Family-centered Empowerment Model Research Articles

Analysis of the Effect of Family-Centered Empowerment Model (FCEM) Health Education Through WeChat on Medication Compliance and Blood Pressure of Elderly Hypertensive Patients in Rural Areas

Objective: To validate the effectiveness of a Family-Centered Empowerment Model (FCEM) health education through WeChat on medication compliance and blood pressure among elderly hypertensive patients in rural areas. Methods: One hundred and two rural elderly hypertensive patients aged 65–80 years were selected and randomly divided into an experimental and control group of 51 each. The control group implemented conventional health education, and the experimental group implemented FCEM health education through WeChat platform for 4 consecutive weeks. The Therapeutic Adherence Scale for Hypertensive Patients (TASHP) scores and blood pressure measurements were compared between and within the two groups. Results: After the intervention, there were significant differences in medication compliance and blood pressure between the two groups (P < 0.001). In the control group, before and after the intervention, there was a significant difference in medication compliance (P < 0.001), but no significant difference in blood pressure (P > 0.05). In the experimental group, there were significant differences in medication compliance and blood pressure before and after the intervention (P < 0.001). Conclusion: The FCEM health education through an online social platform significantly improved medication compliance and led to effective blood pressure control in rural elderly hypertensive patients. Therefore, as an effective, safe, and economical model, it is also necessary to explore its effectiveness in improving health problems in other chronic diseases and other age groups.

Cardiac Rehabilitation Using the Family-Centered Empowerment Model is Effective in Improving Long-term Mortality in Patients with Myocardial Infarction: A 10-year Follow-Up Randomized Clinical Trial.

Cardiac rehabilitation (CR) play a critical role in reducing the risk of future cardiovascular events and enhancing the quality of life for individuals who have survived a heart attack. To assess the mortality rates and stability of the effects in myocardial infarction (MI) survivors after implementing a Family-Centered Empowerment Model (FCEM)-focused hybrid cardiac rehabilitation program. This double-blind randomized controlled clinical trial, conducted at Shariati Hospital, an academic teaching hospital in Tehran, Iran (2012-2023), involved 70 MI patients and their families. Participants were randomly assigned to an FCEM intervention group or standard CR control group. The intervention commenced after the MI patient's safe discharge from the CCU and continued for the entire 10-year follow-up period. Various questionnaires were utilized to collect data on mortality rates and health-related quality of life (HRQoL). The 10-year follow-up period revealed lower mortality rates in the intervention group (5.7%, 11.4%, and 17.1% at 5, 7, and 10 years, respectively) compared to the control group (20%, 37.1%, and 48.9%). After adjusting for age, gender, and BMI, the control group had a four times higher mortality risk (HR: 4.346, 95% CI 1.671-7.307, P = 0.003). The FCEM-focused program demonstrated a significant and sustained positive impact on participants' quality of life for 48 months, with greater improvement compared to the control group. This study highlights the effectiveness of FCEM-based hybrid CR programs in enhancing long-term patient outcomes and reducing mortality rates among MI survivors. Further research is needed to explore the potential benefits in larger samples and diverse populations. This study (Identifier: NCT02402582) was registered in the ClinicalTrials.gov on 03/30/2015.

Effect of Family-Centered Empowerment Model Using Mobile Learning on the Quality of Life in Children with Thalassemia: A Quasi-Experimental Study

