Document Type : Original Article
Authors
- . Hadi Hatami
- . Ali Hassanpour Dehkordi 1
- . Shahriyar Salehi Tali 2
- . Masoud Lotfizadeh 3
- . Haifeh Ganji 4
1 1 Department of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran
2 Department of Nursing, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran
3 Social Determinants of Health Research Center, School of Medical Sciences, Shahrekord University of Medical Sciences, Shahrekord, Iran
4 Assistant Professor of Cardiology, School of Medicine , Shahrekord University of Medical Sciences, Shahrekord, Iran
Abstract
BACKGROUND: Myocardial infarction (MI) is one of the most common cardiovascular diseases
affecting quality of life and adherence to treatment. This study aimed at assessing the impacts of an
educational program based on the Belief, Attitude, Subjective Norm, and Enabling Factors (BASNEF)
Model on quality of life and adherence to treatment in patients with MI.
MATERIALS AND METHODS: The present quasi‑experimental study was conducted on eighty
patients with MI admitted to hospitals affiliated to Shahrekord University of Medical Sciences in 2019,
which were selected by the convenience sampling and then randomly divided into intervention and
control groups. The intervention group received a BASNEF model‑based educational‑supportive
intervention including three 45‑min training sessions and three months’ follow‑up individually for
each participant. Data were collected by Ferrans and Powers Quality of Life Index (QLI)‑Cardiac
Version, Modanloo Adherence to Treatment Questionnaire (MATQ) and questionnaire modified based
on BASNEF model constructs. The collected data were analyzed using SPSS version. 22 software
using the descriptive and analytical statistical test.
RESULTS: The total score of the MATQ and its subscales had significantly improved in the intervention
group after the intervention (P < 0.001). The total score of the QLI and its subscales had significantly
improved in the intervention group after the intervention (P < 0.001) In addition, the mean scores of the
model constructs had significantly improved after the intervention in the intervention group (P < 0.001).
CONCLUSION: The results of this study showed that applying BASNEF model‑based educational
interventions can lead to improved quality of life and adherence to treatment in the patients with MI.
Therefore, this model can be used to reduce the complications of MI.
Keywords
relation between social support and adherence to the treatment
of hypertension. J Educ Community Health 2014;1:63‑9.
2. Tol A, Farhandi H, Mohebbi B, Sadeghi R. BASNEF Model
intervention on blood pressure modification among hypertensive
diabetic patients. J Educ Health Promot 2017;6:47.
3. Vahedian Azimi A, Alhani F, Ahmadi F, Kazemnejad A. Effect
of family‑centered empowerment model on the life style of
myocardial infarction patients. Iran J Crit Care Nurs 2010;2:1‑2.
4. Boomi Ghuchane Atigh M, Malekaneh M, Mashreghi
Moghaddam H, Anani Sarab G. Evaluation of oxidative stress and
homocysteine level in patients with acute myocardial infarction:
A case‑control study. J Birjand Univ Med Sci 2016;23:141‑8.
5. Members WG, Thom T, Haase N, Rosamond W, Howard VJ,
Rumsfeld J, et al. Heart disease and stroke statistics – 2006
update: A report from the American Heart Association Statistics
Committee and Stroke Statistics Subcommittee. Circulation
2006;113:e85‑151.
6. Abedini A, Akbari H, Nezhad MT. Comparison of different
methods of education on reducing the anxiety of patients with
myocardial infarction. Iran J Nurs 2012;24:36‑44.
7. Boroumand S, Shahriari M, Abbasi Jebeli M, Baghersad Z,
Baradaranfard F, Ahmadpoori F. Determine the level of
self‑efficacy and its related factors in patients with ischemic
heart disease: A descriptive correlational study. Iran J Nurs Res
2015;9:61‑9.
8. Behnammoghadam M, Zeighami R, Azimian J, Jahanihashemi H,
Fotuhi M. Side effects of intravenous streptokinase in different
age groups patients with acute myocardial infarction. Armaghane
danesh 2014; 18.11: 910‑917
9. Karimy T, Saffari M, Sanaeinasab H, Khalagi K, Hassan‑Abadi M.
Impact of educational intervention based on theory of planned
behavior on lifestyle change of patients with myocardial
infarction. Iran J Health Educ Health Promot 2016;3:370‑80.
