Effects of Continuous Care Model on Self-Efficacy and Adherence to Treatment in Patients Undergoing Coronary Artery Bypass Grafting

Coronary artery bypass grafting (CABG) has been advocated among the top treatment options to deal with ccoronary artery disease. Nearly all patients experiencing this type of surgery grapple with various postoperative challenges. Accordingly, providing the essential information in an appropriate manner to these patients could be a significant solution. The present study was performed with aim to determine the effect of the continuous care model on self-efficacy and adherence to treatment in patients undergoing CABG. This randomized clinical trial study was conducted in 2023 on 77 patients undergoing CABG in two hospitals affiliated to Shahid Beheshti University of Medical Sciences. The research units were randomly assigned to the intervention and control groups. The patients filled out the Self-Efficacy Scale and the Adherence to Treatment Questionnaire before and 8 weeks after the intervention. The intervention group received the Continuous Care Model education, which comprised of four stages (orientation, sensitization, control, and evaluation), but the control group only received routine care. The data was analyzed using SPSS statistical software (version 18) and chi-square, independent t and paired t statistical tests. p<0.05 was considered significant. The two groups were similar regarding demographic characteristics, self-efficacy and adherence (p>0.05). After the implementation of the Continuous Care Model, the self-efficacy and adherence of patients increased in the intervention group compared to the control group (p<0.0001).Implications for Practice: The Continuous Care Model education increased the level of self-efficacy and adherence of patients. The findings of the present research can be suggested to the policymakers and nursing managers in order to plan how to enhance the role of nurses.