Background: A reciprocal relationship exists between disease and the quality of life experienced by individuals afflicted with chronic illnesses. Thalassemia is one such condition that accompanies individuals throughout their entire lives. Objectives: This study aimed to assess the impact of a family-centered empowerment model utilizing mobile learning on the quality of life of children aged 6 - 12 years diagnosed with thalassemia. Methods: This study adopted a quasi-experimental design involving 172 patients with medical records at the Shafa Thalassemia Center in Ahvaz, Iran. Participants were selected based on inclusion criteria and subsequently divided into two groups: The intervention group and the control group, each comprising 86 individuals. Data collection tools included the children’s quality of life questionnaire (Pediatric Quality of Life Inventory [Ped-SQL]) and researcher-designed questionnaires to measure parents’ awareness and self-efficacy in the field of thalassemia. The collected data were analyzed using SPSS software (version 21) and the Mann-Whitney U statistical test. Results: The results demonstrated a significant increase in the level of children’s quality of life following the educational intervention within the intervention group when compared to their pre-education status (P < 0.001). Specifically, 54 (62.7%) of the children who received the intervention exhibited a good level of quality of life after the intervention; however, both before and after the educational intervention, the quality of life of 46 (53.4%) of the children in the control group was reported as poor. Furthermore, the implementation of this model led to a significant increase in parents’ awareness (P < 0.001) and self-efficacy (P = 0.002). These improvements were also notably higher than the control group (P < 0.001). Conclusions: The findings of this study suggest that family-centered mobile learning programs targeted at parents of children with thalassemia can enhance and enrich the quality of life experienced by these children. This approach should be considered an integral part of the care provided to these patients.

Effect of Family-Centered Empowerment Model in Home Care of Older Adult Patients After Total Knee Arthroplasty

ABSTRACT Purpose In the present study, we investigated the effect of the family-centered empowerment model (FCEM) in the home care of older adult patients after total knee arthroplasty (TKA). Design The current study was a randomized controlled study. Methods Two hundred eighty older adult patients who underwent TKA in our hospital from December 2020 to December 2022 were selected. They were divided into intervention and control groups using the random number table method, with 140 cases in each group. After follow-up and attrition, 133 patients were assigned to the intervention group and 130 to the control group. The control group received conventional care, and the intervention group received the care provided using the FCEM. The general characteristics of the study subjects were compiled using a general information questionnaire designed by the researcher. The chi-square test and t-test were used to compare the changes in self-care efficacy, knee function, and the occurrence of postoperative complications in the two groups before and after the intervention. Findings The results suggest that the adoption of FCEM improved patient motivation and self-care efficacy, promoted the recovery of knee function in the short term after surgery, and reduced the likelihood of occurrence of complications. Conclusion The present study highlights the importance of extending the FCEM to multiple domains to fill the gaps in the currently available medical care system for older adults. In addition, the study provides a reference basis for reducing the occurrence of complications and improving patient prognosis. Clinical evidence The FCEM model is an effective strategy to improve the effectiveness of home nursing for older adults.

Effect of support based on family centered empowerment model on care burden in family caregivers of patients with multiple sclerosis.

Family caregivers of patients with multiple sclerosis (MS) are at risk of care burden that may lead to a detrimental effect on their quality of life (QoL), physical and mental well-being. This study aimed to determine the effect of the family-centered empowerment model (FCEM) on the care burden of caregivers of patients with MS. This quasi-experimental study was conducted using convenience sampling on 60 caregivers of patients referring to the Multiple Sclerosis Clinic in Ghaem Hospital, Mashhad, Iran. The participants were assigned to FCEM and control groups based on the days they were referred to the MS clinic. Data collection tools included the Zarit Caregiver Burden Inventory (CBI), completed in the intervention and control groups before and 1 month after the intervention. The support based on FCEM was provided during eight 45-60-min sessions, and the control group received the medical center's routine training. Data were analyzed by Chi-square, independent t-test, analysis of covariance, and repeated measure tests. The results of the present study showed that all demographic characteristics were homogeneous at the baseline. Before the intervention, no significant difference was observed between the two groups regarding mean scores of care burden. Based on the repeated measure test, there was no significant treatment and time interaction in changes in care burden. The FCEM has no significant effect in alleviating the care burden. It is recommended to observe the necessary considerations regarding the context of this type of intervention and to carry out further investigations in different intervals.

