Education and Ethics In Nursing ISSN: 2322-5300

The effect of family-oriented self-care training through smartphones on health literacy and self-care status of patients with heart failure (Clinical trial study protocol)

https://doi.org/10.22034/ethic.2024.2036662.1095
Volume 13, 3-4
July 2024
Pages 81-89
Education and Ethics In Nursing ISSN: 2322-5300

Document Type : protocol study

Authors

Zohreh Badiyepeyma 1
Ali asghar Rahmanian kushkaki 2

1 Assistant Professor, Department of Nursing, Faculty of Nursing and Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran

2 Master of Medical-Surgical Nursing, Department of Nursing, Faculty of Nursing and Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran

Abstract
Introduction: Heart failure is one of the common causes of hospitalization in adults over 65 years old. Low health literacy is a major problem not only for patients, but also for healthcare providers and health systems.  Educating family members on disease control and even prevention can be very helpful, because there is a strong connection between the family and the health status of its members. By providing multiple resources and instant feedback, the virtual world is able to help people quickly acquire the knowledge they need. The purpose of the present study is to investigate the effect of family-oriented self-care education through smartphones on health literacy and self-care status of heart failure patients in Jahrom city.
Methods & Materials: This study is a double-blind clinical trial. At first, the samples were selected in the accessible way, and then they were divided into two intervention and control groups in a simple random way through computer software; each group had 30 people. The tools used include: Demographic Questionnaire, Newtbeam Heart Failure Health Literacy Questionnaire, and Rigel Heart Failure Self-Care Status Assessment Questionnaire. After all the patients completed the questionnaire, family-oriented training for the intervention group started in Soroush Messenger. One month after the end of the intervention, the relevant questionnaires completed by both intervention and control groups. Data analysis was determined using SPSS version 22 software at a significance level of 0.5%.
Discussion: In line with the many problems that heart failure patients face, providing education in the field of self-care can be an important step towards improving their physical health and increasing their health literacy. Considering the benefits of education through smartphones and the fact that the research has been done, it has been done in the field of self-care education in a family-oriented and face to face manner; But so far, no research based on family-oriented self-care training through smartphones for heart failure patients has been found; Therefore, the current research was conducted with the aim of the effect of self-care education in a family-oriented way, through a smartphone.
Clinical trial code: IRCT20210114050037N2

Keywords

Selfe Care
Health Literacy
Heart Failure
Distance Education
Subjects
  1. Shafiee-Darabi S-M, Khankeh H, Fallahi-Khoshknab M, Soltani P-R. Effect of acupressure on pain and fatigue in people with chronic heart failure. Iranian Journal of Cardiovascular Nursing. 2015;3(4):14-22.
  2. Hall MJ, Owings MF. 2000 national hospital discharge survey. 2002.
  3. Pillai HS GSHfiSACCR-. Heart failure in South Asia. Current Cardiol Rev. 2013;9(2):9.
  4. Liu L, Eisen HJ. Epidemiology of heart failure and scope of the problem. Cardiology clinics. 2014;32(1):1-8.
  5. Ziaeirad M, Ziaei G, Mohammady M. Correlation of fatigue intensity with demographic and clinical characteristics of patients with congestive heart failure. Journal of Clinical Nursing and Midwifery. 2017;6(3):72-81.
  6. BAGHERI H, YAGHMAEI F, ASHKTORAB T, ZAYERI F. Evaluation of illness related worries in heart failure patients. 2014.
  7. van der Wal MH, Jaarsma T, van Veldhuisen DJ. Non‐compliance in patients with heart failure; how can we manage it? European journal of heart failure. 2005;7(1):5-17.
  8. Cui X, Zhou X, Ma L-l, Sun T-W, Bishop L, Gardiner FW, et al. A nurse-led structured education program improves self-management skills and reduces hospital readmissions in patients with chronic heart failure: a randomized and controlled trial in China. Rural and Remote Health. 2019;19(2):[47]-[54].
  9. Rubio-Gracia J, Demissei BG, Ter Maaten JM, Cleland JG, O'Connor CM, Metra M, et al. Prevalence, predictors and clinical outcome of residual congestion in acute decompensated heart failure. International journal of cardiology. 2018;258:185-91.
  10. Mebazaa A, Gheorghiade M, Zannad F, Parrillo JE. Acute heart failure: Springer Science & Business Media; 2009.
  11. Sionis A, Sionis Green A, Manito Lorite N, Bueno H, Coca Payeras A, Diaz Molina Bea. Comments on the 201 6ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure. Revista Española de Cardiología. 2016;69:7.
  12. Tsai PK, Wang RH, Lee CS, Tsai LM, Chen HM. Determinants of self‐care decision‐making in hospitalised patients with heart failure. Journal of clinical nursing. 2015;24(7-8):1101-11.
  13. Salehzadeh A, Rahmatpour P. Self-care behaviors and related factors in patients with heart failure reffering to‎ medical & educational center of heart in Rasht.‎. Journal of Holistic Nursing And Midwifery. 2013;23(1):22-9.
  14. Bagheri–Saweh M, Lotfi A, Salawati Ghasemi S, . Self-care behaviors and related factors in chronic

heart failure patients. Int J Biomedic Public Health. 2018;1(1):5.

