Impact of Training Based on Orem's Theory on Self-Care Agency and Quality of Life in Patients With Coronary Artery Disease.
Fatma Tok Yildiz, Mağfiret Kaşikçi
PMID 33017328WHAT IT FOUND
CAD patients who received Orem-based nurse education and home follow-up had higher self-care agency and better quality of life at 5 to 6 months than controls.
Controls also received home visits and counseling, so the booklet alone may not explain the gain.
Key findings
01The intervention group had significantly higher posttest Self-Care Agency Scale scores than the control group.
02The intervention group had significantly higher posttest MacNew scores than the control group.
03The intervention group had significantly higher posttest 15D scores than the control group.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done at a cardiology clinic at a university and public hospital in Turkey, so it may not apply to other health systems or patient groups. Only 102 patients were included. The control group also received home visits, blood pressure checks, counseling when necessary, and phone calls, so the intervention was not compared with usual care alone. The intervention included several components at once, so the contribution of any single part cannot be separated. All interviews were performed by the researcher, and the scales were filled out by the researcher. The last follow-up was in autumn-winter and limited home environment measurements, and physiological parameter measurement ended early according to the authors. The results text says LDL and total cholesterol had a highly significant intergroup difference, while Table 2 reports no significant intergroup difference for those posttest categories.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not conclude that the booklet or training alone caused the improvement. The intervention group also received home visits, blood pressure checks, body measurements, lipid recording, behavioral review, and phone calls. The control group also received home visits, blood pressure checks, counseling when necessary, and phone calls.