Comparison of the effect of telephone follow-up with social network follow-up program on self-efficacy and depression in patients undergoing coronary artery bypass graft surgery: A randomized controlled trial

Ako Hassanzadeh , Bahador Baharestani , Niloofar Najafali Dizaji , Fidan Shabani , Mahmood Sheikh Fathollahi , Rasoul Goli , Mohammad Shafiei Kouhpayeh
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Abstract

Introduction

Coronary artery bypass graft (CABG) surgery is a common procedure to improve blood flow to the heart muscles, but patients often face challenges during the recovery period. Self-efficacy and depression play crucial roles in patient outcomes. Telephone follow-up and social network follow-up have been introduced as interventions to enhance self-efficacy. This study aims to compare the effectiveness of telephone follow-up and social network follow-up on self-efficacy and depression in CABG patients.

Method

The study is a single-blinded, randomized controlled trial conducted at Shahid Rajaee Heart Hospital in Tehran, Iran. The sample size was determined to be 99 patients who met the inclusion criteria. Data were collected using a demographic questionnaire, Sullivan's cardiac self-efficacy questionnaire, and the Beck Depression Inventory (BDI). Participants were assigned to three groups: control, telephone follow-up, and WhatsApp follow-up using randomization. Data were analyzed using IBM SPSS Statistics for Windows, version 25 (IBM Corp., Armonk, N.Y., USA).

Results

The results revealed significant improvements in self-efficacy and reductions in depression scores for both the telephone and WhatsApp follow-up groups compared to the control group following the intervention (p < 0.001). Additionally, the mean self-efficacy score was higher and the mean depression score was lower in the WhatsApp follow-up group than in the telephone follow-up group after the intervention (p < 0.001).

Discussion

The findings provide valuable insights for healthcare professionals in choosing appropriate interventions to enhance patients' self-efficacy levels and improve mental health outcomes. Both telephone follow-up and social network follow-up interventions have their own advantages and can be effective in supporting patients' recovery after CABG surgery.

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比较电话随访与社交网络随访项目对冠状动脉旁路移植手术患者自我效能感和抑郁情绪的影响:随机对照试验
导言:冠状动脉旁路移植手术(CABG)是一种改善心肌血流的常见手术,但患者在恢复期间往往面临挑战。自我效能感和抑郁对患者的疗效起着至关重要的作用。电话随访和社交网络随访已被引入作为提高自我效能的干预措施。本研究旨在比较电话随访和社交网络随访对 CABG 患者自我效能感和抑郁情绪的影响。样本量确定为 99 名符合纳入标准的患者。数据收集采用了人口统计学问卷、沙利文心脏自我效能问卷和贝克抑郁量表(BDI)。参与者被随机分配到三组:对照组、电话随访组和 WhatsApp 随访组。结果显示,与对照组相比,电话随访组和 WhatsApp 随访组在干预后的自我效能感和抑郁评分均有显著改善(p <0.001)。此外,与电话随访组相比,WhatsApp 随访组在干预后的平均自我效能感得分更高,平均抑郁得分更低(p < 0.001)。讨论研究结果为医护人员选择适当的干预措施以提高患者的自我效能感水平和改善心理健康结果提供了宝贵的见解。电话随访和社交网络随访干预各有优势,可有效支持 CABG 术后患者的康复。
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来源期刊
CiteScore
6.50
自引率
9.30%
发文量
94
审稿时长
6 weeks
期刊介绍: Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions
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