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

Abstract

Background Coronary heart disease (CHD) is the leading cause of death and disability worldwide, with higher prevalence in low and middle-income countries. Self-efficacy (SE) is an essential element that affects a patients ability to manage their care, and low SE levels in patients with CHD can lead to poor health outcomes and quality of life. Planning suitable methods to improve SE in CHD patients is essential. Purpose This review explores health education methods to improve SE in patients with CHD. Methods Scoping review is reported based on the PRISMA Extension for Scoping Reviews (PRISMA-ScR). A literature search was conducted using relevant keywords from six primary databases, such as CINAHL Plus with Full Text and Academic Search Complete, PubMed, ScienceDirect, Scopus, Taylor and Francis, and one search engine, Google Scholar. The inclusion criteria were full-text articles in English that were accessible, research articles with experimental designs. The quality of evidence was assessed using the Joanna Briggs Institute critical appraisal checklist, and data synthesis was used thematically with an explorative, descriptive approach. Results Fifteen articles were found and included in the review. There are two types of interventions such as traditional and digital-based health education. The media used in traditional health education are booklets, pamphlets, posters, and workbooks. In addition, digital-based health education generally uses websites, social platforms, mobile applications, video players and sound clips. Conclusion This review found that traditional health education and digital-based interventions improve SE, knowledge, self-esteem and health literacy levels, in CHD patients. Health professionals, including nurses, may used both methods in improving self efficacy in CHD patients.

Effect of Implementing an Informatization Case Management Model on the Management of Chronic Respiratory Diseases in a General Hospital: Retrospective Controlled Study

“…According to evidence-based medicine, the seven steps of case management represent the optimal clinical pathway [ 10-14 22 undefined undefined undefined undefined ]. In this study, the concept of an Internet-Plus medical service was introduced; that is, the chronic disease management information system was established based on the HIS data and case management model [ 22 ] and the function of a mobile medical terminal app was incorporated in the system [ 6 7 ].…”

“…The medical terminal consists of five functional modules: user entry, data statistics and query, quality control, knowledge base, and module management. As the core of the system, the user entry module can manage case information in seven steps: enrollment, assessment, planning, implementation, feedback, evaluation, and settlement [10][11][12][13][14]. Each step has a corresponding assessment record scale as well as the health-sensitive and quality-sensitive indicators.…”