Document Type : Original Article

Authors

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

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