The effect of family-centered empowerment model on burden of care in parents and blood glucose level of children with type I diabetes family empowerment on burden of care and HbA1C

BackgroundParents play a critical role in caring for their children with diabetes and bear a significant burden of care. Health education has increasingly focused on empowering parents through new strategic methods. The present study aims to investigate the impact of a family-centered empowerment model on the burden of care in parents and blood glucose levels of children with type I diabetes.MethodsAn interventional study was conducted in Kerman, Iran, where 100 children with type I diabetes and their parents were randomly selected as participants. The study aimed to implement a family-centered empowerment model in the intervention group, which consisted of four stages (educational phase, increasing self-efficacy, improving self-confidence, and evaluation) over a period of one month. The control group received routine training. The Zarit Caregiver Burden questionnaire and HbA1c log sheet were utilized to evaluate the effectiveness of the intervention. Questionnaires were administered before, after, and two months post-intervention, and data were analyzed using SPSS 15. Non-parametric tests were employed, and statistical significance was set at p < 0.05.ResultsBefore the study, no significant differences in demographic variables, level of burden of care, or HbA1C levels were observed between the two groups (p < 0.05). After the intervention, the burden of care score in the intervention group was significantly lower than that in the control group, both immediately post-intervention and two months later (P < 0.0001). Additionally, the median HbA1C levels in the intervention group were significantly lower than those in the control group after two months (6.5 in the intervention group and 9 in the control group) (P < 0.0001).ConclusionThe findings of this study suggest that the implementation of a family-centered empowerment model is an effective strategy for reducing the burden of care on parents of children with type 1 diabetes and for controlling the HbA1C levels of these children. Based on these results, it is recommended that healthcare professionals consider incorporating this approach into their educational interventions.

Family Centered Empowerment Model Efektif Meningkatkan Mekanisme Koping Orang Tua dalam Merawat Anak Penyakit Kronis

This study aims to find evidence of the clinical efficacy of the Family Centered Empowerment Model (FCEM) care concept to improve parents' coping mechanisms in caring for children with chronic illnesses. The method used is a systematic review based on guidelines from Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA), which includes e-resources from ProQuest, Science Direct, Scopus, PubMed, and EBSCOhost from 2012 – 2022. Articles included in the systematic review This was made based on the Population Intervention Comparison Outcome Study (PICOS) with a design for (P) Parents/caregivers of children with chronic disease, (I) Concept of Family-Centered Empowerment Model (FCEM) care, (C) There is no comparison intervention, and ( O) Improving coping mechanisms for caring for children with chronic illnesses. The results showed that from 552 articles filtered into eight themes, data found that FCEM can improve parents' coping mechanisms in caring for children with chronic illnesses. In conclusion, FCEM care effectively improves parents' coping mechanisms for children with chronic diseases.&#x0D; &#x0D; Keywords: Family-Centered Empowerment Model, Chronic Disease, Coping Mechanism

Application of family-centered empowerment model in primary caregivers of premature infants: A quasi-experimental study.

To explore the effect of the family-centered empowerment model (FECM) on reducing anxiety, improving care ability, and readiness for hospital discharge of main caregivers of preterm infants. The primary caregivers of preterm infants who were admitted to the Neonatal intensive care Unit (NICU) of our center from September 2021 to April 2022 were selected as the research objects. According to the wishes of the primary caregivers of preterm infants, they were divided into group A (FECM group) and group B (non-FECM group). The intervention effects were evaluated with the Anxiety Screening Scale (GAD-7), the Readiness for Hospital Discharge Scale-Parent Version (RHDS-Parent Form), and the Primary Caregivers of Premature Infants Assessment of Care Ability Questionnaire. Before the intervention, there was no statistically significant difference in the general information, anxiety screening, the scores of each dimension, and total score of the comprehensive ability of the main caregivers, and the score of caregiver preparedness between the two groups (P > 0.05). After the intervention, there were statistically significant differences in the anxiety screening, the total score and total score of each dimension of the care ability, and the score of caregiver preparedness between the two groups (P < 0.05). FECM can effectively reduce the anxiety of primary caregivers of premature infants and improve their readiness for hospital discharge and care ability. To improve the quality of life of premature infants by implementing personalized training, care guidance, and peer support.