  1. Farghadani Z, Taheri-Kharameh Z, Amiri-Mehra A, Ghajari H, Barati M. The relationship between health literacy and self-care behaviors among patients with heart failure. Hayat Journal. 2018;24(2):186-96.
  2. Mansouri K, Hasavari F, KAZEMNEJAD LE, Gholipour M. Self-care status and its related factors in patients with heart failure. 2018.
  3. Mansouriyeh N, POURSHARIFI H, TABAN SM, SEIRAFI M. The relationship between socioeconomic status and self-care in patients with heart failure: The role of illness related worries mediator. 2018.
  4. Sedlar N, Lainscak M, Mårtensson J, Strömberg A, Jaarsma T, Farkas J. Factors related to self-care behaviours in heart failure: A systematic review of European Heart Failure Self-Care Behaviour Scale studies. European Journal of Cardiovascular Nursing. 2017;16(4):272-82.
  5. Jaarsma T, Cameron J, Riegel B, Stromberg A. Factors related to self-care in heart failure patients according to the middle-range theory of self-care of chronic illness: a literature update. Current heart failure reports. 2017;14(2):71-7.
  6. Cajita MI, Cajita TR, Han H-R. Health literacy and heart failure: a systematic review. The Journal of cardiovascular nursing. 2016;31(2):121.
  7. Barati M, Taheri-Kharameh Z, Farghadani Z, Rásky É. Validity and reliability evaluation of the Persian version of the heart failure-specific health literacy scale. International Journal of Community Based Nursing and Midwifery. 2019;7(3):222.
  8. Gazmararian JA, Williams MV, Peel J, Baker DW. Health literacy and knowledge of chronic disease. Patient education and counseling. 2003;51(3):267-75.
  9. Marzangi A, Ahangarzadeh Rezaei S, Ghareagaji Asl R. HEALTH LITERACY IN HEART DISEASE COMMUNITY THAT COVERED BY HEALTH SERVICES CENTERS IN SOUTH OF WEST AZARBAIJAN PROVINCE. Nursing And Midwifery Journal. 2018;16(1):45-54.
  10. Zand S, Asgari P, Bahramnezhad F, Rafiei F. The effect of two educational methods (family-centered and patient-centered) multimedia software on dysrhythmia of patients after acute myocardial infarction. Journal of Health. 2016;7(1):7-17.
  11. Sanaie N, Nejati S, Zolfaghari M, Alhani F, Kazemnezhad A. The effects of family-based empowerment on family cooperation in following patient treatment regime after coroner arteries bypass surgery. Modern Care Journal. 2014;11(1).
  12. Sadeghi M, Pedram Razi S, Nikbakht Nasrabadi A, Ebrahimi H, Kazemnejad A. Comparison of the impact of education based on the empowerrment model and family-center empowerrment model on knowledge and metabolic control of patients with type 2 diabetes mellitus. Journal of Nursing Education. 2013;2(3):18-27.
  13. Malm D, Sandgren A. Regaining normalcy in relatives of patients with a pacemaker. Open Journal of Nursing. 2014;4(3):139-49.
  14. Ghavidel A, Farokhnezhad-Afshar P, Bakhshandeh H, Ghorbanpour F. Effect of family-centered education on the quality of life patients after coronary artery bypass graft surgery. Iranian Journal of Cardiovascular Nursing. 2015;4(2):6-13.
  15. Park M. Understanding complexity of Asian American family care practices. Archives of psychiatric nursing. 2010;24(3):189-201.
  16. Crawford TR. Using problem-based learning in web-based components of nurse education. Nurse education in practice. 2011;11(2):124-30.
  17. Wu T-T. Using smart mobile devices in social-network-based health education practice: A learning behavior analysis. Nurse education today. 2014;34(6):5.
  18. Pourfarid y. The effect of self-care training on health-promoting behaviors with a telemarking approach in MS patients: study protocol of a double-blind randomized parallel clinical trial. Education and Ethics In Nursing ISSN: 2322-5300. 2024;13(1-2):-.
  19. Kobraei A, Adib-Hajbaghery M, Kargar K, Miranzadeh S. The effect of educational package on adherence to treatment and health literacy in patients with heart failure. Feyz. 2022;26(3):8.
  20. Nutbeam D. Defining and measuring health literacy: what can we learn from literacy studies? : Springer; 2009. p. 303-5.
  21. Riegel B, Carlson B, Moser DK, Sebern M, Hicks FD, Roland V. Psychometric testing of the self-care of heart failure index. Journal of cardiac failure. 2004;10(4):350-60.
  22. Fatemeh M, Atefeh G, Arsalan S, Ehsan K, Mitra SS, Ezzat P. Study Status Of Self-Care Behaviors And Gender Differences In Patients With Heart Failure. Payavard Salamat. 2014;8(3).
  23. Shojaee A, Nehrir B, Naderi N, Zareiyan A. Effect of patient education and telephone follow up by the nurse on the level of hope in patients suffering from heart failure. 2013.
  24. Ghajar A, Esmaeili R, Yazdani-Charati J, Ashrafi Z, Mazdarani S, Heidari Gorji MA. Effect of family-centered education on hope in patients with heart failure. Journal of Mazandaran University of Medical Sciences. 2018;28(166):71-80.
  25. Ramelet A-S, Fonjallaz B, Rapin J, Gueniat C, Hofer M. Impact of a telenursing service on satisfaction and health outcomes of children with inflammatory rheumatic diseases and their families: a crossover randomized trial study protocol. BMC pediatrics. 2014;14(1):1-12.
  26. Bahrehmand L, Rafati F, Dastyar N, Moslemi Nia T, Sabzevari S. The Effect of Diabetes Self-care Education through WhatsApp Virtual Messenger on the Self-care Behavior of Patients with Type 2 Diabetes: A Semi-experimental Study. Avicenna Journal of Nursing and Midwifery Care. 2023;31(2):95-104.

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