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Journal of Clinical and Translational Research 2023; 9(5): 332-339




                                        Journal of Clinical and Translational Research

                                               Journal homepage: http://www.jctres.com/en/home


        ORIGINAL ARTICLE

        Effectiveness of Pendleton’s consultation model on the illness perception

        of heart failure patients



        Hamideh Arab , Batool Tirgari *, Atefeh Ahmadi ,  Roghayeh Mehdipour-Rabori , Yunes Jahani 4
                                  2
                    1
                                                                             2
                                                 3
                                                                                                           2
        1 Department of Medical Surgical Nursing, Razi faculty of Nursing and Midwifery, Kerman University of Medical sciences, Kerman, Iran,  Nursing
        Research Center, Kerman University of Medical Sciences, Kerman, Iran,  Department of counselling in midwifery, Razi faculty of Nursing and
                                                            3
        Midwifery, Kerman University of Medical Sciences, Kerman, Iran,  Modelling in Health Research Center, Institute for Futures Studies in Health,
                                                        4
        Kerman University of Medical Sciences, Kerman, Iran
        ARTICLE INFO                        ABSTRACT
        Article history:                    Background and Aim: This study aimed to determine the effect of nursing consultation on the illness
        Received: October 19, 2022          perception in heart failure patients.
        Revised: July 17, 2023              Methods: In this experimental study, 100 heart failure patients were recruited through the convenience
        Accepted: July 21, 2023             sampling method and were assigned to intervention and control groups by block randomization. In
        Published: September 23, 2023       the first phase of the intervention, the researchers implemented Pendleton’s consultation model. In
                                            the second phase, telephone follow-up was performed in four steps (1 , 2 , 6 , and 12  weeks).
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        Keywords:                           The data were collected using a demographic information questionnaire and the illness perception
        Pendleton’s model                   questionnaire. Data were analyzed by SPSS 20 and using Chi-square, paired t, independent t, and
        Nursing consultation                covariance tests.
        Illness perception                  Results: There was no significant difference in demographic variables, and illness perception between
        Heart failure                       the two groups before the intervention (P > 0.05).In the intervention group, the illness perception
                                            score increased from 31.33 ± 10.94 to 33.49 ± 10.25 after the intervention, which was not statistically
        *Corresponding author:              significant (P > 0.05). Comparison between the two groups showed, in the intervention group the
        Batool Tirgari                      mean score of illness perception significantly improved after the intervention compared to the control
        Nursing Research Center, Kerman University   group (P = 0.003).
        of Medical sciences, Kerman, Iran.  Conclusion: The application of Pendleton’s consultation model could improve the illness perception
        Tel: +98 03431325219                in heart failure patients.
        Email: batool.tirgary@gmail.com     Relevance for Patients: Considering that the cost of nursing consultations is not always low, it is
                                            suggested that nursing consultations be considered for patients with a higher number of sessions and
        © 2023 Author(s). This is an Open-Access   telephone follow-ups for more efficacy if it is cost-effective.
        article distributed under the terms of the
        Creative Commons Attribution-Noncommercial
        License, permitting all non-commercial use,
        distribution, and reproduction in any medium,   1. Introduction
        provided the original work is properly cited.
                                              Heart  failure  is  one  of  the  most  common  cardiovascular  disorders  and  is  considered
                                            a  chronic,  progressive,  and  debilitating  disorder  [1].  It  is  the  most  common  cause  of
                                            hospitalization for patients over the age of 65. The heart failure rate of referrals to emergency
                                            departments and frequent hospitalizations is still high [2]. Heart failure is the most frequent
                                            reason for readmission within 30 days of discharge [3].
                                              According to the latest reports, nearly six million people in the United States have heart
                                            failure. More than 550,000 new cases are diagnosed each year [2]. Heart failure affects 1–2%
                                            of the population or about 50 million people across Europe [4,5]. In Iran, the incidence of heart
                                            failure will increase to 3500 cases per 100,000 individuals in the future, and cardiovascular
                                            disorders such as heart failure are among the major causes of patient mortality and morbidity [6].

                                          DOI: http://dx.doi.org/10.18053/jctres.09.202305.22-00161
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