Effect of an Intervention Based on the Family-centered Empowerment Model on the Resilience of Family Caregivers of Hemodialysis Patients: A Randomized Controlled Clinical Trial

Background and Objectives: Chronic kidney disease is a debilitating disease that can also affect the family caregivers of patients. Increasing awareness and empowering caregivers can improve the physical and mental condition of patients and the resilience of caregivers. This study aims to evaluate the effect of an intervention based on the family-centered empowerment model (FCEM) on the resilience of family caregivers of hemodialysis patients. Methods: This is a randomized controlled clinical trial. Sixty family caregivers of patients in the hemodialysis department of Imam Khomeini Hospital in Kermanshah, Iran were selected by a random sampling method using a random number table. Then, they were randomly divided into two groups of intervention (n=30) and control (n=30). The assessment tools were a demographic form and the Connor-Davidson resilience scale. Descriptive and inferential statistics were used to analyze the data in SPSS software, version 18. Results: The results of independent t-test showed that the mean resilience score at baseline was not significantly different between the two groups (P=0.29). After the intervention, it was significantly increased in the intervention group compared to the control group (P&lt;0.001). In addition, there was a statistically significant difference between pre- and post-intervention scores of resilience in the intervention group (P&lt;0.001), but no significant difference was found in the control group (P=0.17). Conclusion: The FCEM-based intervention increases the resilience of family caregivers of hemodialysis patients. Therefore, it is recommended that the planners in nursing education should make nurses aware of the importance of providing family-centered care to hemodialysis patients’ families for increasing their resilience.

Department of Nursing, Health Polytechnic of the Ministry of Health Surabaya, Surabaya, Indonesia

BACKGROUND: The number of pregnant women with high risk is still very high. In 2019–2020, at the Merak Urak Health Center, there were 104 pregnant women, at the Palang Health Center 213 pregnant women. Meanwhile, the target of the Millennium Development Goals in 2015 is 102/100,000 live births. AIM: The aim of the research is to empower families in preventing high-risk pregnancies based on Family-Centered Empowerment. METHODS: The study used analytical observational methods to determine the influence between variables. The research approach uses cross-sectional. The study population was all families with pregnant women in the working area of Merak Urak Health Center and Palang Health Center, Tuban Regency. The analysis test used the rule of the thumb in SEM, with the maximum likelihood method requiring a minimum sample of 150 respondents. The independent variable is family centered empowerment and the dependent variable is efforts to prevent high risk of pregnancy. Data were collected by questionnaire and analyzed by pair T-test. RESULTS: The results showed that there was an influence of family interpersonal factors with cognitive factors and personal traits on efforts to prevent high-risk pregnancies (T = 2.44; T = 3.34). The influence of cognitive factors on efforts to prevent high-risk pregnancy was found (T = 2.56). The influence of personal traits factors on efforts to prevent high-risk pregnancy was obtained (T = 2.51). CONCLUSION: The new finding in this study is the formation of a Family centered empowerment model to improve the family’s ability to prevent high-risk pregnancy, which consists of family interpersonal, cognitive, and personal traits. The family-centered empowerment model can improve the ability of families to care for pregnant women to prevent high risk of pregnancy through aspects of empowering, supporting, self-efficacy, knowledge, and attitude.

The Effect of the Family-Centered Empowerment Model on Family Functioning in Type 1 Diabetic Children: A Quasi-experimental Study

Background: The family-centered empowerment model seems to be effective in empowering the patient and engaging family members in identifying the patient’s care needs and cooperating with the patient to control diabetes and its complications. Objectives: The present study aimed to evaluate the effect of the family-centered empowerment model on family functioning in children with type 1 diabetes. Methods: This quasi-experimental study was conducted on 80 primary caregivers of children with type 1 diabetes admitted to the diabetes clinic of Hazrat Ali Asghar (AS) Hospital in Zahedan, southeast Iran, in 2021. The diabetic children were selected using convenience sampling, and then the participants were equally classified by the random block method and were assigned to 2 groups (intervention and control groups). The data were collected using the family assessment device (FAD) and a demographic information form. Repeated measures analysis of variance (ANOVA) was used to assess the effectiveness of the training intervention by modifying the effect of some quantitative variables. The significance level in this study was set at 0.05 (P = 0.05) using SPSS version 26. Results: The mean age of the children was 8.95 ± 2.18 years in the intervention group and 9.10 ± 1.97 years in the control group (P = 0.75). The mean family functioning scores were not significantly different between the intervention and control groups before the intervention. However, the 2 groups showed a significant difference in terms of family functioning scores one and a half and 3 months after the intervention (P &lt; 0.001). Conclusions: Teaching family members about disease control can be very useful because there is a strong connection between the family and the health status of its members. People, especially those with chronic diseases, are dependent on their family members, and even their attitudes are affected by the family.

