Moradi Akram, Moeini Mahin, Sanei Hamid
Postgraduate Nursing Student, Department of Adult Health Nursing, Faculty of Nursing and midwifery, Isfahan University of Medical Science, Isfahan, Iran.
Assistant Professor, Ulcer Repair Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Science, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2017 Jul-Aug;22(4):287-293. doi: 10.4103/ijnmr.IJNMR_89_16.
Lifestyle modification is an essential factor in the promotion of health in patients with acute coronary syndrome (ACS). One of the interventions to promote lifestyle is interactive follow-up, which, according to the traditional methods, requires spending significant amount of time and cost. Therefore, this study aimed to determine the effectiveness of interactive text message follow-up on health promoting lifestyle of patients with ACS.
This was a randomized controlled trial among 100 patients suffering from ACS during October-February 2016. The participants were randomly assigned to the experimental and control groups. Collection of data on lifestyle was performed before, 3, and 4 months after the beginning of the intervention using Walker's Health Promoting lifestyle questionnaire. Six messages were sent to the intervention groups each week, and participants asked the questions by sending text message, each week 1 message were sent to the control group for 12 weeks. The statistical analysis of data was performed using independent -test, Chi-square, Mann-Whitney U test, and repeated measures analysis of variance (ANOVA).
Before the intervention, there was no significant difference between the mean score of lifestyle of the two groups, however, 3 months and 4 months after the beginning of the intervention, the mean score of lifestyle in the intervention group was significantly higher than that of the control group ( < 0.001).
The interactive text message follow-up is effective in promoting the lifestyle of patients with ACS and can be considered in the planning of follow-up of patients with ACS.
生活方式的改变是促进急性冠状动脉综合征（ACS）患者健康的一个重要因素。促进生活方式改变的干预措施之一是互动式随访，按照传统方法，这需要花费大量时间和成本。因此，本研究旨在确定互动式短信随访对ACS患者促进健康生活方式的有效性。
这是一项针对2016年10月至2月期间100例ACS患者的随机对照试验。参与者被随机分为实验组和对照组。使用沃克健康促进生活方式问卷在干预开始前、干预开始后3个月和4个月收集生活方式数据。每周向干预组发送6条信息，参与者通过发送短信提问，每周向对照组发送1条信息，共发送12周。使用独立样本t检验、卡方检验、曼-惠特尼U检验和重复测量方差分析（ANOVA）对数据进行统计分析。
干预前，两组生活方式平均得分无显著差异，然而，干预开始后3个月和4个月，干预组生活方式平均得分显著高于对照组（P<0.001）。
互动式短信随访对促进ACS患者的生活方式有效，可在ACS患者随访计划中予以考虑。
