تاثیر آموزش چند رسانه‌ای با رویکرد مدل لونتال بر سبک زندگی بیماران فیبریلاسیون دهلیزی: یک مطالعه کارآزمایی بالینی تصادفی کنترل شده

نوع مقاله : مقاله پژوهشی

نویسندگان

گروه پرستاری، واحد شهرکرد، دانشگاه آزاد اسلامی، شهرکرد، ایران

چکیده

مقدمه و هدف: یکی از ابزارهای اساسی در تغییر سبک زندگی، وجود برنامه آموزشی با استفاده از روش‌های نوین آموزشی است. پژوهش حاضر با هدف تعیین تأثیر آموزش چندرسانه‌ای با رویکرد مدل لونتال بر سبک زندگی بیماران مبتلا به فیبریلاسیون دهلیزی انجام شد.
مواد و روش ها: در این مطالعه نیمه‌تجربی، 60 بیمار مبتلا به فیبریلاسیون دهلیزی در سال 1401 در بیمارستان کاشانی شهرکرد به‌صورت تصادفی به دو گروه مداخله (30 نفر) و کنترل (30 نفر) تقسیم شدند. در گروه مداخله علاوه بر اقدامات معمول، دو جلسه آموزش مجازی از طریق نرم‌افزار چندرسانه‌ای (صدا، فیلم، تصویر و انیمیشن) تحت عنوان کارگاه آموزشی 4 ساعته برای بیماران در زمان هماهنگ‌شده برگزار شد. در گروه کنترل، مداخلات روتین به عمل آمد. بعد از اتمام کارگاه، سبک زندگی با استفاده از پرسش‌نامه‌ سبک زندگی والکر اندازه‌گیری شد. آنالیز داده‌ها با استفاده از آزمون‌های تی مستقل، تی زوجی و کای دو انجام شد.
نتایج: میانگین امتیاز سبک زندگی بین دو گروه مداخله و کنترل قبل از مطالعه تفاوت آماری معناداری نداشت (041/0p=)؛ درحالی‌که بعد از اجرای مداخله، میانگین نمرات سبک زندگی در گروه مداخله در مقایسه با گروه کنترل به‌طور معناداری افزایش پیدا کرده بود (001/0p≤).
نتیجه‌گیری: آموزش مجازی چندرسانه‌ای منجر به ارتقای سبک زندگی در بیماران مورد مطالعه شده است. توصیه می‌شود مداخلات آموزشی برای بهبود سبک زندگی در بیماران مبتلا به فیبریلاسیون دهلیزی انجام شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The effect of multimedia education with the Luntal model approach on the lifestyle and understanding of the disease of patients with atrial fibrillation: a randomized controlled clinical trial

نویسندگان [English]

  • Shirin Madadkar
  • Parvin Mohammadi
Department of Nursing, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran
چکیده [English]

Background and aim: One of the basic tools in changing the lifestyle is the existence of an educational program using modern teaching methods. The present study was conducted with the aim of determining the effect of multimedia education with the Leventhal model approach on the lifestyle of patients with atrial fibrillation.
Methods: In this semi-experimental study, 60 patients with atrial fibrillation were randomly divided into two intervention groups (30 people) and control (30 people) in Kashani Shahrekord Hospital in 1401. In the intervention group, in addition to the usual measures, two virtual training sessions were held through multimedia software (sound, video, image and animation) under the title of a 4-hour training workshop for patients on a coordinated time with the help of the Adobe Connect program. became In the control group, routine interventions were performed. After the workshop, the lifestyle was measured using Walker's lifestyle questionnaire. Data analysis was done using independent t, paired t and chi-square tests.
Results: There was no statistically significant difference in the average score of lifestyle between the two intervention and control groups before the study, and the two groups were homogeneous (P=0/041). However, the average score of lifestyle in the intervention group has increased significantly after the implementation of the intervention compared to the control group (p≤0.001).
Conclusion: Multimedia virtual education has led to the improvement of patients' lifestyles. It is recommended to carry out educational interventions to improve lifestyle in patients with atrial fibrillation.

