The effect of education through a mobile application on self-care behavior in patients undergoing percutaneous coronary: A randomized clinical trial
,
Abstract
Background & Aim: Patients who receive percutaneous coronary interventions often display inadequate levels of self-care actions, which could create difficulties in managing the disease and achieving favorable treatment results. This study investigates the impact of using an educational mobile application on self-care behaviors in patients undergoing percutaneous coronary intervention.
Methods & Materials: A randomized clinical trial was conducted with 110 patients undergoing percutaneous coronary interventions at Shahid Rajaei Hospital in Karaj, Iran, in 2023. The study enrolled and assigned them to either the intervention group (n=55) or the control group (n=55) by block randomization. In addition to training upon discharge, the experimental group received educational resources via a mobile phone application. The data collection instruments included MSCBS. Patients completed the MSCBS before the intervention and 4 weeks later. The data were analyzed with SPSS 21. The study's level of significance was set to P<0.05.
Results: Before the intervention, there was no significant difference in the self-care scores and the subscales between the two groups (P<0.05). Nonetheless, After the intervention, a significant difference was observed in the self-care scores and the subscales between the control and intervention groups, (p=0.001), and the difference in scores between the control and intervention groups increased significantly after the intervention and the scores of the intervention group had a significant increase compared to the scores of the control group.
Conclusion: The study showed that the mobile phone educational application could improve self-care behaviors in patients undergoing percutaneous coronary interventions. Therefore, it can be recommended that nurses working in medical centers use this educational application to enhance self-care in these patients.
1. WHO. Cardiovascular diseases (CVDs). World Health Organization https://wwwwhoint/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds). 2021.
2. Sarrafzadegan N, Mohammmadifard N. Cardiovascular disease in Iran in the last 40 years: prevalence, mortality, morbidity, challenges and strategies for cardiovascular prevention. Archives of Iranian Medicine. 2019 Apr 1;22(4):204-10.
3. Rubimbura V, Rostain L, Duval AM, Akakpo S, Boukantar M, Boiron P, Mouillet G, Gallet R, Belarbi A, Le Corvoisier P, Dubois‐Randé JL. Outcomes and safety of same‐day discharge after percutaneous coronary intervention: A 10‐year single‐center study. Catheterization and Cardiovascular Interventions. 2019 Jul 1;94(1):105-11.
4. Aburuz M.E, Dahger N, Al-Akash H.Y, Momani A, Ahmed F.R. Perceived control and length of stay post coronary artery bypass graft surgery. Nursing Practice Today. 2022; 9(2):170-8.
5. Alimadadi E, Abbasinia M, Mohammadbeigi A, Abbasi M. Risk factors of readmission after coronary artery bypass graft surgery: A case-control study. Nursing Practice Today. 2020; 7(4):295-301.
6. Salari A, Balasi LR, Ashouri A, Moaddab F, Zaersabet F, Nourisaeed A. Medication adherence and its related factors in patients undergoing coronary artery angioplasty. Journal of Caring Sciences. 2018 Dec;7(4):213-8.
7. Alfauomy NA, Elshazly SA, Moneam AE, Abd El Galeel A. Effect of Nursing Interventions on Self-management Behaviors of female Geriatric patients with Liver Cirrhosis. Alexandria Scientific Nursing Journal. 2020 Dec 1;22(2):1-8.
8. Lotfi-Tokaldany M, Shahmansouri N, Karimi A, Sadeghian S, Saadat S, Abbasi SH, Jalali A. Association between illness perception and health-related quality of life in patients with preexisting premature coronary artery disease. Journal of Psychosomatic Research. 2019 May 1;120:118-23.
9. Jiang W, Feng M, Gao C, Li J, Gao R, Wang W. Effect of a nurse-led individualized self-management program for Chinese patients with acute myocardial infarction undergoing percutaneous coronary intervention. European Journal of Cardiovascular Nursing. 2020 Apr 1;19(4):320-9.
