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IRCT20240925063158N1 IRCT 2024-10-07 Hamedan University of Medical Sciences "The effect of phase III cardiac rehabilitation virtual training on the self-efficacy of patients after coronary artery bypass surgery" "The effect of phase III cardiac rehabilitation virtual training on the self-efficacy of patients after coronary artery bypass surgery" 2024-10-22 anticipated 70 Complete https://irct.ir/trial/79259 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: The random sampling method is available and is done in the form of permutation blocks in two groups, Test and control, and at the time of discharge, The researcher introduced himself and the purpose of the study to the patients who have the conditions to enter this study. His companion states and if the patient wishes to participate in the study, Informed consent is obtained and the patient is placed in two control or test groups using the random block method. In this method, 6 sheets of paper are considered and letter A (test group) and another letter B (control group) are written on the sheet. In this method, There are 6 writing modes. The 6 leaves on which the above groups are written are mixed together and put aside inside the container. With each eligible patient's visit, a sheet is randomly picked by someone outside the study, and the task of 4 people is determined based on the selected sheet, and then the sheet is placed in the container. This means that the first 4 people who enter the research are placed in that group from left to right with the same order of letters. This method is repeated for the total number of patients needed for this study to complete the desired sample size. N/A Patients undergoing coronary artery bypass surgery. Intervention 1: Intervention group: When the patient is discharged from the inpatient department, the informed consent form and the clinical and demographic information questionnaire and the phone number are completed and received from the patient or the patient's companion. Then, according to the title of this study, which includes the third phase of cardiac rehabilitation, the next step of the study will be conducted in the period of 4 to 6 weeks after discharge from the hospital. In this study, the period of 5 weeks (45 days) after discharge in patients undergoing CABG will be the time to start virtual training for patients, the patients who have been included in the test group during sampling must complete the cardiovascular questionnaire after this 45-day period. This questionnaire was calculated with Cronbach's alpha coefficient of 80% in the research of Jafari Sajzi et al. (2017) after it was approved by 10 faculty members of Hamedan School of Nursing and Midwifery in terms of validity and reliability through an electronic file. It is sent to the patients and completed by the patient, and according to the time of entering the study, the researcher will join 7 groups of 10 people and 1 educational channel created by the researcher. Educational groups and channels are created on platforms accessible to patients, which were selected in the initial surveys of cardiac patients, because of their easy access and unlimited content uploading. The educational content according to the mentioned references and according to the titles included in the Esteka Cardiology Questionnaire for 1 month during 8 sessions (2 sessions per week) for 30 minutes based on the educational checklist created by the researcher in the form of video, audio, and written files in The platforms will be loaded. After each training session, feedback and educational follow-ups in the form of virtual or telephone conversations begin to evaluate the results of the training provided during the last week. After 75 days (45 days after discharge and after the completion of the one-month training period), the Esteka cardiology questionnaire was given to the study group again and using the electronic file sent to the groups by the patient or It will be completed with the patient. Data and results will be analyzed by SPSS23 software. It should be noted that the cost of internet consumption for the test group during this period will be provided by the researcher. Intervention 2: Control group: The patient's discharge time is completed from the section of the informed consent form and the phone number is received from the patient or the patient's companion. Then, according to the title of this study, which includes the third phase of cardiac rehabilitation, the next step of the study will be conducted in the period of 4 to 6 weeks after discharge from the hospital. In this study, the period of 5 weeks (45 days) after discharge in patients undergoing CABG will be the time to start virtual training for patients, after 45 days the Steka questionnaire must be completed by the control group. This questionnaire is calculated with Cronbach's alpha coefficient of 80% in The research of Jafari Sajzi et al. (2017) after it was approved by 10 faculty members of Hamedan Medical Sciences Faculty of Nursing and Midwifery in terms of validity and reliability, was sent to the patients through an electronic file and was completed by the patient. The patients who are placed in the control group with permutation block randomization will not receive the educational content that is provided to the test group during multiple sessions. And finally, without any other training and action, 75 days after the discharge (45 days after the discharge and the completion of the 1-month training period), the information questionnaire of Esteka will be provided to this group again through an electronic file through Rubika or ETA software. is given After completing all the questionnaires, data will be collected and SPSS23 software will be used for statistical analysis of the data. It should be noted that the intervention group will not be deprived of training during discharge, and after the completion of the study period, if the results of this research are effective, all training will be provided to the control group. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is After completing the research project and consulting with the professors, I will make a decision about this
public Zahra Amirlohesari
University Research and Technology Vice-Chancellor.، Hamedan University of Medical Sciences.، Shahid Fahmideh St.
