Effect of Digital Cardiac Rehabilitation Program on Self Efficacy of Patients with Coronary Artery Diseases

Abstract

Background: Coronary artery disease is the umbrella term for a spectrum of diseases caused by myocardial ischemia decreasing blood supply to the heart muscle. Self-efficacy is a vital modifiable personal resource affecting rehabilitation adherence, and disease outcomes such as health-related quality of life among people with cardiovascular disease. Aim: To evaluate the effect of digital cardiac rehabilitation program on self efficacy of patients with coronary artery diseases. Subjects and method: Design: A quasi-experimental research design was used. Setting: The study was conducted at the cardiology unit and outpatients' clinics at El Nasr Insurance Hospital in Hehwan city. Subjects: A Purposive sample of (100) adult patients diagnosed with coronary artery disease, was selected and equally divided into study & control groups, (50) patients for each one. Tools for data collection: It included 1) a structured interviewing questionnaire, 2) cardiac self-efficacy scale, and 3) cardiac exercise self-efficacy scale. Results: Majority of the patients in the study group had satisfactory knowledge level , had high cardiac self efficacy, and practice exercise self efficacy post rehabilitation program implementation. Conclusion: There was a statistically significant difference between the study and control groups concerning knowledge, cardiac selfefficacy, and cardiac exercise self-efficacy post, and follow-up rehabilitation program implementation. The results of the current study supported the hypothesis that digital cardiac rehabilitation programs affect positively patients' knowledge and cardiac self-efficacy. Recommendations: Future researches are required to develop and refine interventions to improve patient's compliance to treatment and prevent further deterioration of cardiac self-efficacy.

Relationship Between Clinical, Psychological, Physiological, and Technical Parameters and the Use of Digital Tools During Cardiac Rehabilitation Including Home Training (Preprint)

“…Therefore, and since there is only little literature on this topic so far, prospective studies might be indicated to get a deeper insight into the relationship between intrinsic motivation and digital tools during CR. Unlike a previous study by Salah Eldin Saad et al which showed significant differences in selfefficacy [29], our study indicates that self-efficacy neither differed between patients with and without digital tools, nor was there a significant correlation with the achieved change in exercise capacity. In part, this result can be explained by the retrospective nature of the EPICURE study.…”

Self-Efficacy in Self-Care and Its Related Factors Among Patients with Coronary Heart Disease in Indonesia: A Rasch Analysis

“… 58 Additionally, the digital cardiac rehabilitation program also positively influences patient knowledge and cardiac SE. 56 Then, the Nurse-Led Phone Follow-up Education Program is considered to improve SE and facilitate achieving goals related to risk factors in patients with cardiovascular disease for at least one year. 57 Therefore, some of these strategies are expected to increase SE in CHD patients, thus increasing SE will align with increasing patient QoL.…”

“…54,55 Interventions with a health digitalization approach are also reported to have good efficacy in the long-term continuity of care for CHD patients. 56 Several previous studies have shown that the effective use of technology can help improve SE in CHD patients. [57][58][59] Studies in Iran show that multimedia-based education is effective in increasing SE and selfesteem in patients with acute coronary syndromes.…”

A Scoping Review of Predictors Associated with Self-Efficacy Among Patients with Coronary Heart Disease

“… 59 , 60 In addition, the digital cardiac rehabilitation program also positively affects knowledge and SE in CHD patients. 61 Therefore, some of these strategies are expected to increase SE in CHD patients so that the increase in SE will align with the increase in QoL in patients with CHD.…”