The effect of home based nurse- led cardiac rehabilitation on adherence to therapeutic regiments in patients with myocardial infarction

Determining the effect of cardiac rehabilitation of home-based guidance nurse on adherence to treatment in patients with myocardial infarction

Randomized clinical trial,Parallel، one-way blind, with control group, eligible individuals (78 people) and in each group randomly block with four blocks of random allocation will be performed using Excel software

Patients are selected from the heart ward of Shariati Hospital based on the inclusion criteria and the rehabilitation of the supervising nurse is performed with the necessary coordination in the patient's home and using the means of communication. All participants believe they were involved in the intervention, even though some did not. We send a written consent and an online questionnaire to all participants with a description of the research.Then the necessary coordination is done with the test group Placed.

Patients between 40-65 years 6-12 months with myocardial infarction - Has not participated in the training program - Apart from the underlying diseases, the cause of myocardial infarction is not a disease or a cognitive problem. Failure to respond to a home visit more than once Acute disease with the need for hospitalization and surgery

For the test group (39 people) 4 sessions once a week, and for questions and answers until the post-test, continuous communication will be used using communication tools. The control group will receive routine care in the hospital and then, they will be provided with an educational booklet on the topic of following treatment for myocardial infarction.

Adherence to treatment, diligence in treatment, willingness to participate in treatment, ability to adapt, integration of treatment with life, clinging to treatment, commitment to treatment, tact in implementing treatment

Given the four classes (women under 50, women equal to or older than 50, men under 50 and men equal to or older than 50) each class will use a quadruple random block (in each The following four states may occur: (I = Intervention & C = control) 1- (IICC) 2- (ICIC), 3- (ICCI), 4- (CICI), 5- (CCII), 6- (CIIC) The order in which each of the above blocks is placed will be determined by the software, then the cards will be sorted according to the specified order and the entry row (according to the order of entry) and the type of assigned group will be covered. Each person's entry into the study of the assigned group will be determined by removing the cover from each intervention or control group card. It should be noted that on the cover of each card, a row of cards is written (meaning that this is the second person in the desired category to enter the study) and before opening the cover, another researcher checks the entry row of the person in the floor with the check tables. And then the cover of the card will be opened and the type of individual group (intervention group or control group) will be specified.

All participants thought they were involved in the intervention, even though some did not. The researcher sends a written consent and an online questionnaire to all participants and it is explained to them that they participate in the research. After random allocation and selection of the test group, the necessary coordination is done with the test group Placed.

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