Effect of family-centered interventions on self-efficacy of family of patients with low consciousness admitted the intensive care units: A randomized controlled trial

Introduction: Families of patients with low consciousness have an important role in supporting them and should acquire the necessary capability for patient care. Objective: This study aimed to examine the effect of family-centered interventions on the self-efficacy of the families of patients admitt...

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Main Authors: Hadis Biranvand, Mehdi Birjandi, Fateme goudarzi, Heshmatolah Heydari
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2023-01-01
Series:Journal of Holistic Nursing and Midwifery
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Online Access:http://hnmj.gums.ac.ir/article-1-1990-en.pdf
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author Hadis Biranvand
Mehdi Birjandi
Fateme goudarzi
Heshmatolah Heydari
author_facet Hadis Biranvand
Mehdi Birjandi
Fateme goudarzi
Heshmatolah Heydari
author_sort Hadis Biranvand
collection DOAJ
description Introduction: Families of patients with low consciousness have an important role in supporting them and should acquire the necessary capability for patient care. Objective: This study aimed to examine the effect of family-centered interventions on the self-efficacy of the families of patients admitted to the intensive care units. Materials and Methods: This research was a randomized clinical trial with a pretest-posttest design conducted in intensive care units of hospitals in Khorram abad City, Iran, in 2019-2020. Seventy family members of patients were selected by convenience sampling and were assigned to the intervention (n=28) and control (n=28) groups by stratified random blocks. The study data were collected through the self-efficacy questionnaire and Hospital Anxiety and Depression Scale. The intervention was carried out using a family-centered model. The collected data were analyzed using the statistical tests of the Chi-square, independent t-test, and paired t-test. Also, the generalized linear model was used to compare changes in self-efficacy scores of the two study groups after adjusting demographic, anxiety, and depression variables. Results: Data analysis showed that most samples were male (53.8%) with a mean age of 38.15±8.68 years. The results showed a significant difference in the mean scores of self-efficacy, anxiety, and depression between the intervention and control groups (P=0.001). The intervention significantly increased the Mean±SD of caregivers’ self-efficacy (40.14±14.35, P=0.001) in the intervention group. The results showed that the self-efficacy mean score of the intervention group was 36 scores higher than the caregivers’ self-efficacy of the control group (95% CI; 20.6-51.4, P=0.028). Conclusion: The participation of family members of patients with low consciousness in the care of the patients in the intensive care unit has an effective role in the self-efficacy of caregivers of these patients.
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spelling doaj-art-5a185d3fcccf414db2a007dd8bf87eb22025-08-20T03:05:35ZengGuilan University of Medical SciencesJournal of Holistic Nursing and Midwifery2588-37122023-01-013316977Effect of family-centered interventions on self-efficacy of family of patients with low consciousness admitted the intensive care units: A randomized controlled trialHadis Biranvand0Mehdi Birjandi1Fateme goudarzi2Heshmatolah Heydari3 Nursing (MSc), School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran Assistant Professor, Department of Biostatistics and Epidemiology, School of Health and Nutrition Lorestan University of Medical Sciences, Khorramabad, Iran Assistant Professor, Department of Biostatistics and Epidemiology, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran Associate professor, Department of Community Health Nursing, Social Determinants of Health Research Center, School of Nursing and midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran. 5-French Institute of Research and High Education (IFRES-INT), Paris, France Introduction: Families of patients with low consciousness have an important role in supporting them and should acquire the necessary capability for patient care. Objective: This study aimed to examine the effect of family-centered interventions on the self-efficacy of the families of patients admitted to the intensive care units. Materials and Methods: This research was a randomized clinical trial with a pretest-posttest design conducted in intensive care units of hospitals in Khorram abad City, Iran, in 2019-2020. Seventy family members of patients were selected by convenience sampling and were assigned to the intervention (n=28) and control (n=28) groups by stratified random blocks. The study data were collected through the self-efficacy questionnaire and Hospital Anxiety and Depression Scale. The intervention was carried out using a family-centered model. The collected data were analyzed using the statistical tests of the Chi-square, independent t-test, and paired t-test. Also, the generalized linear model was used to compare changes in self-efficacy scores of the two study groups after adjusting demographic, anxiety, and depression variables. Results: Data analysis showed that most samples were male (53.8%) with a mean age of 38.15±8.68 years. The results showed a significant difference in the mean scores of self-efficacy, anxiety, and depression between the intervention and control groups (P=0.001). The intervention significantly increased the Mean±SD of caregivers’ self-efficacy (40.14±14.35, P=0.001) in the intervention group. The results showed that the self-efficacy mean score of the intervention group was 36 scores higher than the caregivers’ self-efficacy of the control group (95% CI; 20.6-51.4, P=0.028). Conclusion: The participation of family members of patients with low consciousness in the care of the patients in the intensive care unit has an effective role in the self-efficacy of caregivers of these patients.http://hnmj.gums.ac.ir/article-1-1990-en.pdffamily nursingself-efficacyconsciousness disordersintensive care units
spellingShingle Hadis Biranvand
Mehdi Birjandi
Fateme goudarzi
Heshmatolah Heydari
Effect of family-centered interventions on self-efficacy of family of patients with low consciousness admitted the intensive care units: A randomized controlled trial
Journal of Holistic Nursing and Midwifery
family nursing
self-efficacy
consciousness disorders
intensive care units
title Effect of family-centered interventions on self-efficacy of family of patients with low consciousness admitted the intensive care units: A randomized controlled trial
title_full Effect of family-centered interventions on self-efficacy of family of patients with low consciousness admitted the intensive care units: A randomized controlled trial
title_fullStr Effect of family-centered interventions on self-efficacy of family of patients with low consciousness admitted the intensive care units: A randomized controlled trial
title_full_unstemmed Effect of family-centered interventions on self-efficacy of family of patients with low consciousness admitted the intensive care units: A randomized controlled trial
title_short Effect of family-centered interventions on self-efficacy of family of patients with low consciousness admitted the intensive care units: A randomized controlled trial
title_sort effect of family centered interventions on self efficacy of family of patients with low consciousness admitted the intensive care units a randomized controlled trial
topic family nursing
self-efficacy
consciousness disorders
intensive care units
url http://hnmj.gums.ac.ir/article-1-1990-en.pdf
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