The Effect of Family-Centered Education on the Quality of Life of Reproductive Age Women with a History of Heart Valve Replacement

Document Type : Original Article

Authors

1 Department of Nursing, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran

2 Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran

3 Department of Cardiology, 9 Dey Educational Hospital, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran

4 Department of Medical-Surgical Nursing, Shahid Beheshti Hospital, Babol University of Medical Sciences, Nowshahr, Iran

5 Department of Extra-Corporeal Circulation (ECC), Razavi Hospital, Mashhad, Iran

Abstract

Background: Patients undergoing surgical replacement of cardiac valves face various physical, psychological, and social problems. This situation leads to changes in quality of life parameters, especially in women of reproductive ages.

Objectives: This study aimed to determine the effect of family-centered education on the quality of life of women of reproductive age with a history of cardiac valve replacement.

Methods: This randomized intervention-control prospective study was performed on 62 patients and their companions. Participants were selected in terms of inclusion criteria and randomly assigned to control and test groups. First, the quality of life questionnaire participants completed SF-36. Then, the test group received a family-centered education program in four sessions. Immediately after the intervention and one month later, we measured patients' quality of life. Data were analyzed using SPSS version 23 using Chi-square, independent t-test, Mann-Whitney U, Wilcoxon, and Friedman test.

Results: The results of the Friedman test showed that the mean score of total quality of life was significantly different in the intervention group (P = 0.02), but this difference was not significant in the control group (P = 0.23). 

Conclusion: Based on the results of this study, family-centered education can improve the quality of life of women of reproductive age with a history of cardiac valve replacement. The purposeful, scientific, and guided family interactions with the patient and the patients' close relationship and dependence on relatives and families can be considered the leading cause of this effect.

Keywords


Availability of data and materials: The dataset presented in the study is available on request from the corresponding author during submission or after its publication.

 

Conflicts of interest : The authors declare no conflict of interest in this study.

 

Consent for publication: The signed Consent to Publish send to the Publisher to permission of the Authors to publish the Work.

 

Ethics approval and consent to participate: This study was approved by the ethics committee of Gonabad University of Medical Sciences (IR.GMU.REC.1397.083) and complied with the Declaration of Helsinki; informed consent has been obtained from the subjects).Written informed consent was secured from all participants before their involvement in the research.

 

Financial disclosure: No financial support was received for this study

 

Authors’ contribution: A. M. P: Contributed to the conception of the work, revising the draft, approving the final version of the manuscript, and agreeing on all aspects of the work; M. P.: Contributed to the data analysis and interpretation, critical revision, and approval of the final version of the manuscript; R. Gh.: Contributed to acquiring data, drafting the manuscript, and approving the final version; M. E. Z. and M. T. A.: Contributed to the conception and design of the study, critical revision, and approval of the manuscript's final version; M.Y.: Contributed to the conception and design of the study, data interpretation, drafting of the manuscript and critical revision, and approval of final version.

 

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

1. Ghavidel A, Farokhnezhad-Afshar P, Bakhshandeh H, Ghorbanpuor F. Effect of family-centered education on the quality of life patients after coronary artery bypass graft surgery. Cardiovascular Nursing Journal. 2015; 4(2):1-10.
 
2. Mottaghi Moghaddam Shahri H, Yaghubi M, Ghasemi R, Chambari M, Hosseinzadeh Maleki M. Clinical outcomes of pulmonary valve replacement surgery in pediatrics: a single-center experience long-term study. J Surg Trauma. 2022; 10(2): 71-76.
https://doi.org/10.32592/jsurgery.2022.10.2.103
 
3. Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF. Braunwald's Heart Disease E-Book: A Textbook of Cardiovascular Medicine. 1st ed.: Elsevier Health Sciences; 2018.
 
4. Lewis SL, Bucher L, Heitkemper MM, Dirksen SR. Clinical Companion to Medical-Surgical Nursing-E-Book: Elsevier Health Sciences; 2014.
 
5. Dehghani M MA. Cardiac Primary Tumors: A 5-Year-Old Experience of Seyed-Al-Shohada Heart Surgery Center in Urmia. Urmia Medical Journal 2016; 27(1): 61-73. [In Persian]
 
6. Sillesen M, Hjortdal V, Vejlstrup N, Sørensen K. Pregnancy with prosthetic heart valves - 30 years' nationwide experience in Denmark. Eur J Cardiothorac Surg. 2011;40(2):448-54.
https://doi.org/10.1016/j.ejcts.2010.12.011
PMid:21277217
 
7. Younessi Heravi MA, Yaghubi M, Joharinia S. Effect of change in patient's bed angles on pain after coronary angiography according to vital signals. J Res Med Sci. 2015; 20:937-43.
https://doi.org/10.4103/1735-1995.172767
PMid:26929757 PMCid:PMC4746866
 
8. Taghadosi M, Memarian R, Ahmadi F. The Experiences of "Difficult Life" in Heart Valve Replaced Patients. Iran Red Crescent Med J. 2014; 16(8): e19147.
https://doi.org/10.5812/ircmj.19147
 
9. Fathi M, Valaei M, Ghanbari A, Ghasemi R, Yaghubi M. Comparison of Patient's Kidney Function Based on Kidney Disease Improving Global Outcomes (KDIGO) Criteria and Clinical Parameters in Isolated Coronary Artery Bypass Graft (CABG) Surgery in On-Pump and Off-pump Methods in Patients with Low Cardiac Output Syndrome (LCOS) After Surgery. Anesth Pain Med. 2020 Apr 19;10(2):e100517.
https://doi.org/10.5812/aapm.100517
PMid:32754433 PMCid:PMC7352649
 
10. Nayeri ND, Mohammadi S, Razi SP, Kazemnejad A. Investigating the effects of a family-centered care program on stroke patients' adherence to their therapeutic regimens. Contemp Nurse. 2014;47(1-2):88-96.
https://doi.org/10.1080/10376178.2014.11081910
 
11. Vahedian Azimi A, Ghasem Kashani S, Avazeh A, Sepehri Nia M, Rohani M. Awareness of Nurses about Patients' Rights and the Extent They Respect It. PCNM. 2011; 1 (1):55-63.
 