10. Fernandes CS, Magalhães B, Santos C, Galiano JM. IGestSaúde a mobile application for the self-management of symptoms associated with chemotherapy treatment: Development protocol. Nursing Practice Today. 2021;8(2):146-54.
11. Abbaszadeh M, Rejeh N, Tadrisi SD, Jafari F. Medication Adherence in Patients Undergoing Repeat Angioplasty: A Cross-sectional Study. Journal of Critical Care Nursing. 2021 Dec 1;14(4):1-10.
12. Najafi Ghezeljeh T, Nasr Esfahani M, Sharifian S. Comparing the effect of self-management training by mobile phone-based social network follow-up on blood pressure in people with hypertension. Iranian Journal of Cardiovascular Nursing. 2017 Jun 10;6(1):22-31.
13. Fithriyyah Y.N, Aulawi K. Using mobile phone applications in engaging nurses for preventing healthcare-associated infections: A systematic review. Nursing Practice Today. 2022; 9(2):84-101.
14. Haghparast A. The Effect of Education Through a Mobile phone Application on Self-care of Patients With Chronic Obstructive Pulmonary Disease: A Systematic Review. Journal of Nursing Education. 2023 Sep 10;12(4):9-19.
15. Inglis SC, Clark RA, Dierckx R, Prieto-Merino D, Cleland JG. Structured telephone support or non-invasive telemonitoring for patients with heart failure. Heart. 2017 Feb 15;103(4):255-7.
16. Blumrosen C, Desta R, Cavanaugh KL, Laferriere HE, Bruce MA, Norris KC, Griffith DM, Umeukeje EM. Interventions incorporating therapeutic alliance to improve hemodialysis treatment adherence in black patients with End-Stage Kidney Disease (ESKD) in the United States: a systematic review. Patient Preference and Adherence. 2020 Aug 17:1435-44.
17. Niakan M, Paryad E, Shekholeslam F, Kazemnezhad Leili E, Assadian Rad M, Bonakdar HR, Bouraki S. Self care behaviors in patients after myocardial infarction. Journal of Holistic Nursing and Midwifery. 2013 Oct 10;23(2):63-70.
18. Athilingam P, Jenkins B, Johansson M, Labrador M. A mobile health intervention to improve self-care in patients with heart failure: pilot randomized control trial. JMIR Cardio. 2017 Aug 11;1(2):e7848.
19. Holden RJ, Schubert CC, Mickelson RS. The patient work system: an analysis of self-care performance barriers among elderly heart failure patients and their informal caregivers. Applied Ergonomics. 2015 Mar 1;47:133-50.
20. Sutham K, Khuwuthyakorn P, Thinnukool O. Thailand medical mobile application for patients triage base on criteria based dispatch protocol. BMC Medical Informatics and Decision Making. 2020 Dec;20:1-3.
21. Lao SS, Wang Q, Leong ML. The Feasibility and Effects of Smartphone-Based Application on Cardiac Rehabilitation for Patients After Percutaneous Coronary Intervention: A Randomized Controlled Trial. Journal of Cardiovascular Nursing. 2024 Jan 1;39(1):88-101.
22. Arulnathan A, Vaaheesan S, Denecke K, Fachhochschule B. A mobile application for self-monitoring for patients with heart failure. Studies in Health Technology and Informatics. 2019;259:113-6.
23. Kitsiou S, Gerber BS, Kansal MM, Buchholz SW, Chen J, Ruppar T, Arrington J, Owoyemi A, Leigh J, Pressler SJ. Patient-centered mobile health technology intervention to improve self-care in patients with chronic heart failure: protocol for a feasibility randomized controlled trial. Contemporary Clinical Trials. 2021 Jul 1;106:106433.
24. Athilingam P, Jenkins B. Mobile phone apps to support heart failure self-care management: integrative review. JMIR cardio. 2018 May 2;2(1):e10057.
