جستجوی مقالات مرتبط با کلیدواژه "continuous care model" در نشریات گروه "پزشکی"

The family caregivers of patients with spinal cord injury (SCI) suffer from physical, psychological, social, and economic problems, which are called care burdens. The continuous support of these caregivers can reduce their care burden. This study aims to investigate the effect of the continuous care model (CCM) on the care burden of the caregivers of patients with SCI.

This quasi-experimental study was conducted in the winter of 2021 on 94 caregivers of patients with SCI covered by the welfare organization of Kamyaran City. They were selected using a convenience sampling method and randomly divided into intervention and control groups. The collection tools were a demographic form and the Zarit care burden interview (ZBI). The intervention group received the CCM-based intervention as a home-visiting program individually or in group format for three months. The control group received the routine patient care program presented by the welfare organization. The data were analyzed in SPSS v.16 software using descriptive and inferential statistics.

After the CCM-based intervention, there was a significant reduction in the care burden of caregivers in the intervention was observed (P<0.001), but the difference was not significant in the control group (P>0.05).

The CCM-based intervention is effective in reducing the care burden of the caregivers of patients with SCI. It is recommended that the intervention be used on the caregivers of patients with other chronic diseases.

One of the chronic diseases that has developed widely is chronic kidney disease. Hemodialysis is the most common treatment for patients with end-stage renal disease. The experience of hemodialysis and its problems affect people's resilience. Considering the chronic nature of the disease in hemodialysis patients and the need for continuous education and continuous care in these patients and the limited availability of articles, this study was conducted with the aim of determining the effect of the continuous care model on the resilience of hemodialysis patients.

This study was conducted as a clinical trial on 74 patients (37 experimental patients and 37 control patients) undergoing hemodialysis in 2023, at Shahid Chamran Hospital in Tehran. In this study, a simple randomization method with coin toss was used to allocate units in the experimental and control groups. Personal characteristics questionnaire and Connor and Davidson's resilience questionnaire were used to collect information. In the experimental group, in addition to routine care, the continuous care model was implemented in 4 stages (including four stages of orientation, sensitization, control, and evaluation) for one month. The resilience of the patients was measured before, immediately, and one month after the intervention. After collecting the data, it was entered into SPSS version 23 and analyzed.

Before the intervention, there was no significant difference between the two groups in terms of individual characteristics and average resilience (P<0.05). Based on the results, the implementation of the continuous care model had improved the average resilience score (P<0.001). At the time of follow-up, this difference between the two groups was significant (P<0.001) and it was still higher in the endurance test group.

Hemodialysis patients are under high pressure and stress and need higher resilience. This study showed that the continuous care model is useful in promoting resilience and increasing tolerance of hemodialysis patients. Therefore, it is recommended to use continuous care model in hemodialysis patients.

Patients undergoing hemodialysis require a proactive program aimed at improving compliance with dietary and fluid restrictions. The current study was conducted with the aim of investigating the effect of implementing the continuous care model on the attitude related to adherence to diet and fluids in hemodialysis patients.

This semi-experimental research with intervention and control groups was conducted on 64 hemodialysis patients. The samples in this study were initially selected through convenience sampling and then randomly divided into two groups of the intervention group and the control group. Initially, demographic information and compliance-related attitude questionnaires were completed by the patients in both groups during the pre-test phase. Then, after providing an educational booklet, the follow-up care model was implemented in the intervention group. At the end of each month and until the end of the third month, the compliance-related attitude questionnaire was completed in both groups. Subsequently, the collected data were analyzed using statistical tests in SPSS software version 21.

The results of statistical analysis showed that there was no statistically significant difference in the mean score of compliance-related attitude toward dietary and fluid restrictions between the intervention and control groups before the intervention (p = 0.343); however, this score had significantly increased one month after the intervention (p = 0.005).

The results showed that by implementing the continuous care model one month after the intervention, patients exhibited greater adherence to diet and fluid restrictions; therefore, it is recommended that nurses use care models such as continuous care model in caring for patients.

Caring for a stroke patient imposes a high level of care on family caregivers and affects their lives that require specific attention. The aim of this study was to determine the effect of the follow-up care model on the care pressure of family caregivers of stroke patients.

