The Effects of an Enhancing Self-Efficacy Program and Mobile Application in Rehabilitation on Physical Fitness and Anxiety among Coronary Artery Bypass Graft Surgery Patients
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Abstract
This quasi - experimental research aimed to investigate the effect of the self-efficacy program with mobile applications in rehabilitation programs on physical fitness and anxiety among patients with coronary bypass graft surgery. The sample was 52 participants divided equally into experimental and control groups of 26 patients each. This program consisted of educational activities, lesson plans, and video demonstration models to promote competency combined with mobile applications. The research tools comprised a personal data record form, a physical fitness assessment form measuring walking distance on a level surface in 6 minutes, and an anxiety assessment form. The content validity was tested at 1.00, and the alpha Cronbach coefficient was determined at .91. Data were analyzed using descriptive statistics, independent t-test and repeated measure ANOVA. Data were analyzed using descriptive statistics, independent t-test, and repeated - measures ANOVA.
The results revealed that the physical fitness of the experimental group in the 6 weeks after discharge was significantly higher than the control group (t-test = 5.168, p-value < .001), and it was found that the anxiety of the experimental group was significantly lower than the control group (F = 2059.59, p-value < .001). These results demonstrate that the application can improve physical fitness and reduce patient anxiety. Therefore, nurses should apply this application to patient care to be effective continuously.
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References
Division of Noncommunicable Diseases, Department of Disease Control, Ministry of Public Health. Number and death rate from 5 non-communicable diseases (NCD) 2019-2021 [Internet]. 2022 [cited 2023 Mar 10]. Available from: https://www.ddc.moph.go.th/dncd/news.php?news=39911 (in Thai)
Charoenchit L, Sarakshetrin A. Complications and health behaviors among persons undergone coronary artery bypass grafting (CABG). The Southern College Network Journal of Nursing and Public Health 2019;6(1):246-59. (in Thai)
Chintapanyakun T, Ua-Kit N, Chaiyaroj S. Predicting factors of health status among patients after coronary artery bypass graft surgery. Thai Journal of Cardio-Thoracic Nursing 2017;28(1):96-110. (in Thai)
Khamla A, Wongwatanarerk W, Chularee S, Chairanai C, Kaewta K. The development of care model to prevent surgical site infection for patients undergoing coronary artery bypass graft using evidence-based practice. Journal of Nursing and Health Care 2017;35(2):34-44. (in Thai)
Pilab S. Effectiveness of an enhancing self-efficacy in phase I cardiac rehabilitation program on physical fitness among older persons post open heart surgery [Dissertation]. Pathum Thani: Rangsit University; 2018. (in Thai)
De Vries H, Kemps HMC, van Engen-Verheul MM, Kraaijenhagen RA, Peek N. Cardiac rehabilitation and survival in a large representative community cohort of Dutch patients. European Heart Journal 2015;36(24):1519-28. doi: 10.1093/eurheartj/ehv111.
Ji H, Fang L, Yuan L, Zhang Q. Effects of exercise-based cardiac rehabilitation in patients with acute coronary syndrome: a meta-analysis. Medical Science Monitor 2019;25:5015-27. doi: 10.12659/MSM.917362.
de Bakker M, den Uijl I, Hoeve NT, van Domburg RT, Geleijnse ML, Berge-Emons RJ, et al. Association between exercise capacity and health-related quality of life during and after cardiac rehabilitation in acute coronary syndrome patients: a substudy of the OPTICARE randomized controlled trial. Archives of Physical Medicine and Rehabilitation 2020;101(4):650-7. doi: 10.1016/j.apmr.2019.11.017.
Anderson L, Oldridge N, Thompson DR, Zwisler AD, Rees K, Martin N, et al. Exercise-based cardiac rehabilitation for coronary heart disease: Cochrane systematic Review and meta-analysis. Journal of the American College of Cardiology 2016;67(1):1-12. doi: 10.1016/j.jacc.2015.10.044.
