The Effect of Continuous Care Model on Self-Efficacy and Adherence to Treatment in Patients Undergoing Coronary Bypass Graft

Determining the effect of continuous care model on self-efficacy and treatment compliance in patients undergoing coronary bypass graft

Clinical trial with a control group, with parallel groups, without blinding, randomized, on 80 patients.

The two hospitals under the supervision of Shahid Beheshti University of Medical Sciences will be randomly selected, one to select the intervention group and the second control group, and further, random block sampling will be done in two intervention and control groups. After surgery, the intervention group of patients undergoing graft surgery can receive special care based on follow-up care model, and the control group can receive only routine care.

Inclusion criteria: 18 to 65 years old, not in critical or emergency conditions, 24 hours have passed since admission, no debilitating disease, able to communicate and not suffering from known physical and mental diseases, access to a smartphone with the ability to install a messenger. Exclusion criteria: not attending two sessions (or more) out of the total number of sessions, participating in another educational program, entering the acute phase of the disease and needing to be re-hospitalized, not answering all the questions.

In the intervention group, patients will receive health care based on training based on the continuous care model, including four stages of familiarization, sensitization, control, and evaluation, but the control group will receive only common care.

-Self-efficacy in patients undergoing coronary bypass surgery -Adherence to Treatment in patients undergoing coronary bypass surgery

The sequence of random allocation and the list of blocks will be obtained with the help of R software. In this method, the number of people assigned to each group is almost equal. In this method, blocks are formed based on the variables in question. Block randomization works by randomizing participants into blocks, so that an equal number are assigned to each group.Equal numbers of participants are included in the intervention and control groups at consecutive but equal intervals. After each patient is hospitalized for corner bypass graft surgery, according to the block of four prepared in the first stage, each patient will be randomly assigned to group A (intervention) or B (control group). For example, after randomly selecting a block such as ABAB block, patients are randomly placed in the intervention, control, intervention, and control groups, and the next patients are placed in the BBAA block as control, control, intervention, and intervention groups. After creating a random sequence, sampling must be done by hiding the created sequence. In such a way that before assigning an individual, the assigned group is not specific for the samples. This can be done by putting a random sequence inside the envelope and choosing the non-transparent envelope by people.In this method, first a random sequence is created, then based on the size of the research sample, a number of envelopes are prepared and each of the created random sequences is recorded on a card and the cards are placed in the envelopes in order. . In order to preserve the random sequence, the outer surface of the envelopes is numbered in the same order.Finally, the lid of the letter envelopes is glued and placed in a box in order. At the time of the registration of the participants, according to the order of entry of the eligible participants into the study, one of the letter envelopes is opened in order and the group The allocation of that participant is revealed. Each patient's code will be assigned. People are assigned to the desired group in the order of their entry into the study and randomly through randomized blocks