This is a quasi-experimental study. The study population was family caregivers of stroke patients. 60 family caregivers were selected based on inclusion criteria and were divided into two groups of intervention and control using a random number table. In the intervention group, the follow-up was implemented for one month based on care model. The control group received routine training during discharge. Data collection tools were demographic questionnaire and Zarit care pressure. The samples answered the questionnaires one day before discharge and one week after the intervention. Data were analyzed by descriptive statistics (mean, standard deviation, rate, percentage) and inferential tests (independent and paired t-test, chi-square, Mann-Whitney) by spss-18 software.

The mean score of caring stress before the intervention was not significantly different between the two groups (P <0.67). After the intervention, the mean score of care pressure in the intervention group was significantly lower than the control (P˂0.001). The mean score of care pressure before and after the intervention in the intervention group was significantly different (P˂0.01).

Follow-up care reduces the care pressure on family caregivers of stroke patients. It is recommended to be used to reduce the stress of care and the problems caused by it in the care of stroke patients.

Colon cancer and its treatments have several signs and symptoms such as weakness, fatigue, lethargy, anorexia, nausea and vomiting, anemia, and eating disorders that self-care is essential to control in these patients. The aim of this study was to determine the effect of the continuous care model on self-care in patients with colon cancer.

The present study was an experimental study with a pre-test-post-test design. The statistical population of 60 patients with colon cancer at Imam Ali (AS) and Shahid Rajaei hospitals in Karaj in the first half of 2021, were selected based on inclusion criteria and randomly divided into intervention and control groups using even and odd codes. For the intervention group, the continuous care model was implemented in 4 stages for the intervention group for 2 months (8 weeks). A demographic information questionnaire and a researcher-made self-care questionnaire for patients with colon cancer were used to collect information. Data were analyzed with SPSS19 statistical software using descriptive and inferential tests. The significance level was considered 0.05.

There was no statistically significant difference between the two groups regarding demographic variables. The mean scores of patients' self-care index before the intervention in the intervention group was 33.44 ± 2.57 and in the control, group was 33.48 ± 3.76, which was not statistically significant (P= 0.77) after the intervention in the group The intervention reached 41.48 ± 3.01 and in the control group reached 34.34 ± 4.82, which was a significant difference in the intervention group and self-care was improved (P <0.001).

The results showed that the continuous care model has an effect on self-care in patients with colon cancer and promotes it, so it is recommended that nurses use nursing models such as the continuous care model in caring for these patients.

One of the most common problems in old age is poor quality sleep, which requires appropriate interventions; therefore, the present study was designed with the aim of the effect of sleep health education program based on continuous care model on sleep quality in the elderly.

The above study was performed on 120 elderly people aged 60 years and older living in Gonabad who met the inclusion criteria. Data collection tools included demographic information and Pittsburgh Sleep Questionnaire. After completing the pretest, participants were randomly assigned to one of the interventions (n = 60) and control (n = 60) groups. A one-hour face-to-face training session was held for the intervention group. Follow-up was done by phone twice a week in the first month and in the second and third months every week. Then post-test questionnaire was completed for both groups and data were analyzed using SPSS version 20 software and descriptive and inferential statistical tests and chi-square and t-test.

The mean score of sleep quality before the intervention was in the intervention 8.13 ± 3.35 and control 7.58 ± 2.64 groups that there was no statistically significant difference (p = 0.32); After the intervention, a statistically significant difference was observed between the two groups; The mean score of sleep quality was obtained in the intervention group 5.35 ± 2.17 and in the control group 8.08 ± 2.70 (p <0.001).

Sleep health education based on a continuous care model improves the quality of sleep in the elderly, so this method is recommended to improve the quality of sleep in the elderly.

Cardiovascular disease is the leading cause of a large percentage of deaths worldwide. With the improvement in the survival of coronary artery disease patients in recent decades, continuous self-care programs (based on education and prevention) are increasingly recommended. The aim of this study was to evaluate the effect of continuous care model on quality of life, self-efficacy and adherence to the treatment regimen of patients undergoing coronary artery bypass graft.

This quasi-experimental study was performed with a single group before and after the intervention among 85 patients undergoing coronary artery bypass grafting in Tehran Social Security hospitals in 2016. Data were collected based on demographic questionnaires, McNew quality of life (lowest score 27 and highest score 189), general self-efficacy (lowest score 10 and highest score 40), and researcher-made regimen questionnaire (3 areas of diet, medication, and physical activity), (score of each domain 0-100%, undesirable adherence: less than 50% of the total score, desirable adherence: more than 75% of the total score). The intervention was based on the continuous care model (orientation, sensitization, control, evaluation). Training sessions were held for 4 weeks (stages 1 and 2) while control and evaluation were performed during 8 weeks after that. Questionnaires were completed and analyzed by patients before and 3 months after the intervention.

