评估基于智能手机的自助干预对急性冠状动脉综合征患者生活质量的影响。
Evaluating the effect of a smartphone-based self-help intervention on the quality of life of patients with acute coronary syndrome.
作者信息
Setoudeh Faezeh, Molazem Zahra, Setoodeh Giti, Ghaemmaghami Parvin
机构信息
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Psychiatric and Mental Health Nursing Department, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
BMC Cardiovasc Disord. 2025 Aug 20;25(1):615. doi: 10.1186/s12872-025-05060-5.
PURPOSE
Patients with acute coronary syndrome (ACS) face various challenges in the physical, psychological, social and functional domains of their lives, with adverse effects on their quality of life. The present study evaluated the effects of a smartphone-based self-help intervention on the quality of life of patients with ACS.
DESIGN
A randomized controlled trial.
METHODS
Sixty-four ACS patients were selected via convenience sampling and randomly assigned to one of the intervention or control groups (32 participants in each group). The participants in the intervention group received a smartphone-based self-help intervention in six sessions for three weeks. The smartphone-based self-help intervention involved six educational sessions delivered via WhatsApp, covering disease-related knowledge, emotional regulation, cognitive restructuring, sleep hygiene, resilience, and self-care practices. Patients accessed the material asynchronously and applied it to their daily routines. Data were collected before, immediately after, and three weeks after the intervention via a demographic questionnaire and the Ferrans and Powers Quality of Life Index (QLI). The collected data were analyzed in SPSS, version 22.
RESULTS
There were no statistically significant differences between the two study groups regarding the quality-of-life mean scores measured before (p = 0.92) and immediately after (p = 0.26) the intervention. Three weeks after the intervention, however, the intervention group's mean quality of life score was greater than that of the control group (p = 0.03). The results of the repeated-measures ANOVA revealed that the mean quality-of-life scores in the intervention group increased, whereas the mean quality-of-life scores in the control group remained stable.
CONCLUSION
The results of this study indicated that a smartphone-based self-help intervention effectively improved the quality of life of patients with ACS. Nurse managers and clinical nurses can utilize these findings to increase the quality of life of patients.
TRIAL REGISTRATION
This trial was prospectively registered in the Iranian Registry of Clinical Trial (IRCT20220424054627N1) on 15 May 2022.
目的
急性冠状动脉综合征（ACS）患者在生活的身体、心理、社会和功能领域面临各种挑战，对其生活质量产生不利影响。本研究评估了基于智能手机的自助干预对ACS患者生活质量的影响。
设计
一项随机对照试验。
方法
通过便利抽样选取64例ACS患者，并随机分配至干预组或对照组之一（每组32名参与者）。干预组参与者接受为期三周、共六节的基于智能手机的自助干预。基于智能手机的自助干预包括通过WhatsApp进行的六次教育课程，内容涵盖疾病相关知识、情绪调节、认知重构、睡眠卫生、恢复力和自我护理实践。患者异步获取资料并将其应用于日常生活。在干预前、干预结束后即刻以及干预后三周，通过人口统计学问卷和费兰斯与鲍尔斯生活质量指数（QLI）收集数据。所收集的数据在SPSS 22.0版本中进行分析。
结果
在干预前（p = 0.92）和干预结束后即刻（p = 0.26）测量的生活质量平均得分方面，两个研究组之间无统计学显著差异。然而，干预后三周，干预组的生活质量平均得分高于对照组（p = 0.03）。重复测量方差分析结果显示，干预组的生活质量平均得分增加，而对照组的生活质量平均得分保持稳定。
结论
本研究结果表明，基于智能手机的自助干预有效改善了ACS患者的生活质量。护士长和临床护士可利用这些研究结果提高患者的生活质量。
试验注册
本试验于2022年5月15日在伊朗临床试验注册中心（IRCT20220424054627N1）进行前瞻性注册。
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