MY DATA

Published: 15 January 2025| Version 1 | DOI: 10.17632/4rwbj9g2k3.1
Contributor:
ghazal veisi

Description

This study hypothesizes that a blended learning approach integrating traditional cardiac rehabilitation (CR) with in-person training sessions and remote assistance through an app based on the Knowledge, Attitude, and Practice (KAP) model will improve medication adherence and self-efficacy among patients undergoing coronary artery bypass graft (CABG) surgery compared to traditional CR alone. Participants: 70 patients referred to the cardiac rehabilitation program, randomized 1:1 into intervention and control groups (35 patients each). Intervention: Four in-person training sessions and three months of app-based follow-up support, in addition to traditional CR. Assessments: Medication adherence and self-efficacy were measured pre-CR, after 1 month, and 3 months post-CR. Baseline: No significant demographic differences between the intervention and control groups. Outcomes: The intervention group showed significant and sustained improvements in medication adherence and self-efficacy compared to the control group (p<0.001). These improvements were observed from the first month and continued throughout the study period. Enhanced Self-Efficacy: Blended learning may provide patients with more comprehensive education and support, boosting their confidence in managing their health post-surgery. Improved Medication Adherence: Continuous support and follow-up via the app likely contributed to better adherence to medication regimens. Blended learning in cardiac rehabilitation positively impacts medication adherence and self-efficacy for CABG patients. This approach should be further explored and potentially integrated into standard CR programs to enhance patient outcomes.

Files

Steps to reproduce

The Medication Adherence Report Scale (MARS), Cardiac Self-Efficacy Questionnaire, and Demographic Information Questionnaire were used to collect data. SPSS version 16 software was used to analyze the data, and chi-square tests, Fisher's exact test, independent t-tests, and repeated measures tests were employed.

Institutions

Hamadan University of Medical Sciences School of Nursing and Midwifery

Categories

Blended Learning, Self-Efficacy, Cardiovascular Rehabilitation, Medication Adherence

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