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Background: A model of clinical education for reducing the theory-practice gap is the clinical supervision model. The purpose of this study was to evaluate the effect of the clinical supervision model on nurses' performance in Atrial Fibrillation (AF) care in a Critical Care Unit (CCU). Materials and Methods: This quasi-experimental study was conducted with a pretest-posttest design. Through stratified random sampling, 36 eligible nurses working in the CCU in Hospitals in Isfahan, Iran, were selected. The data gathering tools included a demographic questionnaire (7 items) and a performance checklist (44 items). Data were analyzed using descriptive (mean and standard deviation) and analytical statistics (ANOVA, LSD, post hoc test, and paired t-test). The level of statistical significance was p ≤ 0.05. Results: Paired t-test showed that there was a significant difference between the mean total scores of nurses' performance and its dimension before and after the intervention (p < 0.001). The results of ANOVA before the intervention showed that there was a significant difference between the mean (SD) scores of care [63.14 (13.08), t = 13.66], pharmacologic [68.98 (13.15), t = 8.20], and electrical cardioversion dimensions [63.37 (10.47), t = 16.82, p < 0.001]. The results of ANOVA showed that the mean (SD) scores of the all dimensions did not differ significantly after the intervention [82.91 (9.75), 84.95 (83.87), and 83.51 (8.07), respectively, p > 0.05]. Conclusions: The clinical supervision model can be used as an educational model combined with supervision to improve nurses' performance in providing care to patients with AF.
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BACKGROUND: Dietary and medication regimen adherence in patients with history of Acute Coronary Syndrome (ACS) is very important in preventing readmission and reducing the complications of the disease. The objective of the present study was to investigate the effect of the family-centered self-care program based on home visits dietary and medication regimen adherence in patients with ACS discharged from Shahid Chamran Hospital during 2017-2018. MATERIALS AND METHODS: This clinical trial was conducted on 80 ACS patients. The samples by using the random numbers table, were randomly divided into control and experimental groups. The routine interventions were administered for the control group, and family-centered self-care was conducted on patients of the experiment group. In order to obtain the quantitative data of this study, three questionnaires were used including demographic characteristics, Morisky questionnaire, and dietary adherence. RESULTS: The difference between the mean score of medication and diet regimen adherence in both groups before the intervention was not significant (p > 0.05). data was demonstrated that scores of medication and diet regimen adherence were significantly higher immediately and 6 weeks after the intervention; (f = 64.06, p < 0.001). CONCLUSIONS: Family-centered self-care program based on home visits can be used as an effective method to increase the dietary and medication regimen adherence in ACS patients.
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BACKGROUND: Management of atrial fibrillation (AF), besides prevention of stroke, mainly stresses symptom control and improvement of quality of life (QOL). In patients with permanent AF, exercising may improve QOL, rhythm, and symptoms. The purpose of this study was to determine the impact of aerobic physical rehabilitation on the QOL of patients suffering from AF and admitted to a coronary care unit (CCU). METHODS: This randomized controlled clinical trial study was conducted on 50 patients who were hospitalized with chronic AF in the CCU of Montazeri Hospital, Najafabad, Iran, and had the inclusion criteria. The participants were selected using convenience sampling method, and were randomly divided into experimental (n = 25) and control (n = 25) groups. The experimental group received a rehabilitation program in the form of an educational package and scheduled physical activity of aerobics for 8 weeks, and the control group received CCU routine care. The researcher measured the patients' QOL before and after the intervention using the 36-Item Short Form Health Survey (SF-36). RESULTS: There was no significant difference in the mean score of total QOL between the control and experimental groups before the intervention (P > 0.050). However, the comparison of the mean score of total QOL after the intervention showed a significant increase in the experimental group (P < 0.050). CONCLUSION: Aerobic rehabilitation activities are effective on the QOL of patients with chronic AF.
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BACKGROUND: Atrial fibrillation is one of the most common cardiac arrhythmia affecting patients "quality of life (QoL)." With regard to limited number of interventional studies on such patients' QoL, the present study aimed to define the effect of a care plan on the QoL of the patients, hospitalized in coronary care unit (CCU), with atrial fibrillation. MATERIALS AND METHODS: This is a randomized two-group clinical trial that was conducted on 50 patients, diagnosed with atrial fibrillation and hospitalized in CCU. Fifty patients were selected through convenient sampling and were randomly assigned to study (n = 25) and control (n = 25) groups. Study group underwent an already designed care plan, while the control group received just routine care. QoL was measured by Short Form (SF-36) QoL questionnaire before and one month after intervention. Data were analyzed by t-test through Statistical Package for the Social Sciences. RESULTS: Independent t-test showed a significant difference in mean scores of overall QoL and all of its domains (p < 0.05), except for general health (t = 1.23, p = 0.22) and social function (t = 1.70, p = 0.09). The t-test showed a significant difference in mean (SD) scores of overall QoL in study [51.57 (14.57)] and control [41.80 (18.51)] groups after intervention (t = 2.07, p = 0.04). CONCLUSIONS: The results showed that an already designed care plan can result in improvement of QoL in patients with atrial fibrillation. In the present study, a standard care plan was administrated for the patients with atrial fibrillation. Through administration of care plans in clinical settings, nurses' clinical and effective role can be improved.