Background: The patients undergoing coronary artery angioplasty should be motivated to adhere to lifestyle modifications. One of the factors affecting this issue is cardiac self-efficacy. Cardiac self-efficacy motivates individuals to select a lifestyle related to their cardiovascular diseases through creating the desire to adjust with such behaviors. Objectives: The current research aimed to determine the cardiac self-efficacy predictors after coronary artery angioplasty. Patients and Methods:In this cross-sectional study, 193 patients undergoing coronary artery angioplasty in Dr. Heshmat educational therapeutic center were selected through convenience sampling. The data were collected by a questionnaire consisted of two sections, including socio-demographic factors and cardiac self-efficacy after oral consent of the subjects. Then data were analyzed via descriptive (frequency distribution, mean and standard deviation) and inferential statistics (Pearson, ANOVA and independent t-test). To define cardiac self-efficacy predictors, multi-linear regression model was applied.

Introduction: Percutaneous Coronary Intervention (PCI) has no effect on coronary artery atherosclerosis, thus the modification of physiological risk factors seems essential to prevent coronary artery disease (CAD). Then PCI patients have to receive multiple drug therapies in an attempt to prevent the recurrence of cardiac events. In spite of the evidence based on medication adherence to prevent post-PCI CAD development, medication adherence is the main concern for health care system. Accordingly, this study aims to determine the medication adherence and its related factors among these patients. Methods: In this cross-sectional study, the statistical community was the patients undergoing PCI at medical educational hospital of Dr. Heshmat in Rasht, Iran. 269 patients were selected by convenient sampling method. The data were collected by a questionnaire consisting of 4 parts, namely the socio-individual factors, Morisky medication adherence scale, hospital anxiety and depression scale and cardiac patient’s self-efficacy scale. Data analysis was done by descriptive statistics and the significance variables in univariate analysis were examined in a multi logistic regression model through considering co-linearity. Results: The results showed that 75 patients (28%) didn’t adhere to the medication. In addition, the majority of them were reported to have clinical anxiety (44.2%) and mild depression (55.8%). Also, based on the results derived from multiple logistic regressions, only the spouse's educational level and family history of coronary artery disease were significant predictors of medication adherence. Conclusion: The current study findings display lack of complete post-PCI medication adherence, which underscores the importance of the existence of cardiac rehabilitation systems in the society. Therefore, it is recommended that cardiac rehabilitation centers be built in the society.

Background:One of the main tasks of the faculty of medical sciences is clinical training. Given the importance of clinical teaching for medical students, the study aim was to determine the clinical teaching status from the perspective of students and faculty members. Methods:The population of this cross-sectional study was all medical interns and final-year students of nursing and midwifery and faculty members of Guilan University of Medical Sciences in the 2015. The sampling was conducted by census method after obtaining the consent of the participants. The scale was a questionnaire consisting of 4 parts, including demographic data, phrases related to clinical teaching principles by faculty members, phrases related to the use of material and educational media by clinical faculty members and phrases related to educational activities by clinical faculty members. Data analysis was done by descriptive and inferential statistics (Mann-Whitney U test). Results:Based on the results, the mean score of clinical teaching status from the perspective of the faculty members was 62.88 ± 5.76 out of a score of 66, and the mean score was 52.11 ± 1.1 from the students' perspective. Mann-Whitney U test results also showed a significant difference between faculty members' and students' perspective scores about clinical teaching status (P < 0.0001).

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