The effect of precede model-based educational program based on depression level in patients with coronary artery bypass grafting

Background: Depression is the most important barrier to proper treatment of cardiac patients causing failure in accepting their condition, decreasing their motivation in following the therapeutic recommendations and thus negatively affects the patients' function and their quality of life.
Objective(s): To investigate the effect of PRECEDE Modal-based educational program on depression level in coronary artery bypass grafting surgery (CABGS) patients.
Methods: This was a quasi-experimental study which 54 post-bypass surgery patients of Isfahan Cardiovascular Research Center were investigated. The patients were randomly divided into two groups marked as intervention and control groups. The data were collected using two questionnaires. Primarily, the Cardiac Depression Scale Inventory questionnaire was used to measure the degree of depression followed by PRECEDE Model-based educational questionnaire to identify the role of educational intervention on patients. The PRECEDE Model-based intervention composed of nine educational sessions per week (60 to 90 min. each). The patients were followed up for two months post-intervention.
Results: Following the educational intervention, the mean score of  Predisposing factors, Enabling factors, Reinforcing factors and self-helping behaviors was significantly increase in the intervention group compared to control group (P<0.001). Also, a significant difference associated with the mean score of depression level in patients was demonstrated between two groups following educational intervention (P<0.001)
Conclusion: The findings of  current study confirmed the practicability and effectiveness of PRECEDE Model-based educational program on preventing or declining the depression level in CABGS patients.