تأثیر بکارگیری مدل مراقبتی

    Background: Despite the progression in diagnosis and medical treatment of Congestive Heart Failure (CHF), readmission rate and complications of this disease are yet high. Accomplished studies on applying native caring models are rare. So, for controlling this disease, using "caring models" should be considered as a necessity. The goal of this study is to investigate the effectiveness of applying “making sensitivity to re-admission” caring model in controlling  CHF complications.Methods: This is a quasi-experimental research which was done on 120 patients (62 patients as intervention and 58 as control groups) during 90 days in two cardiovascular specialized hospitals in Tehran. Data gathering tools were two questionnaires a questionnaire considering demographic, re-admission rate, blood indices, and body mass indices and Lawton Activity of Daily Living scale (LADL) which were completed before and after the intervention in both groups. Data were analyzed with SPSS V.17, Independent t, Mann-Whitney, and repeated measure ANOVA  tests.Results: The results showed that the means of re-admission rates in intervention and control groups have changed from before intervention (2.58 and 2.59) to (0.33 and 2.62) after intervention, respectively. Body mass indices have also changed in intervention and control groups before intervention from (28.72 and 28.39) to (26.55 and 29.46) after intervention. The means of Lawton ADL scales have also changed in intervention and control groups before intervention from(2.9 and 3) to (4.13 and 2.3) after intervention in men and from (before intervention 4.89 and 5) to (6.52 and 4.3 after intervention ) in women, respectively. The results of statistical test like Independent t test and Man Whitney U test showed a significant difference in re-admission rates, body mass indices and blood indices (Na, K, and creatinine) between two groups(p≥ 0.001). On the other hand, the results of repeated measure ANOVA tests showed that there are significant differences in ADL means between two groups, and it is increased in intervention group.Conclusion: Applying “making sensitivity to re-admission” caring model has had positive effects on controlling CHF complications (re-admission rate, body mass index, blood indices and ADL of the patients). It means that using this model has made participants sensitive to re-admission (as a problem) and has controlled the complications. Thus considering the burden of CHF disease, expenditures of treatment and health promotion of the afflicted persons using this native model (because of its efficacy in controlling the complications of CHF) is recommended.