An educational intervention based on family-centered empowerment model to modify high-risk behaviors of brucellosis via mother education

The relative contribution of a theory-based intervention to modify high-risk behaviors in training programs is a major priority that remains an open question. Here, we tested whether the family-centered empowerment model used in the educational intervention was effective to modify high-risk behaviors of brucellosis via mother education. A quasi experimental study was conducted on 200 women presenting to healthcare practices in rural areas of Torbat-e Jam, Iran, from April 2020 to February 2021. Four rural areas were randomly assigned to the control and intervention groups. The intervention group received the training program, which included four 2-h sessions and consulting support via social network and messaging service. The control group did not receive any training. SPSS16 was implemented to test multiple statistical analyses. Our finding showed in the intervention group compared with the control group, knowledge, attitude, self-efficacy, self-esteem, and behavior outcomes were significantly changed (P < 0.001) across time during baseline through follow-up. Likewise, there are no differences (P > 0.05) in the change in construct of the family-centered empowerment model and risk behaviors in the control group from baseline to follow-up. Intervention based on a family-centered empowerment model is possible and very acceptable to modify high-risk behaviors of brucellosis by increasing an individual’s knowledge, changing attitude, and promoting self-efficacy and self-esteem.Trial registration: Iranian Registry of Clinical Trials (IRCT), IRCT20160619028529N12. Registration date: 24/03/2020.

The Effectiveness of Implementing Family-Centered Empowerment Model on Irrational Thoughts of Iranian Infertile Women: A Randomized Clinical Trial.

Introduction: Infertility is one of the main problems of the family and is one of the factors that determine the identity and personality of Iranian infertile women. Family-centered empowerment model is a step toward increasing the self-efficacy of patients and enabling them to take responsibility of their illness. This study aimed to determine the effectiveness of applying family-centered empowerment model on irrational thoughts of Iranian infertile women. Methods: This study was a randomized clinical trial conducted on 80 infertile women and their husbands that were randomly divided into two intervention and control groups. Irrational Parenthood Cognitions questionnaire was given to the intervention and control groups to complete before and 3 months after the intervention. Data were analyzed using SPSS Statistics for Windows, version 13.0 (SPSS Inc., Chicago, IL, USA). Results: The mean (SD) of irrational thoughts' scores in the control group before and after the study were 33.92 (5.98) and 33.20 (6.83) respectively, and in the intervention group were 34.55 (5.61) and 19.97 (3.52), respectively. The result of independent t-test showed a significant reduction in irrational thoughts of women in the intervention group after the family-centered empowerment model intervention. Conclusion: The family-centered empowerment model after three months of continuous implementation was able to effectively reduce the irrational thoughts about having children in infertile women.

Effect of an Educational Intervention Based on Family-Centered Empowerment Model on Quality of Life of Hemodialysis Patients and Their Caregivers

Effect of an Educational Intervention Based on Family-Centered Empowerment Model on Quality of Life of Hemodialysis Patients and Their Caregivers

The effects of family-centered empowerment model on depression, anxiety, and stress of the family caregivers of patients with COVID-19: a randomized clinical trial

BackgroundTaking care of patients with Covid-19 is regarded as a challenging task for family caregivers. Hence, a Family-Centered Empowerment Model (FCEM) should help them achieve greater psychological strength throughout the home healthcare process.MethodsThis study is a randomized clinical trial with two groups; besides, pre-test and post-test designs were conducted based on the CONSORT checklist from April to July 2020, in Iran. Seventy family caregivers were randomly assigned to FCEM (n = 35) and control (n = 35) groups. Then, four stages of FCEM in four online sessions were provided to the participants of the intervention group via WhatsApp messenger. The procedure started at the patient's discharge and continued for two weeks. The demographic information questionnaire and Depression Anxiety Stress Scale (DASS-21) were employed before and five days after the FCEM sessions to gather the required data.ResultsThe sample was made up of 55.8% women and 44.2% men caregivers, with a mean age of 42.5 years. The results demonstrated a substantial difference in the average score of stress (p = 0.023), anxiety (p = 0.003), and depression (p = 0.012).ConclusionsThe combination of a face-to-face orientation session and online methods of FCEM is likely to lower stress, anxiety, and depression in family caregivers, which can be contributed to the practicability, simplicity, and effectiveness of this home health intervention.Trial registrationThis study (no. IRCT20180429039463N2) was registered in the Iranian Registry of Clinical Trials on 10/04/2020.

