Designing a Clinical Trial Protocol about the Impact of Family-Based Multimedia Education Based on Telephone Tracking (Tele Nursing) to Improve the Quality of Life and Self-Efficacy in Patients with Myocardial Infarction

Abstract

Background: Provision of education to a person with myocardial infarction and an active family member, who takes care of the patient can prevent or delay the onset of the disease. Telephone tracking is a very useful and inexpensive way to assess the patients’ needs and help them with their care problems. This clinical trial (interventional) protocol was conducted over the impact of family-based multimedia education based on the telephone tracking (tele-nursing) to improve the quality of life and self-efficacy in patients with myocardial infarction. Methods: Two phases are identified to design this study; the first phase includes designing a curriculum by investigating various studies and the panel of experts’ opinions. This phase will be conducted in the form of multimedia training and telephone contact. Multimedia training (including audio, video, image, and animation) over the patients’ lifestyle, nutrition, and care will be conducted through a one-day workshop in 2-3 hours for patients and one of their active family members. The active family member is defined as the primary caregiver, who spends more time with the patient. The educational course will be conducted at a coordinated date and time in the ward where the patients are hospitalized. The researcher will make telephone calls as the educational intervention and continue the follow-ups once a week for one month. The second phase of the intervention will contain a pre/post-test design along with application of Minnesota quality of life and Scherer general self-efficacy standard questionnaires in the intervention (with training) and control (without training) groups. The target participants will include all patients (and their active family members) admitted to CCUs of hospitals affiliated to Shahrekord University of Medical Sciences. Discussion: The present study provides useful data for designing a family-based multimedia educational intervention using the telephone-tracking method (tele-nursing) to improve the quality of life and self-efficacy in patients with myocardial infarction. It can also reduce their medical and treatment costs. The strategies of this program could be important and cost effective, and therefore we hope that the success of such a program is a step forward in improving cardiovascular patient’s health status. Highlights Family-based multimedia educational (tele-nursing) to improve the quality of life and self-efficacy in patients with myocardial infarction. Family-based multimedia educational (tele-nursing) can also reduce their medical and treatment costs. The program is a step forward in improving cardiovascular patient’s health status.

Effect of Tele-nursing -Based Self-management Program on Cardiac Self-efficacy and Heart Health Indexes among Myocardial Infarction Patients

“…It is also worth noting, these results supported other studies and confirmed that average self-efficacy scores in the study group were significantly enhanced after telephone follow-up empowerment program (Javanmardifard, Ghodsbin & Kaviani, 2017;Madadkar Dehkordi, et al, 2021).…”

“…Lack of participation in self-management behaviors or failure to control cardiac risk factors leads to poor health outcomes, frequent readmissions, increased mortality rates, and a higher burden of health service costs. (Madadkar Dehkordi, Okhovat & Karimiankakolaki, 2021). Accordingly, it is imperative to develop an effective nursing intervention that supports myocardial infarction patients to properly manage their disease.…”

“…This questionnaire was developed and prepared by the researcher after extensive literature review (Madadkar Dehkordi et al, 2021;Jiang et al, 2020& Kim ,2018. The first part collected the demographic characteristics and health relevant data form of the studied patients including age, sex, weight and height, telephone number, education level, living condition, job, residence place, marital status, history of chronic and acute illness, history of hospitalization, income, smoking, family history, and hospitalization records etc.…”

Effectiveness of telenursing in improving quality of life in patients with heart failure: A systematic review and meta-analysis

“…The health industry uses telenursing, an information and communication technology system, to offer long-distance nursing and care services. 8 Instead of having face-to-face meetings, patients and their caregivers communicate through media made available to patients and their families. Many care domains can benefit from the application of telenursing practices, such as home visits; secure email messaging systems with hotline support; discharge planning; chronic telenursing in the department; telenursing for illnesses and emergencies, including outpatient care; call center services; triage; and discharge planning.…”