https://doi.org/10.1111/jocn.12766CrossRefPubMed Köberich, S., Lohrmann, C., Mittag, O., & Dassen, T. (2015). Effects of a hospital-based education programme on self-care behaviour, care dependency and quality of life in patients with heart failure–a randomised controlled trial. Journal of Clinical Nursing, 24(11–12), 1643–1655. https://​doi.​org/​10.​1111/​jocn.​12766CrossRefPubMed
27.
go back to reference Oshvandi, K., Salavati, M., Ahmadi, F., & Soltanian, A. (2018). The effect of training on hemodialysis patients’ lifestyle promotion. Avicenna Journal of Nursing and Midwifery Care, 26(3), 165–172. Oshvandi, K., Salavati, M., Ahmadi, F., & Soltanian, A. (2018). The effect of training on hemodialysis patients’ lifestyle promotion. Avicenna Journal of Nursing and Midwifery Care, 26(3), 165–172.
31.
go back to reference Clari, M., Frigerio, S., Ricceri, F., Pici, A., Alvaro, R., & Dimonte, V. (2015). Follow-up telephone calls to patients discharged after undergoing orthopaedic surgery: Double-blind, randomised controlled trial of efficacy. Journal of Clinical Nursing, 24(19–20), 2736–2744. https://doi.org/10.1111/jocn.12795CrossRefPubMed Clari, M., Frigerio, S., Ricceri, F., Pici, A., Alvaro, R., & Dimonte, V. (2015). Follow-up telephone calls to patients discharged after undergoing orthopaedic surgery: Double-blind, randomised controlled trial of efficacy. Journal of Clinical Nursing, 24(19–20), 2736–2744. https://​doi.​org/​10.​1111/​jocn.​12795CrossRefPubMed
36.
go back to reference Farsi, Z., Chehri, M., Zareiyan, A., & Soltannezhad, F. (2019). The effect of a caring program based on Pender’s Model on health promoting behaviors and self-care in patients with heart failure: A single-blind randomized controlled trial. Journal of Hayat, 25(2), 106–123. Farsi, Z., Chehri, M., Zareiyan, A., & Soltannezhad, F. (2019). The effect of a caring program based on Pender’s Model on health promoting behaviors and self-care in patients with heart failure: A single-blind randomized controlled trial. Journal of Hayat, 25(2), 106–123.
37.
go back to reference Mouodi, S., Hosseini, S., Ghadimi, R., Cumming, R., Bijani, A., Mouodi, M., et al. (2019). Lifestyle interventions to promote healthy nutrition and physical activity in middle-age (40–60 years) adults: A randomized controlled trial in the north of Iran. Journal of Research in Health Sciences, 19(1), e00434.PubMedPubMedCentral Mouodi, S., Hosseini, S., Ghadimi, R., Cumming, R., Bijani, A., Mouodi, M., et al. (2019). Lifestyle interventions to promote healthy nutrition and physical activity in middle-age (40–60 years) adults: A randomized controlled trial in the north of Iran. Journal of Research in Health Sciences, 19(1), e00434.PubMedPubMedCentral
38.
go back to reference Dale, H., Brassington, L., & King, K. (2014). The impact of healthy lifestyle interventions on mental health and wellbeing: A systematic review. Mental Health Review Journal, 19(1), 1–26.CrossRef Dale, H., Brassington, L., & King, K. (2014). The impact of healthy lifestyle interventions on mental health and wellbeing: A systematic review. Mental Health Review Journal, 19(1), 1–26.CrossRef
Metagegevens
Titel
Improving health-related quality of life and adherence to health-promoting behaviors among coronary artery bypass graft patients: a non-randomized controlled trial study
Auteurs
Shabnam Zafari Nobari
Parvaneh Vasli
Meimanat Hosseini
Malihe Nasiri
Publicatiedatum
16-10-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 3/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02675-3

Andere artikelen Uitgave 3/2021

Quality of Life Research 3/2021 Naar de uitgave