The parameters of the relationship are established e. Trust, respect, honesty and effective communication are key principles in establishing a relationship. The expectations the nurse and the client have of each other and of their relationship are discussed and clarified Peplau, The nurse gathers information and ensures that priority issues are appropriately addressed.
This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License http: Abstract Background and Objective: Anxiety and depression are among the psychological disorders in heart surgeries. Establishing a simple communication is essential to reduce anxiety and depression.
Hence, the objective of the present studywas to examine the impact of Peplau therapeutic communication model on anxiety and depression in patients, who were candidate for coronary artery bypass in Al-Zahra Heart Hospital, Shiraz during This is a clinical trial in which 74 patients were randomly divided into intervention and control groups, each consisted of 37 patients.
Seven therapeutic communication sessions were held in four stages. Data were analyzed with the SPSS version 16 using analysis of covariance.
Anxiety scores in the intervention group before and after intervention were While the corresponding scores in the control group were Depression scores in the intervention group before and after intervention were 11 and 9. The corresponding scores in the control group were The results demonstrated the positive role of therapeutic communication in reducing anxiety and depression of the patients.
Therefore, the therapeutic communication is recommended as a simple, cost effective and efficient method The therapeutic relationship phases effect on this area.
Anxiety, communication, coronary artery bypass surgery, depression, Peplau, therapeutic communication. As a result, the disease pattern has changed from traditional diseases such as infectious diseases and malnutrition to diseases such as heart disease, diabetes, accidents and so forth [ 1 ].
Among them are coronary artery diseases.
Oct 18, · Phases of the Alliance during the Therapeutic Process and the Relationship with the Outcome There is much debate on the role of the therapeutic alliance during the psychotherapeutic process. It may in fact be a simple effect of the temporal progression of the therapy rather than an important causal factor. Ford evaluated Client's Perception of the Therapeutic Relationship (CPTR). Of 48 behaviors, he found that individual therapists had a significant effect on CPTR ratings. Some therapists were better than others. The concept of genuineness in the therapeutic relationship, simply put, calls for therapists to be themselves, and to interact authentically and sincerely with their clients.
Coronary artery disease is the most cardiovascular disorder as a health problem in developing and developed countries [ 2 ]. In fact, this is not only a chronic disease associated with high mortality, but it causes limitations in life and disability in a large part of the productive forces of the country.
It is also associated with reduced production and increased medical costs [ 3 - 5 ]. Nowadays, cardiovascular diseases are among the most widespread chronic diseases in most countries. According to forecasts, cardiovascular diseases would sacrifice 25 million patients until Despite the emphasis on prevention and development of newtreatments, surgery is the only choice for many patients with cardiovascular disease [ 8 ].
One of the surgical procedures for the treatment of cardiovascular patients is coronary artery bypass surgery. In fact, heart surgery significantly influences on the quality of life of patients with cardiovascular diseases [ 6 ].
Hence, heart surgery is an important event in the lives of patients causing collapse of economic, professional and personal life [ 4 ]. On the other hand, each surgical procedure is associated with several psychological complications for patients [ 7 ].
In fact, anxiety and depression complicate the treatment process [ 78 ]. Some scientists believe that anxiety is one of the essential elements of human life. However, acute and long-term anxiety is integral part of all psychological diseases [ 9 ].
According to Nemati and colleagues, anxiety is one of the most commonly cited complications after heart surgery [ 10 ]. In fact, anxiety is a common psychological response of cardiovascular patients which is associated with reduced quality of life and psychological morbidity [ 1112 ].
On the other hand, anxiety causes increased heart rate and breathing as well as high blood pressure and even mortality.
Thus, some measures should be done to identify and reduce anxiety [ 10 ]. Depression is among common consequences after bypass surgery. It is associated with increased risk of mortality, disability, increased medical care and functional impairment in daily activities [ 1213 ].
According to World Health Organization WHOdepression is the fourth chronic disease where its disability is comparable with 8 major chronic disorders.
The outcome of depression in patients with cardiovascular disease is deterioration of physical and emotional state [ 11 ]. Given the incidence of such complications in patients with cardiovascular disease, various care and treatment measures are required to alleviate this problem [ 12 ].
The best practice in this area is appropriate communication with patient [ 1315 ]. Good and effective communication is very valuable from the perspective of patients [ 16 ].
In general, communication is a set of learning skills. Many experts believe that communication is a basic clinical skill [ 17 ]. Many current affairs of life are impossible without proper communication [ 18 ]. In fact, poor communication is the cause of most problems in treatment of patients [ 13 ].The nurse–client relationship is an interaction aimed to enhance the well-being of a "client," which may be an individual, a family, a group, or a community.
Peplau's theory is of high relevance to the nurse-client relationship, with one of its major aspects being that both the nurse and the client become more knowledgeable and mature over the course of their relationship. The concept of genuineness in the therapeutic relationship, simply put, calls for therapists to be themselves, and to interact authentically and sincerely with their clients.
Ford evaluated Client's Perception of the Therapeutic Relationship (CPTR). Of 48 behaviors, he found that individual therapists had a significant effect on CPTR ratings. Some therapists were better than others. Hildegard E. Peplau. Theory of Interpersonal Relations. Therapeutic nurse-client relationship A professional and planned relationship between client and nurse that focuses on the client’s needs, feelings, problems, and ideas.
Four Phases of the therapeutic nurse-patient relationship: 1. Oct 18, · Phases of the Alliance during the Therapeutic Process and the Relationship with the Outcome There is much debate on the role of the therapeutic alliance during the psychotherapeutic process.
It may in fact be a simple effect of the temporal progression of the therapy rather than an important causal factor. Running Head: THE THERAPEUTIC RELATIONSHIP 1 The Therapeutic Relationship: Phases, Effect on Quality Care, and What can be Done to Build One in a Clinical Setting Kathryn M.
Hughes Massey University THE THERAPEUTIC RELATIONSHIP 2 A relationship between a client and their nurse is an important one influenced by many factors.