Advanced search
Start date
Betweenand
Related content
(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

A randomized controlled trial of an educational programme to improve self-care in Brazilian patients following percutaneous coronary intervention

Full text
Author(s):
Furuya, Rejane K. [1] ; Arantes, Eliana C. [2] ; Dessotte, Carina A. M. [3] ; Ciol, Marcia A. [4] ; Hoffman, Jeanne M. [4] ; Schmidt, Andre [5] ; Dantas, Rosana A. S. [3] ; Rossi, Lidia A. [3]
Total Authors: 8
Affiliation:
[1] Univ Sao Paulo, Ribeirao Preto Coll Nursing EERP USP, BR-05508 Sao Paulo - Brazil
[2] EERP USP, Occupat Therapy, Sao Paulo - Brazil
[3] EERP USP, Sao Paulo - Brazil
[4] Univ Washington, Sch Med, Dept Rehabil Med, Seattle, WA 98195 - USA
[5] Univ Sao Paulo, Ribeirao Preto Sch Med, BR-05508 Sao Paulo - Brazil
Total Affiliations: 5
Document type: Journal article
Source: JOURNAL OF ADVANCED NURSING; v. 71, n. 4, p. 895-908, APR 2015.
Web of Science Citations: 12
Abstract

AimsTo test an educational programme with telephone follow-up to improve self-care in Brazilian patients who underwent percutaneous coronary intervention. BackgroundPercutaneous coronary intervention has been established as a treatment for coronary disease. However, additional intervention is needed to improve self-care for individuals who undergo this procedure to reduce further disease. Telephone follow-up is one strategy that has been used to improve chronic disease self-care. DesignRandomized controlled trial. Trial registration: ClinicalTrials.gov, NCT01341093. MethodsSixty patients who were preparing for their first percutaneous coronary intervention between 2011-2012 were randomly allocated to an educational programme with telephone follow-up (N=30) or a control group (N=30). Perceived health status was assessed with the Medical Outcomes Study 36-Item Short Form. Self-efficacy, symptoms of anxiety and depression and medication adherence were also assessed. Measures were collected before intervention (baseline) and 6months later. ResultsBoth groups improved from baseline to 6months in the Physical Component Summary' and in the domains of Physical Functioning', Role-Emotional' and Role-Physical'. The educational programme group showed a reduction in anxiety from baseline to 6-month follow-up, while the control group showed a slight increase. No differences in symptoms in depression and self-efficacy were found and both groups reported high levels of medication adherence. ConclusionThe educational programme with telephone follow-up is a promising intervention as it led to reduction in anxiety for those receiving the educational programme. Further improvements in timing and focus of the educational programme, such as targeting emotional and social lifestyle changes, might be warranted. (AU)

FAPESP's process: 10/10006-8 - The rehabilitation process and its interfaces with individual quality of life and culture - phase II
Grantee:Lidia Aparecida Rossi
Support Opportunities: Research Projects - Thematic Grants
FAPESP's process: 10/19761-3 - Education program for patients after coronary artery bypass grafting: impact on perceived health status and treatment adherence
Grantee:Rejane Kiyomi Furuya
Support Opportunities: Scholarships in Brazil - Doctorate (Direct)