Discussion
heart failure, cardiovascular diseases
HEART FAILURE, CARDIOVASCULAR DISEASES
The results of the study showed that there was a difference between the two groups in terms of adherence to treatment and resilience after the intervention. The results of the present study also showed that the mean scores of adherence to treatment and resilience were significantly different in the intervention group before and after the intervention, but they were not significantly different in the control group. According to the findings, adherence to treatment by patients after the intervention was more than that in pre-intervention treatment. Consistent with the present study, Oscalices et al. reported the effect of telephone follow-up and discharge instructions on the adherence to treatment of patients with heart failure [The results of this study showed a significant difference between the two groups in terms of resilience after the telephone counseling based on Orem’s model. According to the results, in the intervention group, the mean resilience after the intervention was significantly higher than that before the intervention. However, in the control group, the mean score of resilience decreased after the intervention compared to before it. Consistent with the present study, Studies have shown that cardiovascular diseases have lower scores in resilience dimensions than healthy people. Also, resilience decreases during time [In this study, the authors devised a care plan for individuals with heart conditions based on their self-care requirements. The plan included educating and guiding patients about their condition and the way to manage their medications as well as assisting them in developing and maintaining independence in self-care. The healthcare team worked closely with patients to identify any gaps or shortcomings in their self-care skills offering activities and interventions to address those areas effectively. Early encouragement of self-care was emphasized to facilitate the patients’ attainment of independence.Furthermore, nurses played a role in educating the patients about the techniques and strategies for self-care. They collaborated with patients to create care plans that catered specifically to their needs and goals. Emotional support was also provided throughout the process. Various efforts were made to meet these care needs while promoting autonomy, such as establishing a supportive environment that encouraged active patient participation in their own care activities. Regular progress assessments were conducted, allowing for adjustments to the care plans in order to instill confidence in patients.Using a specific questionnaire for measuring adherence to treatment in heart patients was one of the strengths of this study. However, it is suggested in another study that the indirect adherence to treatment should be assessed. For example, adherence to medications such as clopidogrel would be assessed by the number of drug administration, skipping administration, and incorrect times and doses. Adherence to diet would indirectly be assessed by some laboratory tests such as the level of cholesterol, triglycerides, LDL, and HDL. Moreover, adherence to the follow-up time for treatment would be assessed by the number of physicians missed.