Hamedan Iran (Islamic Republic of) 6517838698 +98 81 3838 0447 z.amirlohesari@gmail.com Hamedan University of Medical Sciences scientific Hiva Azami
University Research and Technology Vice-Chancellor.، Hamedan University of Medical Sciences., Shahid Fahmideh St
Hamedan Iran (Islamic Republic of) 6517838698 +98 81 3838 0447 hiva64@gmail.com Hamedan University of Medical Sciences Iran (Islamic Republic of) The patient has recently undergone CABG The patient should be willing to learn and participate in the study Ability to use mobile platforms and have access to the Internet The patient must be a resident of Hamadan province Have a weak or moderate level of self-efficacy in primary results The patient should have at least primary education No mental illness or movement and learning limitations The patient must consent to participate in the research Be in the age range of 30 to 70 years 30 years 70 years Both The patient be over 80 years old Participate in another educational program in the last 6 months Have severe hearing and vision disorders The patient is not literate 125.1 Atherosclerotic heart disease of native coronary artery Rehabilitation Rehabilitation Intervention group: When the patient is discharged from the inpatient department, the informed consent form and the clinical and demographic information questionnaire and the phone number are completed and received from the patient or the patient's companion. Then, according to the title of this study, which includes the third phase of cardiac rehabilitation, the next step of the study will be conducted in the period of 4 to 6 weeks after discharge from the hospital. In this study, the period of 5 weeks (45 days) after discharge in patients undergoing CABG will be the time to start virtual training for patients, the patients who have been included in the test group during sampling must complete the cardiovascular questionnaire after this 45-day period. This questionnaire was calculated with Cronbach's alpha coefficient of 80% in the research of Jafari Sajzi et al. (2017) after it was approved by 10 faculty members of Hamedan School of Nursing and Midwifery in terms of validity and reliability through an electronic file. It is sent to the patients and completed by the patient, and according to the time of entering the study, the researcher will join 7 groups of 10 people and 1 educational channel created by the researcher. Educational groups and channels are created on platforms accessible to patients, which were selected in the initial surveys of cardiac patients, because of their easy access and unlimited content uploading. The educational content according to the mentioned references and according to the titles included in the Esteka Cardiology Questionnaire for 1 month during 8 sessions (2 sessions per week) for 30 minutes based on the educational checklist created by the researcher in the form of video, audio, and written files in The platforms will be loaded. After each training session, feedback and educational follow-ups in the form of virtual or telephone conversations begin to evaluate the results of the training provided during the last week. After 75 days (45 days after discharge and after the completion of the one-month training period), the Esteka cardiology questionnaire was given to the study group again and using the electronic file sent to the groups by the patient or It will be completed with the patient. Data and results will be analyzed by SPSS23 software. It should be noted that the cost of internet consumption for the test group during this period will be provided by the researcher. Control group: The patient's discharge time is completed from the section of the informed consent form and the phone number is received from the patient or the patient's companion. Then, according to the title of this study, which includes the third phase of cardiac rehabilitation, the next step of the study will be conducted in the period of 4 to 6 weeks after discharge from the hospital. In this study, the period of 5 weeks (45 days) after discharge in patients undergoing CABG will be the time to start virtual training for patients, after 45 days the Steka questionnaire must be completed by the control group. This questionnaire is calculated with Cronbach's alpha coefficient of 80% in The research of Jafari Sajzi et al. (2017) after it was approved by 10 faculty members of Hamedan Medical Sciences Faculty of Nursing and Midwifery in terms of validity and reliability, was sent to the patients through an electronic file and was completed by the patient. The patients who are placed in the control group with permutation block randomization will not receive the educational content that is provided to the test group during multiple sessions. And finally, without any other training and action, 75 days after the discharge (45 days after the discharge and the completion of the 1-month training period), the information questionnaire of Esteka will be provided to this group again through an electronic file through Rubika or ETA software. is given After completing all the questionnaires, data will be collected and SPSS23 software will be used for statistical analysis of the data. It should be noted that the intervention group will not be deprived of training during discharge, and after the completion of the study period, if the results of this research are effective, all training will be provided to the control group. Self-efficacy. Timepoint: Before the intervention, 45 days and again 75 days after discharge from the hospital. Method of measurement: Using the Cardiovascular disease management Self-efficacy questionnaire of Esteka et al.: The Cardiovascular disease management Self-efficacy questionnaire was designed and compiled by Esteka et al. In (2015) in order to measure the Self-efficacy of Cardiovascular disease management. This questionnaire has 9 questions and 3 components of heart risk Self-efficacy,Treatment adherence Self-efficacy and symptom recognition Self-efficacy and based on the Likert spectrum with questions such as (you can avoid life Problems and Difficult situations and daily stress well) minimize) measures the Self-efficacy of Cardiovascular disease management. The Distribution of questionnaire questions is such that questions 1 to 4 examine the Self-efficacy of cardiac risk, questions 5 and 6 examine the Self-efficacy of following treatment, and questions 7, 8, and 9 examine the Self-efficacy of diagnosing symptoms. Hamedan University of Medical Sciences Approved 2024-09-14 Working group/committee of ethics in research of Hamadan University of Medical Sciences University Research and Technology Vice-Chancellor.، Hamedan University of Medical Sciences.، Shahid Fahmideh St Hamedan Hamadan Iran (Islamic Republic of)