کلیدواژه‌ها [English]

  • Multimedia education
  • the Leventhal model
  • lifestyle
  • atrial fibrillation

مراجع

  1. Spertus JA, Jones PG, Maron DJ, O’Brien SM, Reynolds HR, Rosenberg Y, Stone GW, et al; ISCHEMIA Research Group. Health-status outcomes with invasive or conservative care in coronary disease. New England Journal of Medicine 2020; 382:1408–1419.
  2. Maron DJ, Hochman JS, Reynolds HR, Bangalore S, O’Brien SM, Boden WE, et al; ISCHEMIA Research Group. Initial invasive or conservative strategy for stable coronary disease. New England Journal of Medicine 2020; 382:1395–1407.
  3. Michniewicz E, Mlodawska E, Lopatowska P, Tomaszuk-Kazberuk A, Malyszko J. Patients with atrial fibrillation and coronary artery disease– double trouble. Advances in Medical Sciences 2018; 63(1):30-35.
  4. Lippi G, Sanchis-Gomar F, Cervellin G. Global epidemiology of atrial fibrillation: an increasing epidemic and public health challenge. International Journal of Stroke 2021;16(2):217-21.
  5. Reid RD, Wooding EA, Blanchard CM, Moghei M, Harris J, Proulx GA, et al. A randomized controlled trial of an exercise maintenance intervention in men and women after cardiac rehabilitation (ECO-PCR trial). Canadian Cardiovascular Society 2021;37(5):794-802.
  6. Wang L, Ze F, Li J, Mi L, Han B, Niu H, Zhao N. Trends of global burden of atrial fibrillation/flutter from Global Burden of Disease Study 2017. Heart 2021;107:881-87.
  7. Krishnamurthi RV, Ikeda T, Feigin VL. Global regional and country-specific burden of ischemic stroke, intracerebral hemorrhage and subarachnoid hemorrhage: a systematic analysis of the global burden of disease study 2017. Neuroepidemiology 2020; 54:171-79.
  8. McAndrew LM, Horowitz CR, Lancaster KJ, Leventhal H. Factors related to perceived diabetes control are not related to actual glucose control for minority patients with diabetes. Diabetes Care 2010; 33(4): 736-38.
  9. Rajabloo M, Mohammadpour A, Sajjadi M. The effect of education based on Leventhal's model on adherence to treatment and control of blood pressure in patients with hypertension. Nursing Practice Today 2021; 8(4):333-44.
  10. Sharafi O, Seydi J, Rokhzadi M. The effect of evidence-based education on self–care in patients with multiple sclerosis referred to the multiple sclerosis society in Sanandaj, 2019. Scientific Journal of Nursing, Midwifery and Paramedical Faculty 2021;7(1):60-68.
  11. Beranova E, Sykes C. A systematic review of computer-based software’s for educating patients with coronary heart disease. Patient Education and Counseling 2007; 2(66):21-28.
  12. Solati H, Sahebalzamani M, Adhami Moghadam F. Effect of family-based care training by tele-nursing on emotional reactions in mothers of children with bone marrow transplantation. Journal of Mazandaran University of Medical Sciences 2021; 30(192):156-61.
  13. Mamashli L, Bekmaz K, Mohammad pour Y. Telenursing In Cardiovascular Diseases: A Critical Review of Systematic Reviews of Evidence. Iranian Journal of Systematic Review in Medical Sciences 2022;1(3):20-32.
  14. Ghazi SH, Mohammadpour A, Delshad Noghabi A, Miri M. The effect of pressure ulcer prevention care training by tele-nursing on the extent and severity of pressure ulcers in patients with stroke. Journal of Torbat Heydariyeh University of Medical Sciences 2022; 9(4):36-47.
  15. Behzad Y, Bastani F, Haghani H. Effect of empowerment program with the telephone follow up (Tele-nurses) on self-efficacy in self–care behaviors in hypertensive older adults. The Journal of Urmia Nursing and Midwifery Faculty 2016; 13(11): 1004-15.
  16. Nikkhah T, Bagheri H, Khajeh M, Khosravi A. The effect of post-discharge telephone follow-up on the inherent dignity of patients with heart failure. Avicenna Journal of Nursing and Midwifery Care 2021;29(2):91-101.
