Ghafouri Raziyeh, Karbaschi Roxana, Mashhadi Hosein AliReza, Sharifian Shakila
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
ARYA Atheroscler. 2024;20(3):28-36. doi: 10.48305/arya.2024.42169.2924.
Patients with cardiovascular disease need to adhere to their treatment and care recommendations to prevent the progression of their condition and improve their quality of life. In this regard, this study was conducted to develop a mobile application and test its effectiveness in improving medication adherence among persons with cardiac disease.
The study was conducted in two stages. The first stage involved the preparation of the "Mobile Application for Persons with Cardiac Disease" using the cascade model. In the second stage, 121 patients who were hospitalized in the cardiac intensive care unit of Ayatollah Taleghani Medical Education Center of Tehran from March to August 2023 were enrolled. The participants were randomly assigned to either the control group (63 people) or the intervention group (58 people). The study collected data using a medication adherence questionnaire on the 7th, 14th, and 21st day after discharge and compared the results with the control group. The data were analyzed using SPSS 20.
The average age of the control group was 56.75 ± 11.38 years, and the average age of the intervention group was 57.03 ± 11.55 years. The comparison of the average medication adherence with independent t-tests showed a significant difference between the intervention and control groups on the 7th, 14th, and 21st day after discharge (P<0.01). The results of the repeated measures test in each group also showed that the difference between the groups increased over time (P<0.001).
The results of the study showed that the mobile application is effective in improving medication adherence among heart patients.
心血管疾病患者需要遵循其治疗和护理建议，以防止病情进展并提高生活质量。在这方面，本研究旨在开发一款移动应用程序，并测试其在提高心脏病患者用药依从性方面的有效性。
本研究分两个阶段进行。第一阶段采用级联模型编制“心脏病患者移动应用程序”。第二阶段，招募了2023年3月至8月在德黑兰阿亚图拉·塔莱加尼医学教育中心心脏重症监护病房住院的121名患者。参与者被随机分为对照组（63人）或干预组（58人）。研究在出院后第7天、第14天和第21天使用用药依从性问卷收集数据，并将结果与对照组进行比较。使用SPSS 20对数据进行分析。
对照组的平均年龄为56.75±11.38岁，干预组的平均年龄为57.03±11.55岁。独立t检验对平均用药依从性的比较显示，出院后第7天、第14天和第21天干预组与对照组之间存在显著差异（P<0.01）。每组重复测量检验的结果也表明，组间差异随时间增加（P<0.001）。
研究结果表明，该移动应用程序在提高心脏病患者用药依从性方面是有效的。