12. Drenthen W, Boersma E, Balci A, Moons P, Roos-Hesselink JW, Mulder BJM, et al. Predictors of pregnancy complications in women with congenital heart disease. European Heart Journal 2010
https://doi.org/10.1093/eurheartj/ehq200
PMid:20584777
 
31(17): 2124-32. doi: 10.1093/eurheartj/ehq200. Epub 2010 Jun 28. PMID: 20584777.
https://doi.org/10.1093/eurheartj/ehq200
PMid:20584777
 
13. Roosta F, Ahmadi A. Self-Efficacy and Health Promoting Behaviors among Women of Reproductive Ages in Shiraz During 2013. sjimu. 2016; 24 (2):90-100
https://doi.org/10.18869/acadpub.sjimu.24.2.90
 
14. Eltheni R, Schizas N, Michopanou N, Fildissis G. Effects of a Personalized Nurse-Led Educational Program for New Patients Receiving Oral Anticoagulant Therapy after Mechanical Heart Valve Prosthesis Implantation on Adherence to Treatment. J Chest Surg. 2021;54(1):25-30.
https://doi.org/10.5090/kjtcs.20.106
PMid:33767008 PMCid:PMC7946524
 
15. Tumanova SA, Trishkina NN, Gorbunova EV, Barbarash OL. Effectiveness of a long-term education program in patients with prosthetic heart valves. Kardiologiia 2017; 57(S3): 62-8.
https://doi.org/10.18087/cardio.2406
PMid:29466191
 
16. Hill C, Knafl KA, Santacroce SJ. Family-Centered Care from the Perspective of Parents of Children Cared for in a Pediatric Intensive Care Unit: An Integrative Review. J Pediatr Nurs. 2017;5963(17)30531-6.
 
17. Arabiat D, Whitehead L, Foster M, Shields L, Harris L. Parents' experiences of Family Centred Care practices. J Pediatr Nurs. 2018; 42:39-44.
https://doi.org/10.1016/j.pedn.2018.06.012
PMid:30219298
 
18. Ghajar A, Esmaeili R, Yazdani-Charati J, Ashrafi Z, Mazdarani S, Heidari Gorji M A. Effect of Family-centered Education on Hope in Patients with Heart Failure. J Mazandaran Univ Med Sci. 2018; 28 (166) :71-80.
 
19. Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Qual Life Res. 2005;14(3):875-82.
https://doi.org/10.1007/s11136-004-1014-5
PMid:16022079
 
20. Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care. 1992:473-83.
https://doi.org/10.1097/00005650-199206000-00002
PMid:1593914
 
21. Najjar L, Akabery A, Tofighiyan T, Shegarf Nakhaee M. The effect of individual conselling on the quality of life in patients with myocardial infarction. Journal of Sabzevar University of Medical Sciences. 2010; 16(4):206-212.
 
22. Zand S, Asgari P, Bahramnezhad F, Rafiei F. The effect of Two Educational Methods (Family-Centered Patient-Centered) Multimedia Software on Dysrhythmia of Patients After Acute Myocardial Infarction. Journal of health. 2016; 7(1):7-17.
 
23. Sharif F, Abshorshori N, Tahmasebi S, Hazrati M, Zare N, Masoumi S. The effect of peer-led education on the life quality of mastectomy patients referred to breast cancer-clinics in Shiraz, Iran 2009. Health Qual Life Outcomes. 2010;8:74.
https://doi.org/10.1186/1477-7525-8-74
PMid:20653966 PMCid:PMC2919455
 
24. Simpson E, Pilote L. Quality of life after acute myocardial infarction: a comparison of diabetic versus non-diabetic acute myocardial infarction patients in Quebec acute care hospitals. Health Qual Life Outcomes. 2005;3:80.
https://doi.org/10.1186/1477-7525-3-80
PMid:16329755 PMCid:PMC1327687
 
25. Reynolds MR, Lavelle T, Essebag V, Cohen DJ, Zimetbaum P. Influence of age, sex, and atrial fibrillation recurrence on quality of life outcomes in a population of patients with new-onset atrial fibrillation: the fibrillation registry assessing costs, therapies, adverse events and, lifestyle (FRACTAL) study. American Heart Journal 2006; 152(6): 1097-103.
https://doi.org/10.1016/j.ahj.2006.08.011
PMid:17161061 PMCid:PMC1820843
 
26. Howes CJ, Reid MC, Brandt C, Ruo B, Yerkey MW, Prasad B. Exercise tolerance and quality of life in elderly patients with chronic atrial fibrillation. Journal of Cardiovascular Pharmacology Therapy. 2001; 6(1): 23-9.
https://doi.org/10.1177/107424840100600103
PMid:11452333
 
27. Younessi Heravi MA, Mojdekanlu M, Seyed Sharifi SH, Yaghubi M. Role of cardiovascular risk factors in involvement of coronary arteries A predictive model in angiographic study. JNKUMS. 2014; 6(1): 199-205
https://doi.org/10.29252/jnkums.6.1.199