Person-centered Nursing to Improve Treatment Regimen Adherence in Patients with Myocardial Infarction
Dr. Sima Zohari Anbohi,
Assistant Professor, Department of Nursing, School of Nursing and Midwifery,
Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Introduction: Person-Centred Care (PCC) relies on effective communication and emphasises on co-operation in care between patients and healthcare professionals. WHO advocates this type of care as a key component of quality health care.
Aim: To evaluate if person-centred nursing can improve treatment regimen adherence in patients with Myocardial Infarction (MI).
Materials and Methods: During August-November 2016, 101 patients with MI, of age =85 years were randomly assigned to person-centred nursing group and usual care group and followed for two months. In the intervention group, a person-centred nursing process was added to care, emphasising the patient as a partner in care. Care was provided in co-operation with the patient, registered nurse and researcher. Data were collected using self-report adherence to the treatment regimen questionnaire and were analysed using SPSS software version 22 and chi-square test, independent samples t-test and paired t-test were applied wherever required.
Results: Study results showed that the mean score of treatment regimen adherence did not have a significant difference before intervention, three weeks and two month after intervention in control group (p=0.692; p=0.581), but three weeks after intervention, the intervention group had a significant difference in the mean score of the treatment regimen adherence (p<0.001). Also, paired t-test results showed that two month after intervention the mean of adherence in person-centred nursing group was higher than control group (p<0.001).
Conclusion: Person-centered nursing improved treatment regimen adherence in patients with MI. Further work is needed to examine whether this intervention can be sustained to improve clinical outcomes.