Salavati Khatereh, Rejeh Nahid, Rohani Farhad
Department of Nursing, Faculty of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran.
Department of Nursing, Faculty of Nursing & Midwifery, Shahed University, Tehran, Iran.
BMC Nurs. 2025 Aug 21;24(1):1097. doi: 10.1186/s12912-025-03759-6.
Illness perception (IP) significantly influences recovery and self-care in patients undergoing percutaneous coronary intervention (PCI), particularly in managing post-intervention complications. Although effective education is acknowledged as a way to enhance IP, using novel technologies such as mobile apps in this area has received less attention. This study aimed to evaluate the impact of education delivered through mobile apps on IP in patients undergoing PCI.
A randomized controlled trial was conducted with 110 patients undergoing PCI at Shahid Rajaee Hospital in Karaj, Iran, in 2023. Patients were enrolled consecutively and assigned through block randomization to either an intervention group ( = 55) or a control group ( = 55). The intervention group received educational content derived from the five dimensions of Leventhal’s Common-Sense Model of Illness Perception through a mobile app. The control group received routine hospital care. Data were collected using a demographic characteristics form and the Illness Perception Questionnaire-Brief (IPQ-B) at baseline and four weeks after the intervention. The collected data were analyzed with SPSS version 21, using descriptive and inferential statistical tests. Statistical significance was established at < 0.05.
The two groups were homogeneous regarding age, gender, body mass index, occupation, education level, smoking status, family history of coronary artery disease, presence of stents, underlying diseases, and balloon angioplasty ( < 0.05). The results indicated no significant differences between the experimental and control groups regarding IP mean score and the median scores of its dimensions (consequences, timeline, control, treatment, identity, concerns about the illness, emotional responses, and concerns about IP) at baseline ( > 0.05). A statistically significant improvement in IP score and its dimensions was observed in the intervention group compared to the control group ( < 0.05). More specifically, the experimental group displayed a significantly lower mean score of IP and median scores of its dimensions than the control group after the intervention ( = 0.001).
Mobile app-based education can enhance IP in patients undergoing PCI. Thus, these findings support the integration of mobile apps into routine nursing care to enhance IP in patients undergoing PCI.
The study was registered with the Iranian Registry of Clinical Trials (IRCT) with the following details:
IRCT20110912007529N27.
January 23, 2023.
疾病认知(IP)对接受经皮冠状动脉介入治疗(PCI)的患者的康复和自我护理有显著影响,尤其是在处理介入治疗后的并发症方面。尽管有效的教育被认为是增强疾病认知的一种方式,但在这一领域使用移动应用等新技术却较少受到关注。本研究旨在评估通过移动应用提供的教育对接受PCI患者疾病认知的影响。
2023年,在伊朗卡拉季的沙希德拉贾伊医院对110例接受PCI的患者进行了一项随机对照试验。患者连续入组,并通过区组随机化分配到干预组(n = 55)或对照组(n = 55)。干预组通过移动应用接收源自莱文索尔疾病认知常识模型五个维度的教育内容。对照组接受常规医院护理。在基线和干预后四周,使用人口统计学特征表和疾病认知问卷简表(IPQ-B)收集数据。使用SPSS 21版对收集的数据进行分析,采用描述性和推断性统计检验。设定P < 0.05为统计学显著性。
两组在年龄、性别、体重指数、职业、教育水平、吸烟状况、冠状动脉疾病家族史、支架置入情况、基础疾病和球囊血管成形术方面具有同质性(P > 0.05)。结果表明,在基线时,实验组和对照组在疾病认知平均得分及其维度的中位数得分(后果、时间线、控制、治疗、身份、对疾病的担忧、情绪反应和对疾病认知的担忧)方面无显著差异(P > 0.05)。与对照组相比,干预组的疾病认知得分及其维度有统计学显著改善(P < 0.05)。更具体地说,干预后实验组的疾病认知平均得分及其维度的中位数得分显著低于对照组(P = 0.001)。
基于移动应用的教育可以增强接受PCI患者的疾病认知。因此,这些研究结果支持将移动应用整合到常规护理中,以增强接受PCI患者的疾病认知。
该研究已在伊朗临床试验注册中心(IRCT)注册,详细信息如下:
IRCT20110912007529N27。
2023年1月23日。