Saensoda Suteetida, Pokpalagon Piyawan, Chaiviboontham Suchira
Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
Department of Nursing, Rajavithi Hospital, Bangkok 10400, Thailand.
Healthcare (Basel). 2025 May 3;13(9):1051. doi: 10.3390/healthcare13091051.
: This study aims to investigate the effects of a home-based cardiac rehabilitation (HBCR) program via a LINE application on functional capacity and quality of life (QOL) in open-heart surgery patients. : This study involved 54 open-heart surgery patients divided into a control group and an experimental group (27 intervention, 27 control) using pair matching. Participants in the intervention group participated in the HBCR program, while the control group received standard care. Orem's self-care theory was used as the conceptual framework. Functional capacity was measured via a six-minute walk test and the Duke Activity Status Index, while QOL was measured via the Thai version of the Short Form-36 Survey. : The findings from the study reveal that the patients who underwent open-heart surgery in the experimental group had significantly higher functional capacity compared to those in the control group ( < 0.05). Additionally, the overall QOL of the open-heart surgery patients in the experimental group was significantly better than that of the control group, alongside physical functioning, emotional roles, vitality, mental health, social functioning, and general health ( < 0.05). However, there were no significant differences between the two groups in terms of physical roles and bodily pain ( > 0.05). : Using an HBCR program via the LINE application has the potential to enhance the at-home self-care ability of post-open-heart surgery patients, thus improving their functional capacity and QOL.
本研究旨在探讨通过LINE应用程序开展的家庭心脏康复（HBCR）计划对心脏直视手术患者功能能力和生活质量（QOL）的影响。本研究纳入了54例心脏直视手术患者，采用配对匹配的方法将其分为对照组和实验组（干预组27例，对照组27例）。干预组参与者参加HBCR计划，而对照组接受标准护理。奥瑞姆自我护理理论被用作概念框架。通过六分钟步行测试和杜克活动状态指数测量功能能力，而通过泰文版简短健康调查问卷（Short Form-36 Survey）测量生活质量。研究结果显示，实验组接受心脏直视手术的患者的功能能力显著高于对照组（<0.05）。此外，实验组心脏直视手术患者的总体生活质量明显优于对照组，在身体功能、情感角色、活力、心理健康、社会功能和总体健康方面也是如此（<0.05）。然而，两组在身体角色和身体疼痛方面没有显著差异（>0.05）。通过LINE应用程序使用HBCR计划有可能提高心脏直视手术后患者的家庭自我护理能力，从而改善他们的功能能力和生活质量。