Gutierrez MG, Umeda IIK, Bergamascki LM, Leão MAS. Six minutes-walk test and respiratory function tests predict complications and mortality in coronary artery bypass grafting?. Cardiac 2019;1(1):3. doi: 10.35702/card.10003.
Paorod P, Chidnok W, Sayasathid J. The effectiveness of cardiac rehabilitation program in open heart surgery patients. Journal of The Royal Thai Army Nurses 2020;21(1):255-61. (in Thai)
Nittayasupaporn S, Kaewnimitchai N, Namjuntra R. The relationship between personal factors, preoperative anxiety and preoperative information needs of open heart surgery patients. Thai Journal of Cardio-Thoracic Nursing 2014;25(1):1-15. (in Thai)
Hernández-Palazón J, Fuentes-García D, Falcón-Araña L, Roca-Calvo MJ, Burguillos-López S, Doménech-Asensi P, et al. Assessment of preoperative anxiety in cardiac surgery patients lacking a history of anxiety: contributing factors and postoperative morbidity. Journal of Cardiothoracic and Vascular Anesthesia 2018;32(1):236-44. doi: 10.1053/j.jvca.2017.04.044.
Oxlad M, Stubberfield J, Stuklis R, Edwards J, Wade TD. Psychological risk factors for cardiac-related hospital readmission within 6 months of coronary artery bypass graft surgery. Journal of Psychosomatic Research 2006;61(6):775-81. doi: 10.1016/j.jpsychores.2006.09.008.
Elsayed ER, Gaballah SH, Taha NM. Knowledge and self - efficacy of post coronary artery bypass graft surgery patients. Trends in Nursing and Health Care Journal 2024;8(1):145-72. doi: 10.21608/tnhcj.2024.238025.1030.
Intarat B. Effect of an enhancing self-efficacy in phase I cardiac rehabilitation program on physical fitness and satisfaction of patients with coronary artery bypass graft surgery [Dissertation]. Songkhla: Prince of Songkla University; 2013. (in Thai)
Xu L, Li F, Zhou C, Li J, Hong C, Tong Q. The effect of mobile applications for improving adherence in cardiac rehabilitation: a systematic review and meta-analysis. BMC Cardiovascular Disorders 2019;19(1):166. doi: 10.1186/s12872-019-1149-5.
LINE. LINE official account [App]. Version 12.3.3. Bangkok: LINE Company (Thailand); 2022. (in Thai)
Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychological Review 1997;84(2):191-215. doi: 10.1037/0033-295X.84.2.191.
Srisatidnarakul B. Effect size power analysis optimal sample size calculation using G*power software. Bangkok: Chula Book Center; 2020. (in Thai)
Piathip D, Liangchawengwong S, Satdhabudha O. The effects of enhancing self-efficacy in early cardiac rehabilitation program on physical outcomes and anxiety among patients post coronary artery bypass graft surgery. Songklanagarind Journal of Nursing 2018;38(3):12-24. (in Thai)
Nakon O, Sindhu S, Tansawatdi R. Effectiveness of a hospital-based comprehensive cardiac rehabilitation program on postoperative recovery of patients undergoing coronary artery bypass grafting. Journal of Nursing Science 2015;33(4):51-64. (in Thai)
Borzou SR, Amiri S, Salavati M, Soltanian AR, Safarpoor G. Effects of the first phase of cardiac rehabilitation training on self-efficacy among patients undergoing coronary artery bypass graft surgery. Journal of Tehran University Heart Center 2018;13(3):126-31.
Thaweesombat S, Fukfon K, Suwansirichareon A. Effects of pre and post-operative information program on quality of life and anxiety of patients undergoing open heart surgery, Chiangrai Prachanukroh Hospital. Thai Journal of Cardio-Thoracic Nursing 2021;32(2):105-19. (in Thai)
Ma L, Deng L, Yu H. The effects of a comprehensive rehabilitation and intensive education program on anxiety, depression, quality of life, and major adverse cardiac and cerebrovascular events in unprotected left main coronary artery disease patients who underwent coronary artery bypass grafting. Irish Journal of Medical Science 2020;189(2):477-88. doi: 10.1007/s11845-019-02129-x.