Ghlichi Moghaddam Neda, Namazinia Mohammad, Hajiabadi Fatemeh, Mazlum Seyyed Reza
Department of Medical - Surgical Nursing, School of Nursing and Midwifery (MSC Student), Mashhad University of Medical Sciences, Mashhad, Iran.
Nursing and Midwifery Care Research Center, Mashhad University Medical of Medical Sciences, Mashhad, Iran.
BMC Sports Sci Med Rehabil. 2023 Nov 17;15(1):156. doi: 10.1186/s13102-023-00770-9.
Open-heart surgery is considered one of the primary treatments for severe coronary artery stenosis, but it comes with its own set of complications. However, these complications can be reduced through the implementation of proper cardiac rehabilitation during phase I. This study aimed to examine the impact of phase I cardiac rehabilitation training, using augmented reality, on the self-efficacy of cardiac management in patients undergoing coronary artery bypass grafting.
This randomized clinical trial study involved 60 patients who were admitted to the Cardiac Surgery Intensive Care Unit at Ghaem Hospital in Mashhad. The software used in this study consisted of various videos and educational images demonstrating physical exercises for cardiac rehabilitation. The software was developed to train the patients in the intervention group on the rehabilitation program, starting from their admission to the Intensive Care Unit until their discharge from the hospital. The collected data were analyzed using statistical tests such as independent t-test, Mann-Whitney test, paired t-test, chi-square test, as well as descriptive indicators. Cohen's d was also used to evaluate the magnitude of the effect size.
The findings of this study revealed that the total mean score for cardiovascular management self-efficacy significantly increased during the transfer to the Intensive Care Unit and at the time of discharge. Notably, the increase observed in the intervention group was significantly greater than that of the control group (P < 0.001).
The results of this study indicated that implementing early rehabilitation programs, using innovative educational technology like augmented reality, enhanced the self-efficacy of patients undergoing coronary artery bypass grafting. These findings suggest that such programs can be effectively employed as educational tools throughout different stages of cardiac rehabilitation.
This study was registered in the Iranian Registry of Clinical Trials (no. IRCT20200203046361N1) on 16/02/2020.
心脏直视手术被认为是治疗严重冠状动脉狭窄的主要方法之一，但它也伴随着一系列并发症。然而，通过在第一阶段实施适当的心脏康复，可以减少这些并发症。本研究旨在探讨使用增强现实技术的第一阶段心脏康复训练对冠状动脉搭桥术患者心脏管理自我效能的影响。
这项随机临床试验研究涉及60名入住马什哈德加姆医院心脏外科重症监护病房的患者。本研究使用的软件包括各种展示心脏康复体育锻炼的视频和教育图像。该软件旨在从患者入住重症监护病房到出院期间，对干预组患者进行康复计划培训。收集的数据使用独立t检验、曼-惠特尼检验、配对t检验、卡方检验等统计检验以及描述性指标进行分析。科恩d值也用于评估效应大小的程度。
本研究结果显示，在转至重症监护病房期间和出院时，心血管管理自我效能的总平均分显著提高。值得注意的是，干预组观察到的增加显著大于对照组（P < 0.001）。
本研究结果表明，使用增强现实等创新教育技术实施早期康复计划，可提高冠状动脉搭桥术患者的自我效能。这些发现表明，此类计划可在心脏康复的不同阶段有效地用作教育工具。
本研究于2020年2月16日在伊朗临床试验注册中心注册（编号：IRCT20200203046361N1）。
