The effects of nursing care based on the therapeutic communication helping model on patient and family satisfaction in coronary care units

Patient and family satisfaction can affect treatment adherence, outcomes and patient recovery.

Evaluate the effects of nursing care based on the Therapeutic Communication Helping Model (TCHM) on patient and family satisfaction in coronary care unit (CCU).

This quasi-experimental posttest-only design study was conducted between June and October 2017 in educational and treatment center of Mousavi in Zanjan-Iran. 58 patients and 58 family members from CCU were included in each of the control and intervention groups. Data were collected using Patient Satisfaction Instrument, and the Family Members Satisfaction Questionnaire for adult patients.Initially, the satisfaction of control groups who received traditional nursing care were determined at the time of discharge. Then a 4-hours work shop was held for nurses working in CCU. Trained nurses provided holistic nursing care based on TCHM for patients (n=58) and their family members (n=58). Satisfaction rate of intervention groups were assessed at the time of discharge. Data were analyzed using Chi-square, independent-t test, and paired- ttests through the SPSS version 22 software at the level of 0.05.

The mean scores of patient and family satisfaction were respectively 3.47(0.84) and 3.91(0.67) in the intervention group. In control group these values was 3.14(0.5)and 3.20(0.78). The mean scores of patient and family satisfaction and their subscales in the intervention group were significantly greater than the control group (P < 0.05).

The TCHM significantly improves patient and family satisfaction. Nursing managers are recommended to integrate this model into nursing care delivery programs.