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Impact of telephone counseling on the quality of life of patients discharged after coronary artery bypass grafts
Institution:1. Department of health economics and management, School of public health, Hamadan University of Medical Sciences, Hamadan, Iran;2. Department of Medical Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran;3. Department of Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran;4. Department of Epidemiology & Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran;5. Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden;1. Emory University School of Medicine, Atlanta, GA, USA;2. University of North Carolina School of Medicine, Chapel Hill, NC, USA;3. Medical College of Wisconsin, Milwaukee, WI, USA;4. Indiana University School of Medicine, Indianapolis, IN, USA;5. Yale University School of Medicine, New Haven, CT, USA;6. University of Virginia School of Medicine, Charlottesville, VA, USA;7. Institute for Professionalism & Ethical Practice, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA;8. Stanford University School of Medicine, Palo Alto, CA, USA;9. Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI, USA;10. Education Institute, Cleveland Clinic, Cleveland, OH, USA;11. Indiana University School of Medicine, Indianapolis, IN, USA;1. University of Wisconsin-Madison, School of Nursing, Madison, USA;2. William S. Middleton Memorial Hospital, Madison, USA;1. Faculty of Pharmacy, University of Sydney, Australia;2. Faculty of Arts and Social Sciences, University of NSW, Australia;3. Royal Melbourne Hospital, LaTrobe University, Australia;4. Faculty of Health Sciences, University of Southampton, United Kingdom;5. Institute for Health and Wellbeing, College of Social Sciences, University of Glasgow, United Kingdom;1. MedStar Union Memorial Hospital, United States;2. MedStar Health Research Institute, United States;2. National Cancer Institute, Division of Cancer Prevention, 9609 Medical Center Drive, Bethesda, MD 20892, United States;3. The University of Texas MD Anderson Cancer Center, 1155 Pressler Street, P.O. Box 301439, Unit Number: 1322, Houston, TX 77230-1439, United States;4. Evans Department of Medicine, Boston Medical Center and Boston University School of Medicine, 801 Massachusetts Ave, Boston, MA 02118, United States;5. NRG Oncology, Pittsburgh, United States;6. The University of Pittsburgh, 201 North Craig St., Suite 350, Pittsburgh, PA 15213, United States;7. Salt Lake City VA Center for Informatics Decision Enhancement and Surveillance (IDEAS);8. Department of Population Health Sciences, University of Utah
Abstract:BackgroundThis study aimed to assess the impact of telephone counseling on quality of life in patients with coronary artery bypass graft.MethodsA quasi-experimental study was conducted with 71 discharged patients after coronary artery bypass graft surgery at Ekbatan Edcuational hospital in Hamadan, Iran, in 2014. The patients were randomly allocated into intervention (n = 36) and control group (n = 35). The intervention group received education and counseling about therapeutic plan via telephone after discharge. Patients in the control group received only routines. All patients completed the quality of life questionnaire before and after the intervention period of five weeks.ResultsThere was no significant difference between intervention and control group about quality of life before intervention (p = 0.696). However, there was significant and positive deference between the two groups in favor of the telephone counseling after the intervention (P = 0.01) and control group (P = 0.04). Quality of life in the intervention group was significantly better compared to control group (P = 0.01).ConclusionsTelephone counseling could be a cost-effective patient counseling plan for therapeutic adherence after coronary artery bypass surgery in order to improve the patients’ quality of life.Practice implicationsTelephone counseling is feasible to implement and well accepted for patient counseling for many diseases.
Keywords:Telephone counseling  Quality of life  Coronary artery bypass surgery  Health care system
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