title: Does a "continuous care model" affect the quality of life of patients undergoing coronary artery bypass grafting?
abstract: The physical and mental needs of patients with coronary heart disease are affected by both the disease and the heart surgery in different ways. Such diverse needs require different approaches. A continuous care model, which involves orientation, sensitization, control, and evaluation, may favorably influence patient outcomes following coronary artery bypass grafting (CABG). We were interested to ascertain whether a continuous care model might lead to improved quality of life, compared with a routine care model, in patients undergoing CABG. A total of 66 patients scheduled for CABG were identified and randomized to receive either continuous care (based on the continuous care model) or routine postoperative management for 2 months. The subjects' quality of life and its physical and mental dimensions were measured by the 12-item Short-Form Health Survey. Each dimension was scored between 0 and 100, and higher scores indicated better quality of life. One and 2 months after the intervention, the scores of quality of life and its two dimensions were significantly higher in the intervention group than in the control group (P < .001). The application of the continuous care model can promote health-related quality of life in patients after CABG.
authors.affiliation: Mamasani Higher Education Complex for Health, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Nasrin
authors.initials: N
authors.lastname: Razmjoee
authors.affiliation: Behavioral Sciences Research Center, Nursing Faculty of Baqiyatallah University of Medical Sciences, Tehran, Iran. Electronic address: Ebadi1347@bmsu.ac.ir.
authors.forename: Abbas
authors.initials: A
authors.lastname: Ebadi
authors.affiliation: Department of Epidemiology, Oncopathology Research Center, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Asadi-Lari
authors.affiliation: Yasuj University of Medical Sciences, Yasuj, Iran.
authors.forename: Marziyeh
authors.initials: M
authors.lastname: Hosseini
mesh_terms: D006348:Cardiac Surgical Procedures; D003266:Continuity of Patient Care; D001026:Coronary Artery Bypass / Q000379:methods* / Q000523:psychology; D003324:Coronary Artery Disease; D006801:Humans; D011184:Postoperative Period; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome