摘要

Aim Coronary Artery disease as a chronic disease is the single largest killer of people in the worldwide. Despite advances in medical treatment, CAD is still associated with high morbidity, mortality, high hospitalization rates. Patients with CAD require comprehensive rehabilitation to control symptoms, slow the progressive nature of condition, decrease re hospitalization, and improve survival. To achieve these outcomes, patient adherence to prescribed medications is vital whereas Poor adherence to the long-term treatment of chronic diseases has been a growing problem and a major challenge for health care professionals. The purpose of this study was to test the efficacy of The Chronic ? Disease Self Management Rehabilitation Programs and Tele- health in cardiac patients undergone Coronary Artery Bypass Surgery (CABGS), in order to improve, enhance and maintain their adherence by increasing the efficacy during intervention sessions. Method A total of 300 patients, were recruited through Tehran Heart Center's cardiac rehabilitation clinic. They were randomly assigned to intervention group which received 6 sessions (each session 150 minutes in a week) of psycho-educational intervention ( N = 150), or to a control group which received no intervention ( N = 150). The patients in both groups completed pretest measures consisting of General Adherence Scale (GAS), Specific Adherence Scale (SAS) and Cardiac Self Efficacy Questionnaire (CSEQ). Participants were reassessed 2-months and 3- months later. Result Multiple regression analysis of the collected data, revealed that both after 2 and 3 months, by enrolling the CDSMRP and Tele-health in the intervention group, enhanced significantly adherence through enhanced self efficacy. Conclusion The CDSMRP and Tele-health, improved the self efficacy of cardiac patients which then enhanced and maintained their adherence.展開▼

機(jī)譯：冠狀動(dòng)脈疾病作為一種慢性疾病，是全球范圍內(nèi)最大的人類殺手。盡管在醫(yī)學(xué)治療方面取得了進(jìn)步，但是CAD仍與高發(fā)病率，高死亡率和高住院率相關(guān)?；加蠧AD的患者需要全面康復(fù)，以控制癥狀，減慢病情的惡化過程，減少再次住院并提高生存率。為了達(dá)到這些結(jié)果，患者對(duì)處方藥的依從性至關(guān)重要，而對(duì)慢性病的長(zhǎng)期治療依從性差是一個(gè)日益嚴(yán)重的問題，對(duì)衛(wèi)生保健專業(yè)人員來說是一個(gè)重大挑戰(zhàn)。這項(xiàng)研究的目的是檢驗(yàn)《慢性病》的療效。進(jìn)行冠狀動(dòng)脈搭橋手術(shù)（CABGS）的心臟病患者的疾病自我管理康復(fù)計(jì)劃和遠(yuǎn)程保健，以通過提高干預(yù)過程中的療效來改善，增強(qiáng)和維持其依從性。方法通過德黑蘭心臟中心的心臟康復(fù)診所招募了300名患者。他們被隨機(jī)分配到接受了6次心理教育干預(yù)的干預(yù)組（每屆150分鐘）（N = 150），或被隨機(jī)分配到?jīng)]有接受干預(yù)的對(duì)照組（N = 150）。兩組患者均完成了包括通用堅(jiān)持量表（GAS），特異性堅(jiān)持量表（SAS）和心臟自我效能量表（CSEQ）在內(nèi)的預(yù)測(cè)措施。 2個(gè)月和3個(gè)月后對(duì)參與者進(jìn)行了重新評(píng)估。結(jié)果對(duì)收集到的數(shù)據(jù)進(jìn)行的多元回歸分析表明，在干預(yù)組中加入CDSMRP和Tele-health，在2個(gè)月和3個(gè)月后，通過增強(qiáng)自我效能，顯著增強(qiáng)了依從性。結(jié)論CDSMRP和遠(yuǎn)程醫(yī)療可改善心臟病患者的自我效能，從而增強(qiáng)并維持其依從性。展開▼

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