Effect of an Empowerment Program on Life Orientation and Optimism in Coronary Artery Disease Patients
Abstract
Background: Coronary Artery Disease (CAD) complications cause patients to experience a great
deal of concerns and challenges that have adverse effects on their mental health. This study aimed
to assess the effect of an empowerment program on life orientation and optimism in CAD patients.
Materials and Methods: This randomized clinical trial was conducted on 84 CAD patients admitted
to post‑CCU wards of Tehran Heart Center during 2018–2019 Patients were allocated to intervention
and control groups by block randomization method based on inclusion criteria. Demographic and
disease characteristics, and optimism and Life Orientation Test‑Revised (LOT‑R) questionnaires were
completed before and eight weeks after intervention. In the intervention group, an empowerment
program was implemented. Data were analyzed by independent t‑test, paired t‑test, and Chi‑square
test.
Results: The results showed that the mean of patients’ age in the intervention and control group
was Mean [Standard Deviation (SD)] 54.59 (7.93) and 55.92 (7.81) years, respectively. Most patients
in both intervention (61.90%) and control (66.70%) groups were male. The majority of patients in the
intervention group (92.90%) and the control group (95.20%) were married. There were no significant
differences between the two groups in terms of demographic characteristics and disease history
before the intervention (p > 0.05). After the intervention, a significant difference was observed in
the life orientation and optimism scores between the intervention and control groups (p < 0.001).
Conclusions: By stimulating self‑awareness, providing knowledge and encouraging patients to
control, and manage their disease, the empowerment program changes patients’ view of their disease,
and increases their optimism and positive life orientation.
Keywords: Coronary artery disease, empowerment, optimism
Keywords
References
Williams AM, Bloomfield L, Milthorpe E, Aspinall D, Filocamo K, Wellsmore T, Harris MF. Effectiveness of moving on: An Australian designed generic self management program for people with a chronic illness. BMC Health Serv Res 2013;13:90.
World Health Organization (WHO). 2020. Available from: https://www.who.int/cardiovascular_diseases/resources/atlas/ en/. [Last accessed on 2020 Feb 05].
Wah TY, Gopal Raj R, Iqbal U. Automated diagnosis of coronary artery disease: A review and workflow. Cardiol Res Pract 2018;2018. doi: 10.1155/2018/2016282.
Tsai CY, Li IC, Lai FC. Substantial effects of empowerment case management on physical health of type 2 diabetic patients J Clin Nurs 2018;27:1632 40.
World Health Organization (WHO). 2020. Available from: https://www.who.int/healthpromotion/conferences /7gchp/track1/en/. [Last accessed on 2020 Feb 10].
Kärner Köhler A, Tingström P, Jaarsma T, Nilsson S. Patient empowerment and general self efficacy in patients with coronary heart disease: A cross sectional study.
Carver CS, Scheier MF. Dispositional optimism. Trends Cogn Sci 2014;18:293 9.
Souri H, Hejazi E. The relationship between resilience and psychological well being: The mediating role of optimism. Health Psychol 2014;15:5 15.
Kraai I H, Vermeulen KM, Hillege HL, Jaarsma T, Hoekstra T. Optimism and quality of life in patients with heart failure. Palliat Support Care 2018;16:725 31.
National Curriculum Statement (NCS), Curriculum and Assessment Policy Statement GRADES 10 12. LIFE ORIENTATION. South Africa: Department of Basic Education; 2011.
Kardas F, Zekeriya C, Eskisu M, Gelibolu SJEJoER. Gratitude, hope, optimism and life satisfaction as predictors of psychological well being. Eurasian J Educ Res 2019;19:81 100.
Hernandez R, González HM, Tarraf W, Moskowitz JT, Carnethon MR, Gallo LC, et al. Association of dispositional optimism with Life’s simple 7’s cardiovascular health index: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study (SCAS). BMJ Open 2018;8:e019434.
Hernandez R, Kershaw KN, Siddique J, Boehm JK, Kubzansky LD, Diez Roux A, et al. Optimism and cardiovascular health: Multi ethnic study of atherosclerosis (MESA). Health Behav Policy Rev 2015;2:62 73.
Shojaeezadeh D. Effect of empowerment model on distress and diabetes control in patients with type 2 diabetes. J Nurs Educ 2012;1:38 47.
Cortez DN, Macedo MM, Souza DA, dos Santos JC, Afonso GS, Reis IA, et al. Evaluating the effectiveness of an empowerment program for self care in type 2 diabetes: A cluster randomized trial. BMC Public Health 2017;17:41.
Bayoumy HMM, Ibrahim AK, BWE. The efficacy of an empowerment program for end stage renal disease patients treated with hemodialysis. JOJ Nurse Health Care 2017;1:JOJNHC. MS.ID.555564. doi: 10.19080/JOJNHC.2017.01.555565.
Chen MF, Wang RH, Lin KC, Hsu HY, Chen SW. Efficacy of an empowerment program for Taiwanese patients with type 2 diabetes: A randomized controlled trial. Appl Nurs Res 2015;28:366 73.
Gholam Hosein MR, Fatemeh KM, Ali Reza N. Evaluation of the effect of family centered empowerment model on nutrition and physical activity in patients with asthma. Med Surg Nurs J 2016;5:41 8.
Aghaei A, Khayyamnekouei Z, Yousefy A. General health prediction based on life orientation, quality of life, life satisfaction and age. Procedia Soc Behav Sci 2013;84:569 73.
Block, M. Risk perception in cardiovascular disease. Doctoral dissertation. Loyola University Chicago. 2013. p. 58 62.
Ghasemzadeh Kuchi Z, Zakerimoghadam M, Esmaeili M, Geraiely B. The effect of an empowerment program on the perceived risk and physical health of patients with coronary artery disease. Holist Nurs Pract 2020;34:163 70.
Ghasemzadeh Kuchi Z. Effects of empowerment program on the perception of risk and health dimensions in patients with coronary heart disease. Thesis in Nursing. Tehran, Iran: Tehran University of Medical Sciences; 2018.
Bustanji MM, Almajani S. Effect of combined interventions of diet and physical activity on the perceived and actual risk of coronary heart disease among women in north of Jordan. Middle East J Nurs 2014;8:10 6.
Scheier MF, Matthews KA, Owens JF, Schulz R, Bridges MW, Magovern GJ, et al. Optimism and rehospitalization after coronary artery bypass graft surgery. Archives of internal medicine 1999;159:829-35.
Shepperd JA, Maroto JJ, Pbert LA. Dispositional optimism as a predictor of health changes among cardiac patients. J Res Pers 1996;30:517 34.
Habibović M, Broers E, Heumen D, Widdershoven JWMG, Pedersen SS, Denollet J. Optimism as predictor of patient reported outcomes in patients with an implantable cardioverter defibrillator (data from the WEBCARE study). Gen Hosp Psychiatry 2018;50:90 5.
Boehm JK, Williams DR, Rimm EB, Ryff C, Kubzansky LD. Association between optimism and serum antioxidants in the midlife in the United States study. Psychosom Med 2013;75:2 10.
Carbone EG, Echols ET. Effects of optimism on recovery and mental health after a tornado outbreak. Psychol Health 2017;32;530 48.
Rezaei SG, Mousavi SSS, Safari F, Bahrami H, Menshadi SMD. Study of relationship between optimism, pessimism and coping strategies with mental health among University Students of Lorestan. Open J Soc Sci 2015;3:190 6.
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