اثربخشي برنامه مراقبت بهداشتي و نظارت دارويي الكترونيكي جهت پيشگيري از ابتلا به كوويد-19 و تبعيت از رژيم درماني در بيماران مزمن قلبي-يك مطالعه پايلوت

Effectiveness of Electronic Health Care and Drug Monitoring Program to Prevent COVID-19 and Adherence to Therapeutic Regimen in Patients with Ischemic Heart Disease- A Pilot Study

زﻣﯿﻨﻪ و ﻫﺪف: ﯾﮑﯽ از اﯾﻦ ﮔﺮوهﻫﺎي در ﺧﻄﺮ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺷﯿﻮع ﺷﯿﻮع وﯾﺮوس 2-SARS-CoV )ﺑﯿﻤﺎري ﮐﻮوﯾﺪ-19( ﺑﯿﻤﺎران ﻣﺰﻣﻦ ﻗﻠﺒﯽ ﻣﯽﺑﺎﺷﺪ. ﻟﺬا ﻫﺪف از اﯾﻦ ﺗﺤﻘﯿﻖ ﺑﺮرﺳﯽ اﺛﺮﺑﺨﺸﯽ ﺑﺮﻧﺎﻣﻪ ﻣﺮاﻗﺒﺖ ﺑﻬﺪاﺷﺘﯽ و ﻧﻈﺎرت داروﯾﯽ اﻟﮑﺘﺮوﻧﯿﮑﯽ ﺟﻬﺖ ﭘﯿﺸﮕﯿﺮي از اﺑﺘﻠﺎ ﺑﻪ ﺑﯿﻤﺎري ﮐﻮوﯾﺪ-19 و ﺗﺒﻌﯿﺖ از رژﯾﻢ درﻣﺎﻧﯽ ﺑﯿﻤﺎران داراي ﺑﯿﻤﺎريﻫﺎي ﻣﺰﻣﻦ ﻗﻠﺒﯽ )اﯾﺴﮑﻤﯿﮏ ﻗﻠﺒﯽ( ﺑﻮد. روشﻫﺎ: اﯾﻦ ﭘﮋوﻫﺶ ﭘﺎﯾﻠﻮت از ﻧﻮع ﻧﯿﻤﻪ ﻣﺪاﺧﻠﻪ ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل اﺳﺖ. 10 ﺑﯿﻤﺎر داراي ﺑﯿﻤﺎري اﯾﺴﮑﻤﯿﮏ ﻗﻠﺐ ﺑﻪ ﻃﻮر رﻧﺪم در دو ﮔﺮوه 5 ﻧﻔﺮه )ﻣﺪاﺧﻠﻪ و ﮐﻨﺘﺮل( ﺗﺨﺼﯿﺺ ﯾﺎﻓﺘﻨﺪ. دادهﻫﺎي ﺗﺤﻘﯿﻖ ﺑﺎ اﺳﺘﻔﺎده از ﭘﺮﺳﺸﻨﺎﻣﻪ دﻣﻮﮔﺮاﻓﯿﮏ و ﭘﺮﺳﺸﻨﺎﻣﻪ ﺗﺒﻌﯿﺖ از رژﯾﻢ درﻣﺎﻧﯽ ﺑﯿﮕﯽ )1391(، ﭘﺮﺳﺸﻨﺎﻣﻪ ﻣﺤﻘﻖ ﺳﺎﺧﺘﻪ ﭘﯿﺸﮕﯿﺮي از اﺑﺘﻠﺎ ﺑﻪ وﯾﺮوس 2-SARS-CoV ﺟﻤﻊ آوري و ﺑﺎ ﻧﺮم اﻓﺰار 22-SPSS ﻣﻮرد ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﻗﺮا ﮔﺮﻓﺖ. ﯾﺎﻓﺘﻪﻫﺎ: ﺑﯿﻤﺎران ﻫﺮ دو ﮔﺮوه از ﻧﻈﺮ ﺳﻦ، ﺟﻨﺲ و BMI ﻫﻤﺴﺎن ﺑﻮدﻧﺪ )05.P>0(. ﻣﯿﺰان ﺗﺒﻌﯿﺖ از رژﯾﻢ داروﯾﯽ و ﺗﺒﻌﯿﺖ از رژﯾﻢ ﻏﺬاﯾﯽ و ﻓﻌﺎﻟﯿﺖ ﺟﺴﻤﺎﻧﯽ و ﺗﺒﻌﯿﺖ از ﻣﺴﺎﯾﻞ ﭘﯿﺸﮕﯿﺮاﻧﻪ اﺑﺘﻠﺎ ﺑﻪ ﮐﻮوﯾﺪ-19 در ﻃﯽ 10 ﺟﻠﺴﻪ آﻣﻮزش، در ﮔﺮوه ﻣﺪاﺧﻠﻪ اﻓﺰاﯾﺶ ﻣﻌﻨﺎداري ﻧﺸﺎن داد )0/005

Background and Aim: One of the high-risk groups due to the prevalence of COVID-19 are patients with chronic heart disease. The aim of this study was to evaluate the effectiveness of the electronic health care and drug monitoring program to prevent COVID-19 and adherence to therapeutic regimen of patients with chronic heart disease (ischemic heart disease). Methods: This pilot study is a quasi-experimental study with control group. 10 patients with ischemic heart disease were randomly assigned to two groups of 5 individuals (intervention and control). Data collected using demographic questionnaire, Beigi's treatment follow-up questionnaire (2012), and a researcher-made questionnaire for prevention of SARS-CoV-2. Data analyzed with SPSS-22 software. Results: Patients in both groups were matched in age, sex, and BMI (p>0.05). The adherence to the medication regimen and adherence to diet and physical activity, and adherence to the preventive issues of Covid-19 during 10 training sessions, showed a significant increase in the intervention group (p<0.005). Conclusion: Electronic services and the use of e-visit in primary health care and adherence to home care regimen, using the mobile phones and the Internet, can enable accurate monitoring of patients' status and help patients at risk to avoid COVID-19.