The Efficacy of Chronic Disease Self Management Program and Tele
摘要
Aim Coronary Artery disease as a chronic disease is the single largest killer of people in the worldwide. Despite advances in medical treatment, CAD is still associated with high morbidity, mortality, high hospitalization rates. Patients with CAD require comprehensive rehabilitation to control symptoms, slow the progressive nature of condition, decrease re hospitalization, and improve survival. To achieve these outcomes, patient adherence to prescribed medications is vital whereas Poor adherence to the long-term treatment of chronic diseases has been a growing problem and a major challenge for health care professionals. The purpose of this study was to test the efficacy of The Chronic ? Disease Self Management Rehabilitation Programs and Tele- health in cardiac patients undergone Coronary Artery Bypass Surgery (CABGS), in order to improve, enhance and maintain their adherence by increasing the efficacy during intervention sessions. Method A total of 300 patients, were recruited through Tehran Heart Center's cardiac rehabilitation clinic. They were randomly assigned to intervention group which received 6 sessions (each session 150 minutes in a week) of psycho-educational intervention ( N = 150), or to a control group which received no intervention ( N = 150). The patients in both groups completed pretest measures consisting of General Adherence Scale (GAS), Specific Adherence Scale (SAS) and Cardiac Self Efficacy Questionnaire (CSEQ). Participants were reassessed 2-months and 3- months later. Result Multiple regression analysis of the collected data, revealed that both after 2 and 3 months, by enrolling the CDSMRP and Tele-health in the intervention group, enhanced significantly adherence through enhanced self efficacy. Conclusion The CDSMRP and Tele-health, improved the self efficacy of cardiac patients which then enhanced and maintained their adherence.展开▼
机译：冠状动脉疾病作为一种慢性疾病，是全球范围内最大的人类杀手。尽管在医学治疗方面取得了进步，但是CAD仍与高发病率，高死亡率和高住院率相关。患有CAD的患者需要全面康复，以控制症状，减慢病情的恶化过程，减少再次住院并提高生存率。为了达到这些结果，患者对处方药的依从性至关重要，而对慢性病的长期治疗依从性差是一个日益严重的问题，对卫生保健专业人员来说是一个重大挑战。这项研究的目的是检验《慢性病》的疗效。进行冠状动脉搭桥手术（CABGS）的心脏病患者的疾病自我管理康复计划和远程保健，以通过提高干预过程中的疗效来改善，增强和维持其依从性。方法通过德黑兰心脏中心的心脏康复诊所招募了300名患者。他们被随机分配到接受了6次心理教育干预的干预组（每届150分钟）（N = 150），或被随机分配到没有接受干预的对照组（N = 150）。两组患者均完成了包括通用坚持量表（GAS），特异性坚持量表（SAS）和心脏自我效能量表（CSEQ）在内的预测措施。 2个月和3个月后对参与者进行了重新评估。结果对收集到的数据进行的多元回归分析表明，在干预组中加入CDSMRP和Tele-health，在2个月和3个月后，通过增强自我效能，显着增强了依从性。结论CDSMRP和远程医疗可改善心脏病患者的自我效能，从而增强并维持其依从性。展开▼
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