Effectiveness of Family-Centered Empowerment Model on Psychological Improvement of Patients With Myocardial Infarction: A Bayesian Multivariate Approach.

ObjectiveThere is a limited understanding of the impact of the family-centered empowerment model (FCEM) on the psychological symptoms in post-myocardial infarction (MI). This study aimed to evaluate the effectiveness of the FCEM on the psychological improvement of patients with MI.MethodsThe present study was a randomized controlled trial (RCT) where patients experienced a standard home cardiac rehabilitation (CR) or CR utilizing the FCEM approach. The empowerment of patients was estimated during nine assessments, such as pre- and post-intervention. Factors, such as quality of life (QoL), state and trait anxiety, and perceived stress, were evaluated. A Bayesian multivariate mixed-effects model was used to simultaneously investigate the effect of the intervention group on study outcomes across the time.ResultsAmong all the participants in this study, 24 (34.3%) were women with a total mean ± standard deviation (SD) of 61.40 ± 12.83 and 24.87 ± 3.80 for age and body mass index (BMI). The participants who were in the FCEM group had a significantly higher mean level of perceived stress (β = 28.80), state anxiety (β = 16.20), trait anxiety (β = 3.65), physical (β = 38.54), and mental QoL (β = 42.14). Moreover, the individuals in the FCEM group had a significantly higher mean level of general health (β = 31.64) in the physical dimension of QoL, vitality (β = 15.04), mental role limitation (β = 21.84), and mental health (β = 18.16) in the mental dimension of QoL.ConclusionsThe FCEM can be a valuable treatment mechanism for patients with post-MI to improve their stress, anxiety, and QoL.

Effect of Family-Centered Empowerment Model on Knowledge and Caring Performance of Mothers of Children with Leukemia: A Randomized Clinical Trial

Background: Today, cancer is one of the leading public health concerns worldwide. Being diagnosed with cancer is not necessarily a life-threatening event for children and their families. Objectives: In this view, this study was done to determine the impact of family empowerment programs on the knowledge and care performance of mothers with leukemia children. Methods: The present study is a randomized clinical trial conducted on 62 mothers of children with cancer who were referred to the oncology wards of some educational hospitals in Ahvaz. The subjects were randomly divided into two intervention and control groups. The education was conducted in five sessions of 45 minutes (two sessions per week). Results: Comparison of the mean score of the knowledge of mothers of children with leukemia before education (3.09) and after education (6.29) was one of the interventions that were significant in the intervention group (P &lt; 0.001), but in the control group, no significant statistical difference was observed. Conclusions: The results of the study indicated that by educating the family through the family-centered empowerment model, it is possible to increase the caregiving knowledge of mothers and prevent chemotherapy complications in children

The impact of the family-centered empowerment model on the children's quality of life with chemical burns and their parent’s perceived stress