  17. Aghakhani N, Golmohamadi F, Khademvatan K, Alinejad V. The effect of self-care education on the self efficacy in myocardial infarction hospitalized patients in Seyeid Al-Shohada educational & treatment center, Urmia. Journal of Urmia Nursing and Midwifery Faculty 2018;16(6):412-22.
  18. Van Hecke A, Verhaeghe S, Grypdonck M, Beele H, Flour M, Defloor T. Systematic development and validation of a nursing intervention: the case of lifestyle adherence promotion in patients with leg ulcers. Journal of Advanced Nursing 2011;67(3):662-76.
  19. Madadkar Dehkordi Sh, Noorian K. Effect of multimedia education based on the family-centered approach and telephone follow-up on the quality of life of patients with myocardial infarction after discharge. Journal of Clinical Nursing and Midwifery 2020; 8(4): 500-10.
  20. Salavati M, Khatiban M, Moghadari Koosha B, Soltanian A. Evaluating the effect of teach back education on self-care behaviors and quality of life in patients with myocardial infarction in 2015: a randomized controlled trial. Scientific Journal of Hamadan Nursing & Midwifery Faculty 2017; 25(1):1-8.
  21. Primdahl J, Wagner L, Holst R, Horslev-Petersen K. The impact on self-efficacy of different types of follow-up care and disease status in patients with rheumatoid arthritis--a randomized trial. Patient Education and Counseling 2012;88(1):121-28.
  22. Sadeh Tabarian M, Ghiyasvandian S, Haghani S. The effect of education based on Leventhal's model on perception of disease in diabetic patients. Iranian Journal of Nursing Research 2019; 13(6):76-82.
  23. Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Reliability and validity of Persian version of the health-promoting lifestyle profile. Journal of Mazandaran University of Medical Sciences 2012;21(1):102-13.
  24. Weinman J, Petrie KJ, Moss-Morris R, Horne R. The illness perception questionnaire: a new method for assessing the cognitive representation of illness. Psychology & Health 1996;11(3):431-45.
  25. Rakhshan M, Hassani P, Ashktorab T, Majd HA. The nature and course of illness perception following cardiac pacemaker implantation: a self-regulatory approach. International Journal of Nursing Practice 2013;19(3):318-25.
  26. Piscesiana E, Afriyani T. The effect of tele-nursing on preventing re-admission among patients with heart failure: a literature review. International Journal of Nursing and Health Services 2020; 3(2): 251-60.
  27. Saranjam F, Afrasiabifar A, Alamdari A, Hosseini N. The effect of Leventhal’s Self-Regulatory Intervention on the hypertensive patients’ Illness Perception and Lifestyle: A randomized controlled trial BMC Cardiovascular Disorders 2023;23(1):50.
  28. Al-Ozairi E, Ridge K, Taghadom E, de Zoysa N, Tucker C, Stewart K, et al. Diabetes and ‎Telecommunications (DATES) study to support self-management for people with type 2 diabetes: a ‎randomized controlled trial. BMC Public Health 2018; 18(1):1249.
  29. Leutualy V, Trisyany Y, Nurlaeci N. Effectivity of Health Education with Telenursing on the Self-care Ability of Coronary Artery Disease Patients: A Systematic Review. Open Access Macedonian Journal of Medical Sciences 2021; 9(11): 690-8.
  30. Rezapour gatabi N, Rahmani Firoozjah A, abbasi asfajir A A, bijani A. Evaluation of Lifestyle Related to Cardiovascular Health of Patients Having Referred to Hospitals under the Auspices of Babol University of Medical Sciences. Social Welfare Quarterly 2020; 20(77):301-327.
دانشور پزشکی
دوره 31، شماره 2 - شماره پیاپی 165
خرداد و تیر 1402
صفحه 36-45

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