Preventive Care in Nursing and Midwifery Journal
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Volume 14, Issue 1 (1-2024)
PCNM 2024, 14(1): 34-44 |
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Ethics code: IR.RHC.REC.1399.066
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Hasani Z, Mazloomzadeh S, Khaleghparast S, Hoseini S, Taghiloo H. The effect of a web-based self-management training program on the quality of life of patients undergoing heart valve replacement: An experimental study. PCNM 2024; 14 (1) :34-44
URL: http://nmcjournal.zums.ac.ir/article-1-892-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-892-en.html
Professor of Epidemiology. Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran , smazloomzadeh@rhc.ac.ir
Abstract: (383 Views)
Background: The available literature shows the positive effect of self-management programs on the quality of life of patients with chronic diseases; however, this effect has not been investigated in patients undergoing heart valve replacement surgery.
Objectives: The present study aimed to determine the effect of a web-based self-management training program on the quality of life of patients undergoing heart valve replacement.
Methods: This research was an experimental study with a control group, which was conducted on 80 patients undergoing heart valve replacement surgery at Shahid Rajaei Cardiovascular Educational, Research and Therapeutic Institute in Tehran, Iran. Participants were divided into experimental and control groups by the block randomization method. The control group received the routine care. The experimental group received the web-based self-management training program in 5-7 people groups. The educational content of the sessions included medication management, emotional management, role management, decision-making and problem-solving skills, use of resources, communication with caregivers, and an activity program. The questionnaires included the demographic information form and the 12-Item Short Form Quality of Life Questionnaire (SF-12). Data were analyzed using the independent sample t-test, paired t-test, and analysis of covariance (ANCOVA) in SPSS 18 software.
Results: The mean score of quality of life after the intervention showed a significant difference between the control and experimental groups (P=0.014). Comparison of the mean score of the quality of life of patients undergoing heart valve replacement in the experimental group before and after the intervention showed a statistically significant difference (P<0.001).
Conclusion: According to the results of this study, it seems that self-management programs can improve the quality of life of patients undergoing heart valve replacement.
Objectives: The present study aimed to determine the effect of a web-based self-management training program on the quality of life of patients undergoing heart valve replacement.
Methods: This research was an experimental study with a control group, which was conducted on 80 patients undergoing heart valve replacement surgery at Shahid Rajaei Cardiovascular Educational, Research and Therapeutic Institute in Tehran, Iran. Participants were divided into experimental and control groups by the block randomization method. The control group received the routine care. The experimental group received the web-based self-management training program in 5-7 people groups. The educational content of the sessions included medication management, emotional management, role management, decision-making and problem-solving skills, use of resources, communication with caregivers, and an activity program. The questionnaires included the demographic information form and the 12-Item Short Form Quality of Life Questionnaire (SF-12). Data were analyzed using the independent sample t-test, paired t-test, and analysis of covariance (ANCOVA) in SPSS 18 software.
Results: The mean score of quality of life after the intervention showed a significant difference between the control and experimental groups (P=0.014). Comparison of the mean score of the quality of life of patients undergoing heart valve replacement in the experimental group before and after the intervention showed a statistically significant difference (P<0.001).
Conclusion: According to the results of this study, it seems that self-management programs can improve the quality of life of patients undergoing heart valve replacement.
