Patients Undergoing Coronary Angioplasty. Presence of coronary angioplasty implant and graft
Conditions
Interventions
Intervention 1: Intervention group: After the approval of the research proposal and obtaining the necessary permissions, the researcher will identify and recruit patients with acute coronary syndrome
Sponsors
Semnan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Age above 18 years. Undergoing percutaneous coronary intervention (PCI) and being hospitalized in one of the treatment units of Kosar Hospital (CCU or Post-CCU). No history of mental retardation, behavioral, cognitive, or hearing disorders based on the patient’s medical record. No participation in similar interventional educational programs. Having at least a basic level of literacy sufficient for reading, writing, and using educational and follow-up tools. Having access to a communication device for follow-up purposes (personal or family mobile phone, or landline). Providing written informed consent to participate in the study and agreeing to telephone follow-ups and post-discharge education.
Exclusion criteria
Exclusion criteria: Death or acute rehospitalization after PCI. Occurrence of severe complications or the need for cardiac surgery during the study period. Presence of a severe progressive underlying disease. Lack of access or failure to respond to follow-up calls on more than two occasions. Withdrawal of the patient from the study. Absence from more than two educational sessions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The score obtained by the patient from the standardized "Mishel Uncertainty in Illness Scale (MUIS)," with a minimum score of 33 and a maximum score of 165. Timepoint: The assessments will be conducted before the intervention, and then at one month and two months after the start of the intervention. Method of measurement: This tool is a self-report scale developed based on Mishel’s Uncertainty in Illness Theory and has been widely used in numerous domestic and international studies. It is a standardized and validated instrument in nursing and health psychology research for assessing the psychological outcomes of chronic illness in patients, and it includes two main dimensions: 1. Ambiguity: Uncertainty regarding symptoms, treatment, and the course of illness.2. Unpredictability: Uncertainty about disease progression and prognosis.The questionnaire consists of 33 items scored on a 5-point Likert scale, ranging from “Strongly Disagree (1)” to “Strongly Agree (5).” Certain items (6, 7, 10, 12, 25, 27, 28, 30, 31, 32, 33) are reverse-scored because they reflect clarity, certainty, and confidence. The total score is calculated by summing all items, ranging from 33 to 165, with higher scores indicating greater perceived uncertainty in illness.;The score obtained from the standardized quality of life questionnaire (e.g., MacNew) across its physical, psychological, social, and functional domains, with a minimum score of 27 and a maximum score of 162. Timepoint: The assessments will be conducted before the intervention, and then at one month and two months after the start of the intervention. Method of measurement: The MacNew questionnaire is a disease-specific instrument designed to assess health-related quality of life in cardiac patients, particularly those who have experienced a myocardial infarction or undergone interventional procedures such as percutaneous coronary intervention (PCI). The questionnaire consists of 27 items covering three main dimensions of quality of | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSajad Salehipour
Semnan University of Medical Sciences
Outcome results
None listed