The results showed that the scores of quality of life, self-efficacy and treatment regimen of patients before the intervention were 72.08±3.55, 25.08±2.48 and 180.18±9.61, respectively, and after the intervention were 85.13±0.63, 38.76±1.11, and 287.94±2.36, respectively. There was a statistically significant difference between the mean score of self-efficacy, quality of life and treatment regimen before and after the intervention (p<0.001).

According to the results of this study, the continuous care model has a positive effect on increasing the quality of life, self-efficacy and treatment regimen of patients.

Sleep disorders are many of the most common complications of post-traumatic stress disorder (PTSD) after war that disrupt the quality of life of veterans. Therefore, the current study was aimed to evaluate the effect of the continuous care model on sleep quality in veterans with PTSD.

This was a semi-experimental single-group interventional study with before and after design. It was carried out on a sample of 30 war veterans with PTSD in Alborz province during the year 2019. Six 45-30 minute sessions of the continuous care model were held within 4 weeks. Then the training was repeated and followed up for 2 months by SMS reminder. The Pittsburgh Sleep Quality Standard questionnaire was used for data collection

The mean age of the veterans was 53.96±5.4 years. The total score of sleep quality before intervention was 13.51±2.71, immediately after intervention was 11.26±2.81 and two months after the intervention was 7.96±2.28. Significant improvement in sleep quality of veterans was recorded after the intervention

Sleep quality improvement training using continuous care model improves the sleep quality of veterans with PTSD.  So, using Continuous Care Model is an effective method and is recommended along with other interventions.

any change in health situation will affect the role of the nurse. Since the adherence to treatment in hemodialysis patients plays a significant role  and Failure to comply with it may have dangerous side effects and even death, so nurse as one of the pillars of treatment can reduce such Complications with his/her educational role in hemodialysis patients. This study aimed to assess the effect of utilization of Continuous care model on adherence to treatment.

This study is a clinical trial with a purposive ambling technique, After selection according to inclusion criteria, 98 hemodialysis patients from baqiatolah and chamran hospital were Randomly divided into two experimental and control group, three months of continuous care intervention on the experimental group was conducted And by the end of each month adherence to treatment status of patients in both groups was evaluated and compared with the Kim exclusive questionnaire of adherence to treatment.

adherence to treatment trend of changein the intervention group was increase inguinal three stages of evaluation which this difference was statistically significant (P=0/0001).

Due to the significant increase in adherence to treatment after applying continuous care model, teaching the self-care skills to this group of patients and also other chronic diseases is recommended.

Self-care behaviors are one of the effective factors in preventing symptoms and recurrence of the disease. Continuous Care Model has been introduced as a regular process for effective communication between patient and nurse. considering the feature of this model in the continuity of communication in patient care that is appropriate to the patient's condition, This study aimed to determine the effect of Continued Care Model (CCM) on self-care behaviors in patients with myocardial infarction. A randomized controlled clinical trial study was performed on patients admitted to coronary care unit (CCU) wards of the Zahedan-based teaching hospitals in 2017. Sixty patients were selected by convenience sampling method and assigned randomly into intervention and control groups (N=30 per group). The CCM in five group sessions, they performed 45-30 minutes and were followed up by telephone. Data were collected by using a demographics form and questionnaire of standard scale Self-Care Miller in a Data were collected from using a demographics form and questionnaire of standard scale Self-Care Miller in three periods of time. data were analyzed in SPSS software (Version 20) and with the help Independent t-test, Chi-square and repeated measures ANOVA with Bonferroni post hoc test, at the significant level of P<0.05 was analyzed. Two groups of control and intervention there were no significant differences in individual variables. Mean scores of diet (P<0.001), non-smoking (P=0.03), moderation of stress variable (P=0.002), physical activity (P=0.001), and total score of self-care behaviors (P <0.001) were significantly increased in the intervention group immediately after the intervention was implemented The results showed that the changes in self-care behaviors in the two groups were not the same in three time intervals and in the intervention group were statistically significant (P<0.001). The CCM can cause positive changes in self-care behaviors in patients. Therefore, using this model as a community-based approach in the health system is recommended in patients with myocardial infarction.