Type of Study: Orginal research |
Subject:
Nursing
Received: 2023/09/12 | Accepted: 2024/01/2 | Published: 2024/01/2
Received: 2023/09/12 | Accepted: 2024/01/2 | Published: 2024/01/2
References
1. 1. Schoen FJ. Heart valve tissue engineering: quo vadis? Current opinion in Biotechnology. 2011; 22(5): 698-705. [Crossref]
2. d'Arcy JL, Coffey S, Loudon MA, Kennedy A, Pearson-Stuttard J, Birks J, et al. Large-scale community echocardiographic screening reveals a major burden of undiagnosed valvular heart disease in older people: the OxVALVE Population Cohort Study. European heart journal. 2016; 37(47): 3515-22. [Crossref]
3. Bani Hani A, Awamleh N, Mansour S, Toubasi AA, AlSmady M, Abbad M, et al. Valve Surgery in a Low-Volume Center in a Low-and Middle-Income Country: A Retrospective Cross-Sectional Study. International Journal of General Medicine. 2023: 4649-60. https://doi: 10.2147/IJGM.S433722 [Crossref]
4. Rippe JM. Lifestyle strategies for risk factor reduction, prevention, and treatment of cardiovascular disease. American Journal of Lifestyle Medicine. 2019; 13(2): 204-12. [Crossref]
5. Leong DP, Joseph PG, McKee M, Anand SS, Teo KK, Schwalm J-D, et al. Reducing the global burden of cardiovascular disease, part 2: prevention and treatment of cardiovascular disease. Circulation research. 2017; 121(6): 695-710. [Crossref]
6. Amirabadi T, Nasiri A, Kazemi T, Kardan M. Educational needs of patients with heart valve replacement surgery in birjand, 2012. Journal of surgery and trauma. 2014; 2(2): 52-8. http://jsurgery.bums.ac.ir/article-1-41-en.html
7. Rief W, Shedden-Mora MC, Laferton JA, Auer C, Petrie KJ, Salzmann S, et al. Preoperative optimization of patient expectations improves long-term outcome in heart surgery patients: results of the randomized controlled PSY-HEART trial. BMC medicine. 2017; 15(1): 1-13 [Crossref]
8. Coffey S, Roberts-Thomson R, Brown A, Carapetis J, Chen M, Enriquez-Sarano M, et al. Global epidemiology of valvular heart disease. Nature Reviews Cardiology. 2021;18(12):853-64. [Crossref]
9. Riegel B, Moser DK, Buck HG, Dickson VV, Dunbar SB, Lee CS, et al. Self‐care for the prevention and management of cardiovascular disease and stroke: A scientific statement for healthcare professionals from the American Heart Association. Journal of the American Heart Association. 2017; 6(9): e006997. [Crossref]
10. de Heer F, Gökalp AL, Kluin J, Takkenberg JJ. Measuring what matters to the patient: health related quality of life after aortic valve and thoracic aortic surgery. General thoracic and cardiovascular surgery. 2019; 67: 37-43. [Crossref]
11. Azami-Aghdash S, Gharaee H, Aghaei MH, Derakhshani N. Cardiovascular Disease Patient's Quality of Life in Tabriz City in Iran in 2018. Journal of Community Health Research. 2019. [Crossref]
12. Tung HH, Lin CY, Chen KY, Chang CJ, Lin YP, Chou CH. Self‐management intervention to improve self‐care and quality of life in heart failure patients. Congestive Heart Failure. 2013; 19(4): E9-E16. [Crossref]
13. Katch H, Mead H. The role of self-efficacy in cardiovascular disease self-management: a review of effective programs. Patient Intelligence. 2010: 33-44. , [Crossref]
14. Riegel B, Dunbar SB, Fitzsimons D, Freedland KE, Lee CS, Middleton S, et al. Self-care research: where are we now? Where are we going? International journal of nursing studies. 2021;116:103402. [Crossref]
15. bajani s. the effectof self-management programs on the quality of life in patients undergoing hemodialysis. 2014. http://unmf.umsu.ac.ir/article-1-1910-fa.html [In Persian]
16. Kalhor M, Fathi M, Ghaderi B, Roshani D, Ozairi S, Rashidi K. Effect of five a model self-management on quality of life in patients with breast cancer. Avicenna Journal of Nursing and Midwifery Care. 2019; 27(4): 269-80. http://doi.org/10.30699/ajnmc.27.4.269 [In Persian] [Crossref]
17. Moosapour SA, Elahi N, Tahery N, Haghighizadeh MH, Ehsanpour A. Comparing the effect of self-care education and pain self-management on the nature of pain and quality of life in patients with sickle cell disease. Hayat. 2022; 27(4): 431-45. http://hayat.tums.ac.ir/article-1-4384-en.html[In Persian]
18. Veronovici NR, Lasiuk GC, Rempel GR, Norris CM. Discharge education to promote self-management following cardiovascular surgery: An integrative review. European Journal of Cardiovascular Nursing. 2014; 13(1): 22-31. [Crossref]
19. Alligood MR. Areas for further development of theory-based nursing practice. Nursing Theory: Utilization & Application 5th ed St Louis: Elsevier Mosby. 2014: 414-24.
