Background: Effective communication is considered a key factor affecting patients and their family satisfaction. The Therapeutic Communication Helping Model (TCHM) facilitates comprehensive care delivery by focusing on effective communication.
Objectives: Evaluate the effects of nursing care based on the Therapeutic Communication Helping Model (TCHM) on patient and family satisfaction in the coronary care unit (CCU).
Methods: This quasi-experimental was conducted based on the posttest-only design between June and October 2017 in the Educational and Treatment Center of Mousavi in Zanjan, Iran. In this study, the time sequence sampling method was used. A total of 58 patients and 58 family members from CCU with inclusion criteria were included through the convenience method in each sequence as the control and intervention groups. One week after the end of the control group sampling, the sampling of the intervention group began. In the meantime, a 4-hour workshop was conducted twice for the ward nurses to get acquainted with TCHM. Trained nurses provided holistic nursing care based on TCHM for patients (n=58) and their family members (n=58). Data were collected using the Patient Satisfaction Instrument, and the Family Members Satisfaction Questionnaire for adult patients. The satisfaction rate of both control and intervention groups were assessed at the time of discharge. Data were analyzed using the Chi-square test, independent t-test, and paired t-test in the SPSS software (version 22) at the significance level of 0.05.
Results: The mean scores of patient and family satisfaction were respectively 3.47±0.84 and 3.91± 0.67 in the intervention group. In the control group, these values accounted for 3.14±0.5 and 3.20±0.78, respectively. The mean scores of patient and family satisfaction and their subscales in the intervention group were significantly greater than those in the control group (P<0.05).
Conclusion: The TCHM significantly improved patient and family satisfaction. It is suggested that by incorporating this model into nursing practice the delivery of care will be enhanced.
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