Investigation of the effect of cardiac rehabilitation via telenursing on sexual satisfaction and fatigue of patients with different types of heart rhythm management devices and their spouses at arrhythmias clinics affiliated to Shiraz University of Medical Sciences

Determination of the effect of cardiac rehabilitation through telenursing on sexual satisfaction and fatigue in patients with different types of heart rhythm management devices and their spouses

A randomized controlled clinical trial, with parallel groups and single blind

At arrhythmias clinics affiliated to Shiraz University of Medical Sciences Training and counseling (about fatigue and sexual satisfaction) during in person and non in-person session. Single blind: Outcome evaluator، Data analyzer

Married and sexually active patient (only one spouse) aged 18 to 70 years old and has one of a different types of heart rhythm management devices and has been implanted at least three months.

Intervention group (patient plus his / her spouse) during an 8-week period including 8 sessions of cardiac rehabilitation: 2 in-person sessions including training and counseling on fatigue and sexual satisfaction for two weeks (one session per week) and after in-person sessions starting with the third week of the intervention, 6 non-face-to-face sessions will be followed by 6-week telephone follow_ups (one call per week by the nurse). Also, educational-motivational text messages will be sent three times a week from the beginning of the rehabilitation period. Patients will perform exercise sessions at home according to the cardiac electrophysiology practitioner and based on the instruction booklet we will provide. In the control group, there is no intervention, and patients will receive only routine training and routine care.

Sexual satisfaction and fatigue in patients with different types of heart rhythm management devices and their spouses

Using the stratified random sampling method, here are the classes of Cardiac resynchronization therapy, implantable cardiac defibrillator and pacemaker to fit each class, 14 patients with Cardiac resynchronization therapy, 22 patients with implantable cardiac defibrillator and 32 patients with Pacemakers will first be selected as available sampling in the aforementioned classes, and then random allocation using Random allocation Software to generate block randomization lists of each block size 2 or 4 2 blocks of 7, floor implantable cardioverter defibrillator The size of 2 blocks of 11 blocks and the pacemaker class 4 blocks of 8 blocks will be divided into control and patient groups.

In order to single blind , questionnaires will be collected by the first researcher and assigned to intervention and control groups by the second researcher, so the outcome assessor will be kept blind. Also, the person analyzing the data will not be aware of the intervention and control groups.

- Obtaining an official letter from the Fatemeh School of Nursing and Midwifery of Shiraz and obtaining permission from the authorities of Shiraz University of Medical Sciences. - Obtain written consent from the sample to participate in the study. - Ensure that the research units are confident of the information received. - Freely and voluntarily participate in the research and consider the right to opt out of research. - Creating a private environment for interviewing the patient and completing the questionnaire. - Providing research results if desired by the training center where the researcher has sampled.

After completing the study and publishing the results

Private and public hospitals Cardiac rehabilitation centers The training center where the researcher has sampled.

- Obtain the permission of the respected authorities at the College, University and Hospital. - Confidentiality of participants' information

Shiraz. Zand Street, Library of Shiraz School of Nursing and Midwifery. Phone: 0098 7136474254

Requests for results are sent to the library of Shiraz School of Nursing and Midwifery. They will be provided with the coordination.