20. Barkhordari-Sharifabad M, Saberinejad K, Nasiriani K. The effect of health literacy promotion through virtual education on the self-care behaviors in patients with heart failure: A Clinical Trial. Journal of Health Literacy. 2021; 6(1): 51-60. DOI:10.22038/JHL.2021.56956.1159[persian]
21. Najafi F, Pishkar Mofrad Z, Ayubi E, Hosseini R. The effect of self-management based discharge planning on treatment adherence in patients with heart failure. Hayat. 2021; 26(4): 455-68. http://hayat.tums.ac.ir/article-1-3552-en.html [In Persian]
22. Rice H, Say R, Betihavas V. The effect of nurse-led education on hospitalisation, readmission, quality of life and cost in adults with heart failure. A systematic review. Patient Education and Counseling. 2018; 101(3): 363-74. [Crossref]
23. Javanvash Z, Mojdekanloo M, Rastaghi S, Rad M. The effect model-based self-management program 5A on quality of life of elderly patients with acute coronary syndrome Bojnourd Year 1395. Journal of Sabzevar University of Medical Sciences. 2018; 25(1): 75-82. https://jsums.medsab.ac.ir/article_1032.html?lang=en [In Persian]
24. Baljani E, Rahimi Z, Heidari S, Azimpour A. The effect of self management interventions on medication adherence and life style in cardiovascular patients. Avicenna Journal of Nursing and Midwifery Care. 2012; 20(3): 58-68. http://nmj.umsha.ac.ir/article-1-1124-en.html [In Persian]
25. Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12-item Short Form Health Survey (SF-12): factor structure, internal consistency and construct validity. BMC public health. 2009; 9(1): 1-10. [Crossref]
26. Kontodimopoulos N, Pappa E, Niakas D, Tountas Y. Validity of SF-12 summary scores in a Greek general population. Health and quality of life outcomes. 2007; 5(1): 1-9. [Crossref]
27. Galenkamp H, Stronks K, Mokkink LB, Derks EM (2018) Measurement invariance of the SF-12 among different demographic groups: The HELIUS study. PLoS ONE 13(9): e0203483. [Crossref]
28. Abbasi A, Ghezeljeh TN, Farahani MA. Effect of the self-management education program on the quality of life in people with chronic heart failure: a randomized controlled trial. Electronic physician. 2018; 10(7): 7028. doi: 10.19082/7028 [Crossref]
29. Rezaei M, Tiznobaik A, Kohan S, Tapak L, Aghababaei S. Comparison of the Effect of In-person and Virtual Group Training on the Quality of Life of Postmenopausal Women: A Randomized Controlled Clinical Trial. 2023. http://nmj.umsha.ac.ir/article-1-2512-en.html [In Persian]
30. Li Y, Zhang S, Song J, Tuo M, Sun C, Yang F. Effects of self-management intervention programs based on the health belief model and planned behavior theory on self-management behavior and quality of life in middle-aged stroke patients. Evidence-Based Complementary and Alternative Medicine. 2021; 2021. [Crossref]
31. Hou I-C, Lin H-Y, Shen S-H, Chang K-J, Tai H-C, Tsai A-J, et al. Quality of life of women after a first diagnosis of breast cancer using a self-management support mHealth app in Taiwan: randomized controlled trial. JMIR mHealth and uHealth. 2020; 8(3): e17084. DOI: 10.2196/17084 [Crossref]
32. Shahhamzeh M, Fasihi Harandy T, Kabir K, Montazeri A, Asadi Shavaki M, Saei V. The relationship between self-management and quality of life in epileptic patients who referred to iranian epilepsy association. Journal of health and care. 2017; 19(2): 189-98. http://hcjournal.arums.ac.ir/article-1-793-fa.html [In Persian]
33. Khezri R, Ravanipour M, Motamed N, Vahedparast H. Effect of self-management empowering model on the quality of life in the elderly patients with hypertension. Iranian Journal of Ageing. 2016; 10(4): 68-79. http://salmandj.uswr.ac.ir/article-1-796-en.html [persian]
34. Engelen MM, van Dulmen S, Puijk-Hekman S, Vermeulen H, Nijhuis-van der Sanden MW, Bredie SJ, et al. Evaluation of a web-based self-management program for patients with cardiovascular disease: explorative randomized controlled trial. Journal of Medical Internet Research. 2020; 22(7): e17422. doi: 10.2196/17422 [Crossref]
35. Świątoniowska-Lonc NA, Sławuta A, Dudek K, Jankowska K, Jankowska-Polańska BK. The impact of health education on treatment outcomes in heart failure patients. Advances in Clinical and Experimental Medicine. 2020; 29(4): 481-92. [Crossref]
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