Document Type : Original Article


1 Department of Critical Care Nursing, School of Nursing and Midwifery, Nursing and Midwifery Care Research Centre, Spiritual Health Group, Research Center of Quran, Hadith and Medicine, Tehran University of Medical Sciences, Tehran, Iran

2 Department of Medical‑Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Australian Centre for Heart Health, Melbourne Australia, Faculty of Health, Deakin University, Geelong Australia, Honorary Professor, Centre on Behavioural Health, Hong Kong University, Hong Kong

4 Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran

5 Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Labbafinezhad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran


BACKGROUND: Adherence to the treatment plans is one of the most effective conducts to prevent
and reduce postoperative side effects. Partnership‑based education is one of the most efficient ways to
shape health behaviors. The aim of the present study was to determine the effect of partnership‑based
education on adherence to the treatment plans in open heart surgery.
MATERIALS AND METHODS: This quasi‑experimental study was conducted in 2019–2020 on
the patients undergoing open heart surgery in Tehran (Capital of Iran). Sampling was done in one
educational hospital. A total of 86 patients and their caregivers participated in the study. Sampling
was done nonrandomly by tossing a coin, and patients were allocated into the odd week in the
intervention group and the even week in the control group (n = 43 in each group), and data were
collected before and after intervention using the Treatment Adherence Questionnaire concerning
dietary, physical activity, and medication aspects. The educational intervention was carried out after
the pretest analysis in five 20–45 min sessions (two individual and three group educations). Data
were analyzed with Chi‑square, independent t‑test, and paired t‑test using SPSS 19 at a significance
level of P < 0.05.
RESULTS: Patients and caregivers in both groups did not have a significant difference in terms of
demographic variables (P > 0. 05). In addition, there was no significant difference in the mean of
dietary, physical activity, and medication plans before the intervention in both groups; however, after
the intervention, the mean of the three aspects in the intervention group was significantly higher than
that of control (P < 0.001).
CONCLUSION: Implementing partnership‑based education with participation of patients and
caregivers is influential in improving patients’ adherence to the treatment plans and it is recommended
as a clinical dynamic educational strategy.


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