Background and aimChemical burns are challenging for children and their families due to the unpleasant health consequences. Therefore, it is necessary to provide organized programs to support and educate families suffering child burns. This study aimed at determining the impact of the Family-Centered Empowerment Model (FCEM) on the quality of life of children with chemical burns and their parents' stress. MethodsThis two-group pre-test-post-test experimental study was conducted on 50 children 1–12 years old with chemical burns along with their parents (n = 50) in three hospitals in Birjand, Iran. Eligible participants were selected by convenience randomized sampling method and then assigned to intervention and control groups. The questionnaires included: PedsQL for measuring the quality of life of children aged 6–12 years, TAPQOL for evaluating the quality of life of children aged 1–6 years, and PSS for exploring the perceived parental stress. The intervention group received the FCEM-based program consisting of four steps (perceived threat, self-efficacy, self-esteem, and evaluation) and the control group received the standard care. Perceived parental stress and children's quality of life were assessed before and after the intervention in both groups. The data were analyzed using SPSS statistical software V. 23. ResultsThe results showed that the mean scores of parental stress and children's quality of life (total and subscales) were not significantly different before the intervention. The independent t-test results exhibited a significant difference after the intervention between the mean scores of the variables of the two groups (P < 0.001), indicating an increase in the quality-of-life score and its subscales and a decrease in the parents' stress score. The paired t-test results revealed a significant difference between the means of scores before and after the intervention in the intervention group (P < 0.001). ConclusionFCEM is an effective approach to reducing parental stress and improving the children's quality of life aged 1–12 years old suffered chemical burns. Therefore, it is suggested to consider the model care plan for this population.

The Effect of Implementing a Family-centered Empowerment Model on the Quality of Life of Parents of Premature Infants Admitted to a Neonatal Intensive Care Unit

Background &amp; Aims: Infant hospitalization in the intensive care unit is a psychological crisis for the family that causes stress and disability for the family. In critical situations, the knowledge of the healthcare team is devoted to patient care, while it is necessary to emphasize the needs of the family. This study aims to determine the impact of family-centered empowerment model on quality of life of premature infants parents’ were admitted to the neonatal intensive care unit. Materials &amp; Methods: This quasi-experimental controlled study was performed on 84 parents with preterm infants admitted to the intensive care unit. Samples were continuously targeted in both intervention and control groups. They received training sessions in four steps and 8 sessions. The ability of the subjects was also assessed by the competency questionnaire (including three dimensions; threat perception, self-efficacy and self-esteem). Demographic questionnaire, and WHOQOL-BREF quality of life questionnaire once at the beginning of the study and again one month after completion. Intervention sessions were completed and the data were analyzed using Chi-square, independent t-test, analysis of variance and Spearman and Shapiro-Wilk correlation coefficient using SPSS software. Results: There was no significant difference between the two groups in terms of demographic characteristics and baseline competency scores (self-efficacy, self-esteem, severity and sensitivity) and quality of life. Comparison of total quality of life score (P=0.041) in the intervention group was significantly higher than the control group. In-group comparison, empowerment scores [self-esteem, self-efficacy (P&lt;0.001)] of both groups and intensity and sensitivity scores (P&lt;0.001) showed a significant increase only in the intervention group. In terms of quality of life, in the psychological dimension (P=0.042), social (P=0.003), environmental and total scores (P&lt;0.001) in the intervention group and in the total score dimension (P=0.41) There was a significant increase in environmental performance (P&lt;0.001) in the control group. Conclusion: The family-centered empowerment model has improved some quality of life factors. , But further studies are needed to reach a definitive conclusion in this regard. It is suggested that future researchers strengthen the family-centered empowerment program in less effective dimensions. Further studies should also be performed on the use of family-centered empowerment program to empower pregnant women with the possibility of preterm delivery and its effectiveness after delivery.

Effects of family-centered program on the specific quality of life of patients with a pacemaker: A nursing intervention study.

Cardiac problem causes changes in different aspects of life in patients, including their activities of daily living (ADL). Because of the important role of family in caring for patient after pacemaker implantation, this study was done to evaluate the effect of family-centered empowerment model on ADL of patient after pacemaker implantation. This randomized clinical trial study was performed on 70 patients who underwent pacemaker implantation in Shahid Chamran Hospital, Isfahan, Iran. Patients and their family in the intervention group received educational program according to family-based empowerment program. The control group only received routine interventions. Data were collected using a valid specific quality of life (QOL) questionnaire and analyzed by SPSS software. Patient's self-efficacy, self-esteem, and personal QOL have been improved after the empowerment program compared with the baseline and the control group (P < 0.05 for all). The QOL in patients with pacemaker is relatively low. Similar to previous studies, family-centered empowerment model, due to participation of the patients and their families in education, learning, and taking care of the patients, could be an appropriate model to implement.