10. Bagheri I, Memarian R, Hajizadeh E, Pakcheshm B. The effect
of sex education on patients and their spouses satisfaction after
myocardial infarction. Jorjani Biomed J 2014;2:46‑0.
11. Taghizadeh P, Hekmatpou D, Rahzani K, Kazerani H, Rafiei M.
Comparing of the Effect of Reflexive and Stroke Massages on
Physiologic Indices in Patients With; Complementary Medicine
Journal, 2013, 2.4: 279‑290.
12. Manouchehrifar M, Ghasemi S, Shojaee M, Shahhosseini T,
Lashgari A. Characteristics of patients with myocardial
infarction admitted to the emergency department; a five years
epidemiological study. Iran J Emerg Med 2016;3:138‑42.
13. Jalilian M, Mostafavi F, Sharifirad G. Association between
self‑efficacy, perceived social support and quality of life in patients
with cardiovascular diseases: A cross‑sectional study. J Health
Syst Res 2013;9:531‑9.
14. Poshtchaman Z, Jadid Milani M, Atashzadeh Shoorideh F,
Akbarzadeh Bagheban A. Assessing patient adherence to
treatment after coronary artery bypass graft. J Sabzevar Univ
Med Sc 2015; 22.4: 668‑675.
15. Baune BT, Aljeesh Y, Bender R. Factors of non‑compliance with
the therapeutic regimen among hypertensive men and women:
A case‑control study to investigate risk factors of stroke. Eur J
Epidemiol 2005;20:411‑9.
16. Majlessi F, Mohebbi B, Tol A, Azam K. Assessing the effect of
educational intervention on treatment adherence based on AIM
model among patients with type 2 diabetes. Iran J Diabetes Metab
2017;16:173‑82.
17. Najimi A, Azadbakht L, Hassanzadeh A, Sharifirad GR. The effect
of nutritional education on metabolic outcomes based on BASNEF
Model in elderly patients with type 2 diabetes. J Res Health Sci
2010; 6 (3):549‑58.(Persian)
18. MerghatiSZ, Hemmati Maslak PakM, DidarlooA, Ghareh AghajiR.
Assessment of the effect of BASNEF Model based education on
the attitudes, subjective norms, behavioral intention and enabling
factors regarding healthy lifestyle in patients with heart failure.
J Urmia Nurs Midwifery Fac 2017;14:822‑9.
19. Baghaei R, Alinejad V, Didarloo A, Khaledian N. The effect of
an educational intervention on the medication adherence in
patients with hypertension: Based on BASNEF Model. J Urmia
Nurs Midwifery Fac 2017;14:811‑21.
20. Izadirad H, Masoudi GR, Zareban I. Evaluation of efficacy
of education program based on BASNEF Model on self‑care
behaviors of women with hypertension. Journal of the Iranian
in Statute for Health Sciences Research, 2014, 13: 487‑95
21. Ataee E, Haghjoo M, Dalvandi A, Bakhshandeh H. Effect of
self‑care education on quality of life among patients with
permanent pacemaker. Iran J Cardiovascu Nurs 2013;1:40‑7.
22. Leung YW, Grewal K, Gravely‑Witte S, Suskin N, Stewart DE,
Grace SL. Quality of life following participation in cardiac
rehabilitation programs of longer or shorter than 6 months: Does
duration matter? Popul Health Manag 2011;14:181‑8.
23. Shojaei F, Asemi M, Yarandi AN, Hosseini F. Self care behaviours,
quality of life among patients with heart failure. Iran J Nurs
2006;18:49‑55.
24. Modanloo M. Development and Psychometric Tools Adherence
of Treatment in Patients with Chronic. Iran: Iran University; 2013.
25. Lawshe CH. A quantitative approach to content validity 1. Pers
Psychol 1975;28:563‑75.
