Heidari Mohammad, Harandi Parviz Nadimi, Moghaddasi Jaefar, Kheiri Soleiman, Azhari Amirhossein
Community-Oriented Nursing Midwifery Research Center, Nursing and Midwifery School, Shahrekord University of Medical Sciences, Shahrekord, Iran.
School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran.
SAGE Open Nurs. 2023 Apr 24;9:23779608231166473. doi: 10.1177/23779608231166473. eCollection 2023 Jan-Dec.
For more effective control and treatment of cardiac dysrhythmias caused by diseases, ischemia, or other causes, an implantable cardioverter defibrillator (ICD) is used. One of the effective ways for secondary prevention is the home-based cardiac rehabilitation (HBCR) which nurses have an effective role in its implementation.
The study aimed to investigate the effect of implementing HBCR programs on the self-efficacy of patients with ICD.
This is a semi-experimental study conducted on 70 patients who received ICD in Shahid Chamran Heart Center of Isfahan University of Medical Sciences (IUMS) in 2021. The patients were randomly assigned to intervention and control groups and were introduced to the practical concepts of HBCR during four training sessions. In the following, 3-month follow-up and trainings were continued by home visits, telephone follow-up, and use of social messaging networks due to the conditions of coronavirus disease 2019 (COVID-19) pandemic. The data were analyzed with SPSS/21.
The findings showed that performing HBCR programs was effective in improving the self-efficacy of patients with ICDs. A significant trend in the implementation of the HBCR programs in two groups was shown using chi-square test and independent -test and variance with repeated measurements ( < .001). There was no significant difference in self-efficacy score in both groups at the beginning of the study ( < .056).
Considering the effectiveness of HBCR programs on improving the self-efficacy of patients with ICDs, it can be used in the educational care programs of healthcare workers and in the strategic policies of health care services.
为了更有效地控制和治疗由疾病、缺血或其他原因引起的心律失常，可使用植入式心脏复律除颤器（ICD）。二级预防的有效方法之一是家庭心脏康复（HBCR），护士在其实施过程中发挥着重要作用。
本研究旨在探讨实施HBCR计划对ICD患者自我效能感的影响。
这是一项半实验性研究，对2021年在伊斯法罕医科大学（IUMS）沙希德·查姆兰心脏中心接受ICD治疗的70名患者进行。患者被随机分为干预组和对照组，并在四次培训课程中介绍了HBCR的实际概念。接下来，由于2019年冠状病毒病（COVID-19）大流行的情况，通过家访、电话随访和使用社交消息网络继续进行3个月的随访和培训。数据用SPSS/21进行分析。
研究结果表明，实施HBCR计划对提高ICD患者的自我效能感有效。使用卡方检验、独立样本t检验和重复测量方差分析显示，两组实施HBCR计划有显著趋势（P<0.001）。研究开始时两组的自我效能感得分无显著差异（P>0.056）。
考虑到HBCR计划对提高ICD患者自我效能感的有效性，它可用于医护人员的教育护理计划和医疗服务的战略政策中。
