Effect of Social-Platform Educational Instructions on Self-Efficacy and Self Esteem of Patients with Coronary Artery Diseases

Abstract

Background:The main cause of mortality in the developed world is coronary artery disease. Low self-efficacy and self-esteem are associated with it. Self-efficacy is a critical, adjustable personal resource that influences rehabilitation adherence and disease outcomes including health-related quality of life in persons with cardiovascular disease. Aim: This study was aimed to determine the effect of social-platform educational instructions on self-efficacy and self-esteem of patients with coronary artery diseases. Subjects and method: Design: A quasi-experimental research design was utilized. Setting: The study was applied in the cardiology unit and outpatients' clinics at Port-Said University Hospital. Subjects: A Purposive sample of (80) adult patients diagnosed with coronary artery disease. Participants were equally and randomly allocated to an intervention and a control group, (40) patients for each one. Tools for data collection: Tool (1) a structured interviewing questionnaire, Tool (2) cardiac self-efficacy scale, Tool (3) cardiac exercise self-efficacy scale, Tool (4) Coopersmith Self-Esteem Inventory, and Tool (5) adult patients' satisfaction with socialplatform educational instructions. Results: The study result portrays that (82.5%) of the study group and (72.5%) of the control group were of the same age from 30-≤ 60 groups with a mean age (45.21 ± 7.02) (46.61 ± 10.43) respectively. The majority of the patients in the study group had satisfactory knowledge levels, and had high cardiac self-efficacy, self-esteem, and practice exercise self-efficacy post-social-platform educational instructions implementation. The mean score of selfefficacy in the intervention group significantly increased across the two measurement time points as well as self-esteem, while it remained significantly unchanged in the control group. Conclusion: Regarding knowledge, cardiac self-efficacy, cardiac exercise self-efficacy post, and after two months of social-platform educational instructions, there was a statistically significant difference between the study and control groups. Social-platform educational instructions were effective and significantly improved adult patients' knowledge, self-efficacy, and self-esteem. Recommendations: We recommend interventions to improve patient's compliance with treatment should be encouraged. Therefore, nurses can use this strategy to improve these patients' selfefficacy and self-esteem.

Health Educational Methods for Improving Self-Efficacy Among Patients with Coronary Heart Disease: A Scoping Review

“… Pre intervention IG (34.34 ± 5.25); CG (31.94±3.98) FU-1 month IG (37.26 ± 4.17); CG (33.93±4.40) Iran 26 Increases Cardiac SE and decreases readmission rate RCT 60 CABG patients IG (n=30) CG= (n=30) Peer education Home-based Peer education can increase cardiac SE (p<0.001) and reduce readmission rates (p=0⋅011). FU-5 days IG (37–93 ± 9.5); CG (15–37±5.74) FU-4 weeks IG (55–57 ± 2.86); CG (32–93±8.41) FU- 8 months IG (62–53 ± 1.54); CG (54–66±6.73) Egypt 27 Increase knowledge, heart self-efficacy, and self-esteem Quasi-experimental 80 patients with CAD IG (n=40) CG (n=40) Electronic-based education with social-platform education Hospital-based This intervention was effectively and significantly improved knowledge, self-esteem, and SE (p<0.001). Pre-test IG (21.78±8.87); CG (22.83±10.53) FU- 2 months IG (73.63±11.45); CG (21.97±10.45) Egypt 39 Increases knowledge, cardiac SE, and exercise SE, reducing somatic health complaints and anxiety.…”

“…However, four studies did not mention the frequency of intervention delivery. 27 , 29 , 39 , 45 Then, only three studies used simulation or practice methods. 2 , 27 , 42 In this review, the authors categorize the 15 intervention methods into two categories: traditional health education and digital-based health education (see Table 3 ).…”

“…2 , 27 , 42 In this review, the authors categorize the 15 intervention methods into two categories: traditional health education and digital-based health education (see Table 3 ).…”

“…Electronic-based education with social platforms has also proven effective in increasing SE in CHD patients. 27 The social platform used is the WhatsApp application in which health education is provided, including the definition of CAD, its aetiology, diet, appropriate use of heart medication, stress management strategies, and physical activity. In addition, information regarding steps to overcome complications and increase patient self-efficacy is also provided using a video CD containing images and sound clips every day.…”

“…In addition, information regarding steps to overcome complications and increase patient self-efficacy is also provided using a video CD containing images and sound clips every day. 27 …”