Relationship between adherence to treatment plans and quality of life in patients undergoing cardiac surgery

Behnam  Masmouei; Ali  Bikmoradi; Mohammad  Ghomeisi; Mohammad-Rafi  Bazrafshan; Mehdi  Harorani; Zahra  Karimi

doi:10.18502/cbj.v2i2.12162

Behnam Masmouei Department of Nursing, School of Nursing Hazrat Zahra (P.B.U.H) Abadeh, Shiraz University of Medical Sciences, Shiraz, Iran
Ali Bikmoradi Department of Health Administration, Hamadan University of Medical Sciences, Hamadan, Iran
Mohammad Ghomeisi Department of surgery, School of medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
Mohammad-Rafi Bazrafshan Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran
Mehdi Harorani Department of Nursing, Shazand School of Nursing, Arak University of Medical Sciences, Arak, Iran
Zahra Karimi Clinical Nurse, Shiraz University of Medical Sciences, Shiraz, Iran

DOI: https://doi.org/10.18502/cbj.v2i2.12162

Keywords: Treatment plan, quality of life, Coronary artery bypass graft

Abstract

Objectives: Cardiovascular diseases are the primary cause of death all around the world, and the complications of heart disease can reduce the patient's quality of life.Adherence to a therapeutic plan can reduce surgical complications and promote the healing process. This study aimed to survey the relationship between adherence to a therapeutic plan and quality of life in discharged patients after a coronary artery bypass graft (CABG).

Methods: Descriptive correlational research was carried out to discover relationships among variables. The study was conducted in Hamadan hospital in 2014. Seventyone patients undergoing CABG surgery were selected by convenience sampling method. Before discharge, the patients completed the Mac New Quality of Life Questionnaire and adherence to therapeutic plan questionnaire that included medicine adherence, recommended care, diet and exercise orders, and incentive spirometry. After five weeks, patients again completed the questionnaires, and the data were analyzed.

Results: There was a positive and significant relationship between patients' quality of life and adherence to the treatment plan. As the treatment program increased, the patients' quality of life also increased (r= 0.695, p <0.05).

Conclusions: More adherence to treatment plans in patients undergoing CABG surgery leads to the enhancement of the quality of life in patients.