The effect of nursing care based on Gordon's functional health model on length of hospitalization and quality of life in patients with Acute Coronary Syndrome
Determining the Effect of Nursing Care Based on Gordon's Functional Health Pattern on Length of Hospital Stay and Quality of Life in Patients with Acute Coronary Syndrome
Design
This is a randomized, single-blind, parallel-group, controlled clinical trial with intervention and control groups, involving 60 patients, using SPSS software for data analysis.
Settings and conduct
Patients with Acute Coronary Syndrome admitted to the ICUs of hospitals affiliated with Jundishapur University, who are blinded to their group allocation (intervention or control).
Participants/Inclusion and exclusion criteria
(1) confirmed diagnosis of Acute Coronary Syndrome by a cardiologist based on the triple diagnostic triad;
(2) age ≥ 18 years;
(3) ability to read and write in Persian;
(4) full consciousness and orientation to time and place; and
(5) no history of cognitive or psychiatric disorders.
Intervention groups
The research group will include ACS patients admitted to the CCU/ICU departments of teaching hospitals affiliated with Ahvaz University of Medical Sciences, who meet the inclusion criteria.
Main outcome variables
Primary Outcomes:
1. Quality of life: Measured using the [e.g., SF-36 or WHOQOL-BREF] questionnaire at three time points: before the intervention, immediately after the intervention, and 1 month after discharge.
2. Length of hospital stay: Number of days from admission to discharge.
Clinical Implications of Results:
If this care model proves effective, Gordon's Functional Health Pattern model can be adopted as a standard, cost-effective, and practical approach in cardiac wards to improve quality of life and reduce hospital stay duration in patients with acute coronary syndrome. Furthermore, it can be integrated into nursing education curricula.
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20260612069760N1
Registration date:2026-07-28, 1405/05/06
Registration timing:registered_while_recruiting
Last update:2026-07-28, 1405/05/06
Update count:0
Registration date
2026-07-28, 1405/05/06
Registrant information
Name
Aida Karaminia
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 61 3311 2653
Email address
aydakaraminia@gmail.com
Recruitment status
recruiting
Funding source
Expected recruitment start date
2026-07-23, 1405/05/01
Expected recruitment end date
2026-12-22, 1405/10/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of nursing care based on Gordon's functional health model on length of hospitalization and quality of life in patients with Acute Coronary Syndrome
Public title
The Effect of Targeted Nursing Care on Recovery of Cardiac Patients
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
Confirmed diagnosis of Acute Coronary Syndrome by a cardiologist based on the triple triad criteria.
Patients aged 18 years and older
Ability to read and write in Persian
Fully conscious and oriented to time and place
No history of cognitive or psychiatric disorders
Exclusion criteria:
Patient's unwillingness to continue participation in the study for any reason
Deterioration of the participant's condition or death
Occurrence of any disease or injury that may affect the participant's functional independence during the study, such as CVA or spinal cord injuries.
Age
From 18 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
60
Randomization (investigator's opinion)
Randomized
Randomization description
Random allocation of participants to intervention and control groups will be performed using block randomization. For this purpose, blocks of a specified size (e.g., 4 or 6) will be formed to ensure a balanced number of participants in both groups throughout the study. For each block, a random sequence of letters (A for the intervention group and B for the control group) will be generated using specialized software. These sequences will then be applied consecutively to allocate participants.
To ensure allocation concealment and to prevent selection bias, the generated sequences will be written on cards and placed in opaque, sealed, and sequentially numbered envelopes. These envelopes will be kept by an individual who is independent of the enrollment and intervention processes. They will be opened in sequential order only after final confirmation of participant eligibility and completion of baseline assessments, at which point the participant's group assignment will be revealed.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee of Ahvaz Jundishapur University of Medical Sciences
Length of hospital stay measured from admission to discharge.
Timepoint
At discharge
Method of measurement
Length of stay is a quantitative and objective variable that, unlike quality of life, does not require a questionnaire or psychometric instrument. This variable is extracted directly from the patient's chart or medical records.
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Patients with acute coronary syndrome will receive routine hospital care plus a Gordon's Functional Health Patterns-based nursing care program. The intervention consists of a comprehensive 14-day structured nursing program based on the 11 functional health patterns, including patient education, counseling, nutritional management, physical activity guidance, medication adherence, stress management, and follow-up. Participants will also receive a follow-up telephone call three months after the intervention.
Category
Lifestyle
2
Description
Control group: Control group: Patients with acute coronary syndrome will receive routine hospital care only. They will not receive the Gordon's Functional Health Patterns-based nursing care program. Outcomes will be assessed at the same time points as the intervention group: before the intervention, immediately after the intervention, and three months after the intervention.
Category
Lifestyle
Recruitment centers
1
Recruitment center
Name of recruitment center
"Teaching hospitals affiliated with Ahvaz Jundishapur University of Medical Sciences