26. Souza AC, Alexandre NM, Guirardello EB. Psychometric
properties in instruments evaluation of reliability and validity.
Epidemiol Serv Saude 2017;26:649‑59.
27. Jahani A, Rejeh N, Heravi‑Karimooi M, Hadavi A, Zayeri F,
Khatooni AR. The relationship between spiritual health and
quality of life in patients with coronary artery disease. Islamic
Life style Cent Health 2013;1:17‑21.
28. Arabshahi A, Gharlipour Z, Mohammadbeigi A, Mohebi S. Effect
of educational intervention based on social support received by
the spouse on promoting adherence to treatment regimen in
hypertensive patients. J Educ Community Health 2020;7:153‑60.
29. Kamrani F, Nikkhah S, Borhani F, Jalali M, Shahsavari S,
Nirumand‑Zandi K. The effect of patient education and nurse‑led
telephone follow‑up (telenursing) on adherence to treatment in
patients with acute coronary syndrome. Iran J Cardiovasc Nurs
2015;4:16‑24.
30. Sanaie N, Nejati S, Zolfaghari M, Alhani F, Kazemnezhad A. The
effects of family‑based empowerment on family cooperation in
following patient treatment regime after coroner arteries bypass
surgery. Mod Care J 2014;11.1:19‑27.
31. Jalilian N, Tavafian SS, Aghamolaei T, Ahmadi S. The effects of
health education program on knowledge and attitudes of people suffering from hypertention. Iran J Health Educ Health Promot
2014;1:37‑44.
32. Hazavehei M, Khani Jyhouni A, Hasanzadeh A, Rashidi M.
The effect of educational program based on BASNEF Model on
diabetic (Type II) eyes care in Kazemi’s clinic, (Shiraz). Iran J
Endocrinol Metab 2008;10:145‑54.
33. Khani Jeihooni A, Hatami M, Kashfi SM, Heshmati H. The
effectiveness of education based on BASNEF Model program in
promotion of preventive behavior of Leishmaniasis among health
workers and families under health centers coverage. J Fasa Univ
Med Sci 2012;2:26‑33.
34. Pirzadeh A, Hazavei MM, Entezari MH, Hasanzadeh A. The effect
of educational intervention on girl’s behavior regarding nutrition:
Applying the beliefs, attitudes, subjective norms, and enabling
factors. J Educ Health Promot 2014;3:79.
35. Hemmati Maslak Pak M, Didarloo A, Merghati S. Effectiveness
of an educational intervention (based on BASNEF Model) on
lifestyle of patients with heart failure. Payesh (Health Monitor),
2017, 16.4: 501‑510.
36. Ferrans CE, Powers MJ. Psychometric assessment of the Quality
of Life Index. Research in nursing and health. 1992;15 (1):29‑38.
37. Momenabadi V, Iranpour A, Khanjani N, Mohseni M. Effect of
educational intervention on water pipe behaviour of students
in dormitories of Kerman Medical University: BASNEF Model.
J Health Promot Manag 2015;4:12‑22.
38. Hemati Z, Ganji F, Alidosti M, Reisi M. The Impact of Education,
Based on the BASNEF Model, on Maternal Attitudes Toward
Child Abuse in Shahrekord International Journal of Community
Based Nursing and Midwifery, 2013, 1.3: 130‑136.
39. GhaffariM, Sharifirad G, Malekmakan E, HassanzadehA. Effect of
educational intervention on physical activity‑related knowledge,
attitude and behavior of among first‑grade students of male high
schools. J Educ Health Promot 2013;2:4.
40. Yarmohammadi S, Mahmoodi M, Jazayeri SA, Chamari M. The
effect of an educational program based on the BASNEF Model on
the nutritional behavior of guidance school female pupils. J Sch
Public Health Inst Public Health Res 2015;13:55‑68.
41. Sadeghi R, Rezaeian M, Mohseni M. The effect of an educational
program based on BASNEF Model on breast self‑examination
practice of 20‑45‑year‑old women in Sirjan City: A training trial
study. J Rafsanjan Univ Med Sci 2015;14:769‑80.
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