Author/Authors :
Mohebbi, Hamideh School of Nursing and Midwifery - Mashhad University of Medical Sciences, Mashhad , Mazlom, Reza Evidence-based Research Center - School of Nursing and Midwifery - Mashhad University of Medical Sciences, Mashhad , Kasraei, Mohammad Reza Imam Reza Hospital - Mashhad University of Medical Sciences, Mashhad , Hamedi, Zahra Department of Cardiac Rehabilitation - Imam Reza Hospital - Mashhad University of Medical Sciences, Mashhad , Hosseinikhah, Hamidreza Imam Reza Hospital - Mashhad University of Medical Sciences, Mashhad , Dehghan Moghimi, Hossein Department of Cardiac Rehabilitation - Imam Reza Hospital - Mashhad University of Medical Sciences, Mashhad , Ebrahimi, Fatemeh Department of Cardiac Rehabilitation - Imam Reza Hospital - Mashhad University of Medical Sciences, Mashhad , Malekzadeh, Javad Evidence-based Research Center - School of Nursing and Midwifery - Mashhad University of Medical Sciences, Mashhad
Abstract :
Background: Several complications may occur in patients after coronary artery bypass grafting (CABG) leading to decreased self-efficacy. Rehabilitation training is the best method for reducing
the complications and increasing self-efficacy. Various educational techniques lead to different rehabilitation results and levels of self-efficacy. Improving these measures requires the selection of the most appropriate educational technique.
Aim: This study aimed to compare the effect of two media-based and face-to-face cardiac rehabilitation training methods on self-efficacy in patients undergoing CABG.
Method: This clinical trial was conducted among 60 patients, who were randomly assigned into two groups, in Imam Reza Hospital, Mashhad, Iran, 2017. Cardiac rehabilitation training program was implemented face-to-face or using a researcher-made multimedia upon admission, discharge, at the start of cardiac rehabilitation, and at the end of the 10th session for half-hour. A researcher-constructed questionnaire on self-efficacy was completed by the participants in the mentioned stages. Data analysis was performed in SPSS software, version 16.
Results: The mean ages of the participants in the face-to-face and multimedia groups were 56.0±8.1 and 57.5±7.3 years old, respectively. No significant difference was observed in the self-efficacy scores of the patients upon admission (P=0.36). However, there was a significant difference between the groups at the post-intervention stage (P<0.001).
Implications for Practice: Despite the lack of presence of an active teacher, media-based cardiac rehabilitation training improved the self-efficacy of patients undergoing CABG more than face-to-face method.
Keywords :
Cardiac rehabilitation , Coronary artery bypass grafting , Education , Self-efficacy