eISSN: 2449-8580
ISSN: 1734-3402
Family Medicine & Primary Care Review
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3/2023
vol. 25
 
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abstract:
Original paper

Effect of home-based cardiac rehabilitation programmes on the social health of patients with an Implantable Cardioverter Defibrillator (ICD): a semi-experimental study

Mohammad Heidari
1
,
Parviz Nadimi Harandi
2
,
Jaefar Moghaddasi
3
,
Soleiman Kheiri
4
,
Amirhossein Azhari
5

  1. Community-Oriented Nursing Midwifery Research Center, Nursing and Midwifery School, Shahrekord University of Medical Sciences, Shahrekord, Iran
  2. School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran
  3. Department of Adults and Geriatric Nursing, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran
  4. Department of Epidemiology and Biostatistics, School of Health Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
  5. Department of Cardiology, School of Medicine Chamran Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
Family Medicine & Primary Care Review 2023; 25(3): 283–287
DOI: https://doi.org/10.5114/fmpcr.2023.130088
Online publish date: 2023/09/30
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Background
Shocks caused by an Implantable Cardioverter Defibrillator (ICD) affect the social health of patients. Implementation of Home-Based Cardiac Rehabilitation (HBCR) by trained nurses can be effective in preventing or reducing these effects.

Objectives
The aim this study was to determine the effect of implementation of HBCR programmes on the social health of patients with ICD.

Material and methods
This study was conducted as a semi-experimental and randomised study with two groups of control (n = 35) and experimental (n = 35) patients receiving ICD in the Shahid Chamran Heart Centre of the Isfahan University of Medical Sciences (IUMS). Data collection tools included Keys Social Health questionnaire and the HBCR programmes checklist. In four educational sessions, patients were introduced to the practical concepts of HBCR programmes.

Results
At the beginning of the study, there was no significant difference between the two groups in terms of social health score (p = 0.056), but immediately after the intervention and three months after the intervention, there was a significant difference in the social health score in the two groups (p < 0.001). The experimental group had a higher social health score than the control group.

Conclusions
The findings of this study represent the positive impact of implementing HBCR programmes on the social health of patients with ICD and the role of nurses in providing healthcare services at home, the gap of which is quite noticeable in the health system of our country.

keywords:

cardiovascular diseases, cardiac rehabilitation, implantable defibrillators, social determinants of health

  
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