The impact of implementing a nursing care program based on Johnson’s model on the behavioral systems of patients undergoing coronary artery bypass graft: a Randomized clinical trial
Abstract Background Coronary artery bypass graft (CABG) is a very important intervention to relieve angina, improve quality of life, or increase life expectancy. This study aimed to determine the effect of implementing a nursing care program based on Johnson’s model on the behavioral systems of pati...
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BMC
2025-04-01
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| Series: | BMC Nursing |
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| Online Access: | https://doi.org/10.1186/s12912-025-03019-7 |
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| author | Sakineh Rostami Shahram Molavynejad Nasrin Elahi Elham Maraghi |
| author_facet | Sakineh Rostami Shahram Molavynejad Nasrin Elahi Elham Maraghi |
| author_sort | Sakineh Rostami |
| collection | DOAJ |
| description | Abstract Background Coronary artery bypass graft (CABG) is a very important intervention to relieve angina, improve quality of life, or increase life expectancy. This study aimed to determine the effect of implementing a nursing care program based on Johnson’s model on the behavioral systems of patients undergoing CABG in Ahvaz teaching hospitals in 2022. Methods This is a clinical trial that was conducted from December 2022 to December 2023 on 128 patients undergoing CABG admitted to the cardiac ICU and cardiac surgery department of teaching hospitals in Ahvaz, Iran. The patients were selected based on the inclusion criteria, and they were assigned into intervention and control groups using permutation blocks. In the intervention group, a nursing care program based on Johnson’s model was implemented for three weeks. The data collection tool was a researcher-made questionnaire developed based on Johnson’s theory. A significance level of α = 0.05 was adopted for this study. Results Before the intervention, the mean scores of the intervention group in terms of the six subsystems of Johnson’s model were as follows: achievement (-98.98 ± 75.77), eliminative (-25.46 ± 33.27), ingestive (-135.67 ± 89.20), dependency (-122.26 ± 45.85), aggressive-protective (-62.18 ± 46.58), and restorative (-163.59 ± 62.03). After the intervention, the mean scores in the intervention group were as follows: achievement (-2.50 ± 71.55), eliminative (19.29 ± 35.61), ingestive (152.75 ± 113.58, dependency (104.60 ± 53.42), aggressive-protective (52.18 ± 53.54), and restorative (198.43 ± 72.28), which shows the positive impact of the intervention (P > 0.05). No significant changes were observed in the affiliative and sexual subsystems. Conclusion The implementation of a nursing care plan based on Johnson’s model positively affected the behavioral systems of patients undergoing CABG. Therefore, this model is recommended to be used as a framework for nursing care. Trial registration number IRCT20220831055838N1. |
| format | Article |
| id | doaj-art-beaf413a597d418db5e0e23b0735e1ff |
| institution | DOAJ |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-beaf413a597d418db5e0e23b0735e1ff2025-08-20T03:04:49ZengBMCBMC Nursing1472-69552025-04-0124111010.1186/s12912-025-03019-7The impact of implementing a nursing care program based on Johnson’s model on the behavioral systems of patients undergoing coronary artery bypass graft: a Randomized clinical trialSakineh Rostami0Shahram Molavynejad1Nasrin Elahi2Elham Maraghi3Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical SciencesNursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical SciencesNursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical SciencesDepartment of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical SciencesAbstract Background Coronary artery bypass graft (CABG) is a very important intervention to relieve angina, improve quality of life, or increase life expectancy. This study aimed to determine the effect of implementing a nursing care program based on Johnson’s model on the behavioral systems of patients undergoing CABG in Ahvaz teaching hospitals in 2022. Methods This is a clinical trial that was conducted from December 2022 to December 2023 on 128 patients undergoing CABG admitted to the cardiac ICU and cardiac surgery department of teaching hospitals in Ahvaz, Iran. The patients were selected based on the inclusion criteria, and they were assigned into intervention and control groups using permutation blocks. In the intervention group, a nursing care program based on Johnson’s model was implemented for three weeks. The data collection tool was a researcher-made questionnaire developed based on Johnson’s theory. A significance level of α = 0.05 was adopted for this study. Results Before the intervention, the mean scores of the intervention group in terms of the six subsystems of Johnson’s model were as follows: achievement (-98.98 ± 75.77), eliminative (-25.46 ± 33.27), ingestive (-135.67 ± 89.20), dependency (-122.26 ± 45.85), aggressive-protective (-62.18 ± 46.58), and restorative (-163.59 ± 62.03). After the intervention, the mean scores in the intervention group were as follows: achievement (-2.50 ± 71.55), eliminative (19.29 ± 35.61), ingestive (152.75 ± 113.58, dependency (104.60 ± 53.42), aggressive-protective (52.18 ± 53.54), and restorative (198.43 ± 72.28), which shows the positive impact of the intervention (P > 0.05). No significant changes were observed in the affiliative and sexual subsystems. Conclusion The implementation of a nursing care plan based on Johnson’s model positively affected the behavioral systems of patients undergoing CABG. Therefore, this model is recommended to be used as a framework for nursing care. Trial registration number IRCT20220831055838N1.https://doi.org/10.1186/s12912-025-03019-7Nursing theoryCare planJohnson's modelBehavioral systemCABG patients |
| spellingShingle | Sakineh Rostami Shahram Molavynejad Nasrin Elahi Elham Maraghi The impact of implementing a nursing care program based on Johnson’s model on the behavioral systems of patients undergoing coronary artery bypass graft: a Randomized clinical trial BMC Nursing Nursing theory Care plan Johnson's model Behavioral system CABG patients |
| title | The impact of implementing a nursing care program based on Johnson’s model on the behavioral systems of patients undergoing coronary artery bypass graft: a Randomized clinical trial |
| title_full | The impact of implementing a nursing care program based on Johnson’s model on the behavioral systems of patients undergoing coronary artery bypass graft: a Randomized clinical trial |
| title_fullStr | The impact of implementing a nursing care program based on Johnson’s model on the behavioral systems of patients undergoing coronary artery bypass graft: a Randomized clinical trial |
| title_full_unstemmed | The impact of implementing a nursing care program based on Johnson’s model on the behavioral systems of patients undergoing coronary artery bypass graft: a Randomized clinical trial |
| title_short | The impact of implementing a nursing care program based on Johnson’s model on the behavioral systems of patients undergoing coronary artery bypass graft: a Randomized clinical trial |
| title_sort | impact of implementing a nursing care program based on johnson s model on the behavioral systems of patients undergoing coronary artery bypass graft a randomized clinical trial |
| topic | Nursing theory Care plan Johnson's model Behavioral system CABG patients |
| url | https://doi.org/10.1186/s12912-025-03019-7 |
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