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| The effect of comfort care based on the collaborative care model on the compliance and self-care ability of patients with coronary heart disease |
| Sun C, Jia M, Wu H, Yang Q, Wang Q, Wang L, Xu H |
| Annals of Palliative Medicine 2021 Jan;10(1):501-508 |
| clinical trial |
| 5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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BACKGROUND: Coronary heart disease (CHD) causes mental discomfort in patients, so there is a pressing need to strengthen the nursing cooperation with patients during treatment, which can help patients to regulate their psychological status, promoting successful rehabilitation. This study was to explore the effect of comfort care based on the collaborative care model (CCM) on the compliance and self-care ability of patients with CHD. METHODS: A total of 104 CHD patients were randomly selected in our hospital between April 2019 and April 2020. They were divided into two groups (with 52 cases in each group) using a random number table. Routine care was applied in the control group, while comfort care based on the CCM was employed in the study group. Self-made questionnaires were used to investigate the health knowledge proficiency, psychological status, compliance, self-care ability, and comfort degree in the two groups before and after intervention. RESULTS: Following the interventions, the health knowledge proficiency in the study group was higher than that in the control group (p < 0.05). The Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores in the study group were lower than those in the control group (p < 0.05). The compliance rate in the study group was 96.15%, which was higher than that of the control group (82.69%) (p < 0.05). The Exercise of Self-care Agency (ESCA) score in the study group was also higher than that of the control group (p < 0.05). Moreover, the physical, mental, social, and emotional comfort scores in the study group were higher than those in the control group (p < 0.05). CONCLUSIONS: Comfort nursing based on the CCM improves CHD patients' health knowledge, regulates their psychological status, and improves their compliance, self-care ability, and comfort.
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