The Efficacy of Chronic Disease Self Management Program and Tele- Health on Adherence by Increasing Self Efficacy in Patients with CABG

Bazargani, Rouhieh H.; Beshārat, Mohammad Ali; Hadi,; Ehsan, Bahrami; Nejatian, Mostafa; Hosseini, Seyed Kianoosh

doi:10.1016/j.sbspro.2011.10.158

Cited by 8 publications

(5 citation statements)

References 7 publications

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“…Additionally, four telephone follow-ups, each lasting 10-15 minutes (Bikmoradi et al, 2017 ), were conducted to provide ongoing support and address participant feedback or inquiries via the LINE application, enabling better adherence to self-care. This approach aligns with the findings of Bazargani et al ( 2011 ), who highlighted the effectiveness of remote public health data utilization in tracking patients engaged in self-managed rehabilitation programs and utilizing distant public health services for post-CABG follow-up, resulting in increased adherence and self-efficacy.…”

Section: Discussionsupporting

confidence: 78%

The impact of a self-management program on exercise adherence among patients discharged after coronary artery bypass grafts: A quasi-experimental study in Thailand

Tippinit,

Polsook

2023

Belitung Nurs J

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Background: Exercise adherence is essential for maintaining the physical and mental health of patients after coronary artery bypass grafts (CABG). However, adherence is often poor, particularly in the early weeks after hospital discharge, leading to adverse health outcomes. Therefore, implementing self-management programs is crucial to promote and sustain long-term exercise adherence among these patients. Objective: This study aimed to examine the impact of self-management programs on exercise adherence in post-CABG patients. Methods: A quasi-experimental posttest-only control group study was conducted from April to November 2022 at Surat Thani Hospital in Thailand. Forty post-CABG patients were gender and age-matched and randomly assigned to either the control group (n = 20) or the experimental group (n = 20). The experimental group participated in a six-week self-management program for exercise adherence, utilizing telephone and LINE applications, while the control group received standard care. Data were collected using validated exercise adherence rating scales and a self-management questionnaire. Descriptive statistics and independent t-tests were employed for data analysis. Results: The mean exercise adherence score in the control group was 9.30 (SD = 4.91), whereas it was 21.30 (SD = 3.20) in the experimental group. The experimental group, which received the self-management program, exhibited significantly higher exercise adherence scores compared to the control group (t = 9.16, df = 32.65, p <0.001). Conclusions: This study demonstrates the effectiveness of a post-CABG self-management program in improving exercise adherence. Nurses play a crucial role in promoting and enhancing self-management during the pre-and post-discharge phases, and regular phone or LINE application contacts can have a positive impact on post-CABG patients. Policymakers should consider implementing self-management programs to encourage patients to maintain their exercise routines, leading to improved physical and mental well-being.

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Section: Discussionsupporting

confidence: 78%

The impact of a self-management program on exercise adherence among patients discharged after coronary artery bypass grafts: A quasi-experimental study in Thailand

Tippinit,

Polsook

2023

Belitung Nurs J

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“…In line with the present study, other studies have also shown that homecare for cardiac patients can improve self-efficacy and the quality of life (Qol). ( 7 , 8 , 26 ) Enhancing self-efficacy can improve self-care activities and health-related behaviors( 27 ) and effectively reduce postoperative complications. In this study, the services were provided by a nurse with expertise in cardiac surgery patients.…”

Section: Discussionmentioning

confidence: 99%

“…( 5 ) Providing special education to patients and raising their awareness of risk factors( 6 ) and the treatment and control of the disease leads to improved health, adherence to the recommended therapies, facilitation of healthy habits and behaviors, and adjustment of mental status, and thus increases their self-efficacy. ( 7 ) However, the results of many studies indicate that the self-efficacy of cardiac patients is weak to moderate. ( 8 , 9 ) One study reported poor self-efficacy in heart disease patients.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effectiveness of home visits and telephone follow-up on the self-efficacy of patients having undergone coronary artery bypass graft surgery (CABG) and the burden of their family caregivers: A randomized controlled trial

Gohari

Hasanvand

Gholami

et al. 2022

invest. educ. enferm

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Objective. This study aimed to compare home visits and telephone follow-up effectiveness on patients' self-efficacy undergoing Coronary Artery Bypass Graft Surgery –CABG- and caregivers’ burden. Methods. In this randomized clinical trial, 114 patients undergoing CABG were assigned to the three groups of home visits, telephone follow-up, and control based on the stratified block randomization. The self-management program of the home visit group included four face-to-face 60-minute training sessions once a week, and for the telephone follow-up group, four 30-minute telephone counseling sessions twice each week for a month. The control group received routine care. Data were collected using the cardiac rehabilitation self-efficacy questionnaire and the caregiver burden scale before and after the intervention. Results. Before the study, there were no statistically significant differences between the three groups in terms of the means of self-efficacy and caregiver burden scores. However, there was a statistically significant difference between the home visit and control groups (p<0.001) and between the telephone follow-up and control groups (p<0.001) after the intervention, with increased self-efficacy and reduced caregiver burden reported. In contrast, there was no significant difference between the home visit and telephone follow-up groups regarding self-efficacy and caregiver burden scores. Conclusion. Both methods of self-management education have similar effectiveness in increasing self-efficacy and reducing the caregiver burden after discharge for patients who have undergone CABG.

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“…Tailoring, vicarious experience, feedback, performing the exercise during intervention sessions, and goal setting by health care professionals are all interventions that are linked with higher levels of selfefficacy. [13][14][15] However, there are other important factors that influence self-efficacy that must also be considered. Obesity 10,16 and female gender 17,18 have been implicated in lower self-efficacy for exercise.…”

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confidence: 99%

Exercise barriers and the relationship to self-efficacy for exercise over 12 months of a lifestyle-change program for people with heart disease and/or diabetes

Alharbi

Gallagher

Neubeck

et al. 2016

European Journal of Cardiovascular Nursing

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The Efficacy of Chronic Disease Self Management Program and Tele- Health on Adherence by Increasing Self Efficacy in Patients with CABG

Cited by 8 publications

References 7 publications

The impact of a self-management program on exercise adherence among patients discharged after coronary artery bypass grafts: A quasi-experimental study in Thailand

The impact of a self-management program on exercise adherence among patients discharged after coronary artery bypass grafts: A quasi-experimental study in Thailand

Comparison of the effectiveness of home visits and telephone follow-up on the self-efficacy of patients having undergone coronary artery bypass graft surgery (CABG) and the burden of their family caregivers: A randomized controlled trial

Exercise barriers and the relationship to self-efficacy for exercise over 12 months of a lifestyle-change program for people with heart disease and/or diabetes

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