The Effect of Using Peer on Self-Care, Quality of Life, and Adherence in Elderly People with Coronary Artery Disease

Introduction. Coronary artery disease is one of the most common diseases and the cause of death among elderly people. Due to the chronic nature of this disease, regular follow-up, lifestyle changes, and adherence to recommendations can reduce the complications and improve the quality of life among e...

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Autores principales:	Mojtaba Roshandel, Mahnaz Rakhshan, Majid Najafi Kalyani
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Technology T Medicine R Science Q
Acceso en línea:	https://doaj.org/article/fd0e3c59603347ab98e60628dce200a8
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spelling	oai:doaj.org-article:fd0e3c59603347ab98e60628dce200a82021-11-22T01:11:19ZThe Effect of Using Peer on Self-Care, Quality of Life, and Adherence in Elderly People with Coronary Artery Disease1537-744X10.1155/2021/4770721https://doaj.org/article/fd0e3c59603347ab98e60628dce200a82021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/4770721https://doaj.org/toc/1537-744XIntroduction. Coronary artery disease is one of the most common diseases and the cause of death among elderly people. Due to the chronic nature of this disease, regular follow-up, lifestyle changes, and adherence to recommendations can reduce the complications and improve the quality of life among elderly individuals. Given the importance of using educational methods that are based on the patient’s age and disease stage, the present study aimed to investigate the effect of using a peer group on self-care, adherence, and quality of life in elderly people. Method. This single-blind clinical trial was conducted on 30 old patients with coronary artery disease aged 60 years in Shiraz from March to June 2021. The patients were selected using simple random sampling and were then randomly assigned to the peer education and control groups (15 participants in each group) via permuted block randomization. The patients in the peer education group received the necessary education about medications, lifestyle, daily activities, self-care, and adherence through three educational clips by educated peer. The patients in the control group received routine education using two clips by the ward nurses. The levels of self-care, adherence, and quality of life were assessed in the intervention and control groups before and one month after the intervention. Data analysis was performed by SPSS 20 software using an independent t-test, paired sample t-test, and chi-square test. P<0.05 was considered statistically significant. Findings. The results showed no statistically significant difference between the two groups with respect to the mean scores of self-care and quality of life before the intervention (P>0.05). Following the educational intervention, however, a statistically significant difference was found between the two groups concerning the mean scores of self-care and adherence (P<0.05). Moreover, the mean differences between the two groups regarding the three variables were statistically significant before and after the intervention (P<0.05). Conclusion. Education based on multimedia clips by peer was effective in increasing the mean scores of self-care, adherence, and quality of life among the elderly people with coronary artery disease. Given the low cost, high effectiveness, and decrease in the nurses’ workload, this method is recommended to be used alongside other methods in order to educate elderly individuals suffering from coronary artery disease.Mojtaba RoshandelMahnaz RakhshanMajid Najafi KalyaniHindawi LimitedarticleTechnologyTMedicineRScienceQENThe Scientific World Journal, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Technology T Medicine R Science Q
spellingShingle	Technology T Medicine R Science Q Mojtaba Roshandel Mahnaz Rakhshan Majid Najafi Kalyani The Effect of Using Peer on Self-Care, Quality of Life, and Adherence in Elderly People with Coronary Artery Disease
description	Introduction. Coronary artery disease is one of the most common diseases and the cause of death among elderly people. Due to the chronic nature of this disease, regular follow-up, lifestyle changes, and adherence to recommendations can reduce the complications and improve the quality of life among elderly individuals. Given the importance of using educational methods that are based on the patient’s age and disease stage, the present study aimed to investigate the effect of using a peer group on self-care, adherence, and quality of life in elderly people. Method. This single-blind clinical trial was conducted on 30 old patients with coronary artery disease aged 60 years in Shiraz from March to June 2021. The patients were selected using simple random sampling and were then randomly assigned to the peer education and control groups (15 participants in each group) via permuted block randomization. The patients in the peer education group received the necessary education about medications, lifestyle, daily activities, self-care, and adherence through three educational clips by educated peer. The patients in the control group received routine education using two clips by the ward nurses. The levels of self-care, adherence, and quality of life were assessed in the intervention and control groups before and one month after the intervention. Data analysis was performed by SPSS 20 software using an independent t-test, paired sample t-test, and chi-square test. P<0.05 was considered statistically significant. Findings. The results showed no statistically significant difference between the two groups with respect to the mean scores of self-care and quality of life before the intervention (P>0.05). Following the educational intervention, however, a statistically significant difference was found between the two groups concerning the mean scores of self-care and adherence (P<0.05). Moreover, the mean differences between the two groups regarding the three variables were statistically significant before and after the intervention (P<0.05). Conclusion. Education based on multimedia clips by peer was effective in increasing the mean scores of self-care, adherence, and quality of life among the elderly people with coronary artery disease. Given the low cost, high effectiveness, and decrease in the nurses’ workload, this method is recommended to be used alongside other methods in order to educate elderly individuals suffering from coronary artery disease.
format	article
author	Mojtaba Roshandel Mahnaz Rakhshan Majid Najafi Kalyani
author_facet	Mojtaba Roshandel Mahnaz Rakhshan Majid Najafi Kalyani
author_sort	Mojtaba Roshandel
title	The Effect of Using Peer on Self-Care, Quality of Life, and Adherence in Elderly People with Coronary Artery Disease
title_short	The Effect of Using Peer on Self-Care, Quality of Life, and Adherence in Elderly People with Coronary Artery Disease
title_full	The Effect of Using Peer on Self-Care, Quality of Life, and Adherence in Elderly People with Coronary Artery Disease
title_fullStr	The Effect of Using Peer on Self-Care, Quality of Life, and Adherence in Elderly People with Coronary Artery Disease
title_full_unstemmed	The Effect of Using Peer on Self-Care, Quality of Life, and Adherence in Elderly People with Coronary Artery Disease
title_sort	effect of using peer on self-care, quality of life, and adherence in elderly people with coronary artery disease
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/fd0e3c59603347ab98e60628dce200a8
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The Effect of Using Peer on Self-Care, Quality of Life, and Adherence in Elderly People with Coronary Artery Disease

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