25. Negarandeh R, Zolfaghari M, Bashi N, Kiarsi M. Evaluating the effect of monitoring through telephone (tele-monitoring) on self-care behaviors and readmission of patients with heart failure after discharge. Applied Clinical Informatics. 2019 Mar;10(02):261-8.
26. Kiyarosta N, Najafi GhezeljehT, Naghashzadeh F, Feizi M, Haghani Sh.The effect of using smartphone applications on self-care in patients with heart failure. Nursing Practice Today. 2020; 7(4):311-21.
27. Haleem A, Javaid M, Singh RP, Suman R. Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International. 2021 Jan 1;2:100117.
28. Li Y, Gong Y, Zheng B, Fan F, Yi T, Zheng Y, He P, Fang J, Jia J, Zhu Q, Jiang J. Effects on adherence to a Mobile app–based self-management digital therapeutics among patients with coronary heart disease: pilot randomized controlled trial. JMIR mHealth and uHealth. 2022 Feb 15;10(2):e32251.
29. Perez-Idarraga A, Velásquez Q. Intervention with rumba and nutrition education to modify cardiovascular risk factors in adults with metabolic syndrome. Revista Panamericana de Salud Publica= Pan American Journal of Public Health. 2015 Jan 1;37(1):29-37.
30. Tajari M aG, Hojjati H. Educational Effect of Short Message Service and Telegram Reminders on Adherence to the Diet in Teenagers with Type I Diabetes in Gorgan 2018. Journal of Diabetes Nursing. 2019;7(2):764-74.
31. Maddison R, Jiang Y, Stewart R, Scott T, Kerr A, Whittaker R, Benatar J, Rolleston A, Estabrooks P, Dale L. An intervention to improve medication adherence in people with heart disease (Text4HeartII): randomized controlled trial. JMIR mHealth and uHealth. 2021 Jun 9;9(6):e24952.
32. Dorsch MP, Farris KB, Rowell BE, Hummel SL, Koelling TM. The effects of the ManageHF4Life mobile app on patients with chronic heart failure: randomized controlled trial. JMIR mHealth and uHealth. 2021 Dec 7;9(12):e26185.
33. Deek H, Chang S, Newton PJ, Noureddine S, Inglis SC, Al Arab G, Kabbani S, Chalak W, Timani N, Macdonald PS, Davidson PM. An evaluation of involving family caregivers in the self-care of heart failure patients on hospital readmission: Randomised controlled trial (the FAMILY study). International Journal of Nursing Studies. 2017 Oct 1;75:101-11.
2. Sarrafzadegan N, Mohammmadifard N. Cardiovascular disease in Iran in the last 40 years: prevalence, mortality, morbidity, challenges and strategies for cardiovascular prevention. Archives of Iranian Medicine. 2019 Apr 1;22(4):204-10.
3. Rubimbura V, Rostain L, Duval AM, Akakpo S, Boukantar M, Boiron P, Mouillet G, Gallet R, Belarbi A, Le Corvoisier P, Dubois‐Randé JL. Outcomes and safety of same‐day discharge after percutaneous coronary intervention: A 10‐year single‐center study. Catheterization and Cardiovascular Interventions. 2019 Jul 1;94(1):105-11.
4. Aburuz M.E, Dahger N, Al-Akash H.Y, Momani A, Ahmed F.R. Perceived control and length of stay post coronary artery bypass graft surgery. Nursing Practice Today. 2022; 9(2):170-8.
5. Alimadadi E, Abbasinia M, Mohammadbeigi A, Abbasi M. Risk factors of readmission after coronary artery bypass graft surgery: A case-control study. Nursing Practice Today. 2020; 7(4):295-301.
6. Salari A, Balasi LR, Ashouri A, Moaddab F, Zaersabet F, Nourisaeed A. Medication adherence and its related factors in patients undergoing coronary artery angioplasty. Journal of Caring Sciences. 2018 Dec;7(4):213-8.
