Author/Authors :
Sabzmakan، Leyla نويسنده Lecture, Department of Public Health, School of Health, Ghazvin University of Medical Sciences, Ghazvin, Iran , , Hazavei، Sayyed Mohammad Mahdi نويسنده Associate Professor, Department of Health, School of Health Services, Isfahan University of Medical Sciences, Isfahan, Iran , , Rabiei، Katayoun نويسنده Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran , , Jahani Hashemi، Hassan نويسنده Assistant Professor, Department of Biostatistics, School of Health, Ghazvin University of Medical Sciences, Ghazvin, Iran , , Mirmohammad Sadeghi، Mohsen نويسنده Associate Professor, Hypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran , , Roohafza، Hamidreza نويسنده Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran ,
Abstract :
BACKGROUND: This study was conducted to evaluate the effect of an educational intervention on
depression and quality of life (QoL) of patients with coronary artery bypass grafting (CABG) surgery.
METHODS: This was a quasi-experimental study on 54 patients after CABG who were
randomly divided into the test and control groups. To evaluate depression, Cardiac Depression
Scale was used. Then a researcher-made questionnaire of Predisposing, Reinforcing, Enabling
Causes in Educational Diagnosis and Evaluation (PROCEED) was used and finally the 36-item
Short-Form Health Survey (SF-36) was employed. The intervention was done through 9
educational sessions, once a week, lasting 60-90 minutes based on PRECEDE model and it was
followed-up for two months.
RESULTS: After the educational intervention, the mean score of predisposing causes, enabling
causes, reinforcing causes and self-care behaviors significantly increased in the test group
compared to the control group (P < 0.001). There was a significant difference in mean score of
depression between the two groups after the educational intervention (P < 0.001). In addition,
there was a significant difference after the intervention in physical functioning (P = 0.04),
mental problems related to QoL (P < 0.001) and generally, in psychological health (P = 0.04).
CONCLUSION: The findings of this study confirmed the efficacy of PRECEDE educational
model and its components (predisposing, enabling and reinforcing causes) and behavioral
factors of it on improvement of psychological status and depression of the patients which finally
increased QoL of patients after CABG.
