Evaluation of Sixty Days of Patients’ Safety Program under Self-Management Protocol among Patients with Acute Coronary Syndrome: A Clinical Trial Study

Introduction: The improvement of patient safety and the quality of life in acute coronary syndrome (ACS) patients are the main objectives of health care systems. Self-management education programs are thus considered one of the effective protocols to improve patients’ quality of life. This study aimed to evaluate the effect of the self-management protocol ۵A model on elderly ACS patients’ quality of life.   Materials and Methods: This clinical trial was conducted on ۵۳ ACS patients of the Cardiology Department, Imam Reza Hospital, Bojnourd, Iran. Patients were selected according to the permutation blocks for two groups: intervention and control. The intervention group received a self-management program based on the ۵A model: Assessment, Advisement, Agreement, Assistance, and Arrangement. The two groups answered demographic and LIPAD questionnaires during the admission and after two months of follow-up. Data were analyzed by the SPSS software (version ۱۶).   Results: The findings presented that most ACS patients were female, married, and uneducated. All dimensions of quality of life increased significantly after the study process (P<۰.۰۵). However, these elevated levels were not statistically different between the two groups during the study (P>۰.۰۵).   Conclusion: We presented elevated levels of quality of life among ACS cases after the self-management program during the two-month interval. Considering any difference between the two study groups, further research is needed to improve ACS patients’ health levels and quality of life.