7. Alfauomy NA, Elshazly SA, Moneam AE, Abd El Galeel A. Effect of Nursing Interventions on Self-management Behaviors of female Geriatric patients with Liver Cirrhosis. Alexandria Scientific Nursing Journal. 2020 Dec 1;22(2):1-8.
8. Lotfi-Tokaldany M, Shahmansouri N, Karimi A, Sadeghian S, Saadat S, Abbasi SH, Jalali A. Association between illness perception and health-related quality of life in patients with preexisting premature coronary artery disease. Journal of Psychosomatic Research. 2019 May 1;120:118-23.
9. Jiang W, Feng M, Gao C, Li J, Gao R, Wang W. Effect of a nurse-led individualized self-management program for Chinese patients with acute myocardial infarction undergoing percutaneous coronary intervention. European Journal of Cardiovascular Nursing. 2020 Apr 1;19(4):320-9.
10. Fernandes CS, Magalhães B, Santos C, Galiano JM. IGestSaúde a mobile application for the self-management of symptoms associated with chemotherapy treatment: Development protocol. Nursing Practice Today. 2021;8(2):146-54.
11. Abbaszadeh M, Rejeh N, Tadrisi SD, Jafari F. Medication Adherence in Patients Undergoing Repeat Angioplasty: A Cross-sectional Study. Journal of Critical Care Nursing. 2021 Dec 1;14(4):1-10.
12. Najafi Ghezeljeh T, Nasr Esfahani M, Sharifian S. Comparing the effect of self-management training by mobile phone-based social network follow-up on blood pressure in people with hypertension. Iranian Journal of Cardiovascular Nursing. 2017 Jun 10;6(1):22-31.
13. Fithriyyah Y.N, Aulawi K. Using mobile phone applications in engaging nurses for preventing healthcare-associated infections: A systematic review. Nursing Practice Today. 2022; 9(2):84-101.
14. Haghparast A. The Effect of Education Through a Mobile phone Application on Self-care of Patients With Chronic Obstructive Pulmonary Disease: A Systematic Review. Journal of Nursing Education. 2023 Sep 10;12(4):9-19.
15. Inglis SC, Clark RA, Dierckx R, Prieto-Merino D, Cleland JG. Structured telephone support or non-invasive telemonitoring for patients with heart failure. Heart. 2017 Feb 15;103(4):255-7.
16. Blumrosen C, Desta R, Cavanaugh KL, Laferriere HE, Bruce MA, Norris KC, Griffith DM, Umeukeje EM. Interventions incorporating therapeutic alliance to improve hemodialysis treatment adherence in black patients with End-Stage Kidney Disease (ESKD) in the United States: a systematic review. Patient Preference and Adherence. 2020 Aug 17:1435-44.
17. Niakan M, Paryad E, Shekholeslam F, Kazemnezhad Leili E, Assadian Rad M, Bonakdar HR, Bouraki S. Self care behaviors in patients after myocardial infarction. Journal of Holistic Nursing and Midwifery. 2013 Oct 10;23(2):63-70.
18. Athilingam P, Jenkins B, Johansson M, Labrador M. A mobile health intervention to improve self-care in patients with heart failure: pilot randomized control trial. JMIR Cardio. 2017 Aug 11;1(2):e7848.
19. Holden RJ, Schubert CC, Mickelson RS. The patient work system: an analysis of self-care performance barriers among elderly heart failure patients and their informal caregivers. Applied Ergonomics. 2015 Mar 1;47:133-50.
20. Sutham K, Khuwuthyakorn P, Thinnukool O. Thailand medical mobile application for patients triage base on criteria based dispatch protocol. BMC Medical Informatics and Decision Making. 2020 Dec;20:1-3.
21. Lao SS, Wang Q, Leong ML. The Feasibility and Effects of Smartphone-Based Application on Cardiac Rehabilitation for Patients After Percutaneous Coronary Intervention: A Randomized Controlled Trial. Journal of Cardiovascular Nursing. 2024 Jan 1;39(1):88-101.
22. Arulnathan A, Vaaheesan S, Denecke K, Fachhochschule B. A mobile application for self-monitoring for patients with heart failure. Studies in Health Technology and Informatics. 2019;259:113-6.
23. Kitsiou S, Gerber BS, Kansal MM, Buchholz SW, Chen J, Ruppar T, Arrington J, Owoyemi A, Leigh J, Pressler SJ. Patient-centered mobile health technology intervention to improve self-care in patients with chronic heart failure: protocol for a feasibility randomized controlled trial. Contemporary Clinical Trials. 2021 Jul 1;106:106433.
24. Athilingam P, Jenkins B. Mobile phone apps to support heart failure self-care management: integrative review. JMIR cardio. 2018 May 2;2(1):e10057.
25. Negarandeh R, Zolfaghari M, Bashi N, Kiarsi M. Evaluating the effect of monitoring through telephone (tele-monitoring) on self-care behaviors and readmission of patients with heart failure after discharge. Applied Clinical Informatics. 2019 Mar;10(02):261-8.
26. Kiyarosta N, Najafi GhezeljehT, Naghashzadeh F, Feizi M, Haghani Sh.The effect of using smartphone applications on self-care in patients with heart failure. Nursing Practice Today. 2020; 7(4):311-21.
27. Haleem A, Javaid M, Singh RP, Suman R. Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International. 2021 Jan 1;2:100117.
28. Li Y, Gong Y, Zheng B, Fan F, Yi T, Zheng Y, He P, Fang J, Jia J, Zhu Q, Jiang J. Effects on adherence to a Mobile app–based self-management digital therapeutics among patients with coronary heart disease: pilot randomized controlled trial. JMIR mHealth and uHealth. 2022 Feb 15;10(2):e32251.
29. Perez-Idarraga A, Velásquez Q. Intervention with rumba and nutrition education to modify cardiovascular risk factors in adults with metabolic syndrome. Revista Panamericana de Salud Publica= Pan American Journal of Public Health. 2015 Jan 1;37(1):29-37.
30. Tajari M aG, Hojjati H. Educational Effect of Short Message Service and Telegram Reminders on Adherence to the Diet in Teenagers with Type I Diabetes in Gorgan 2018. Journal of Diabetes Nursing. 2019;7(2):764-74.
31. Maddison R, Jiang Y, Stewart R, Scott T, Kerr A, Whittaker R, Benatar J, Rolleston A, Estabrooks P, Dale L. An intervention to improve medication adherence in people with heart disease (Text4HeartII): randomized controlled trial. JMIR mHealth and uHealth. 2021 Jun 9;9(6):e24952.
32. Dorsch MP, Farris KB, Rowell BE, Hummel SL, Koelling TM. The effects of the ManageHF4Life mobile app on patients with chronic heart failure: randomized controlled trial. JMIR mHealth and uHealth. 2021 Dec 7;9(12):e26185.
33. Deek H, Chang S, Newton PJ, Noureddine S, Inglis SC, Al Arab G, Kabbani S, Chalak W, Timani N, Macdonald PS, Davidson PM. An evaluation of involving family caregivers in the self-care of heart failure patients on hospital readmission: Randomised controlled trial (the FAMILY study). International Journal of Nursing Studies. 2017 Oct 1;75:101-11.
| Files | ||
| Issue | Vol 11 No 3 (2024): Summer | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/npt.v11i3.16174 | |
| Keywords | ||
| education mobile application self-care percutaneous coronary intervention | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Salavati K, Rejeh N, Rohani F, Dehghan Nayeri A. The effect of education through a mobile application on self-care behavior in patients undergoing percutaneous coronary: A randomized clinical trial. NPT. 2024;11(3):272-282.
