Volume 12, Issue 4 (2024)
Health Educ Health Promot 2024, 12(4): 675-682 |
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Hosseini Moghadam S, Babaie M, Nourian M, Mahdavi M, Nasiri M, Varzeshnejad M. Impact of Tele-Nursing on Adherence to Treatment Regimen and Quality of Life in Pediatric Patients Undergoing Heart Transplantation Surgery. Health Educ Health Promot 2024; 12 (4) :675-682
URL: http://hehp.modares.ac.ir/article-5-77686-en.html
URL: http://hehp.modares.ac.ir/article-5-77686-en.html
1- “Student Research Committee” and “Department of Pediatric Nursing, School of Nursing and Midwifery”, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Anesthesiology, School of Allied Medical Sciences, Alborz University of Medical Sciences, Karaj, Iran
3- Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Heart Research Center, Shaheed Rajaie Cardiovascular Medical and Research Center, Tehran, Iran
5- Department of Biostatistics, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Anesthesiology, School of Allied Medical Sciences, Alborz University of Medical Sciences, Karaj, Iran
3- Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Heart Research Center, Shaheed Rajaie Cardiovascular Medical and Research Center, Tehran, Iran
5- Department of Biostatistics, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract: (419 Views)
Aims: Heart transplantation significantly alters the lifestyle and quality of life of children and adolescents post-surgery. These patients must strictly adhere to their treatment regimens to maintain graft viability and achieve better adaptation. Enhancing the quality of life in pediatric heart transplant recipients is a critical responsibility of nurses. This study aimed to evaluate the impact of a tele-nursing supportive educational program on treatment adherence and quality of life in children aged 12-18 years.
Materials & Methods: This quasi-experimental study with a single-group design without a control group was done on 41 pediatric patients who were referred to a specialized hospital for heart transplantation in Tehran in 2022. Participants were selected through census sampling and received education via communication platforms, such as WhatsApp, Skype, and Telegram, as chosen by the patients and their parents. The program spanned eight weeks, during which data were collected using a socio-demographic questionnaire, the Pediatric Quality of Life Inventory for Cardiac Problems, and the Modanloo Medication Adherence Scale. Pre- and post-test results were analyzed using SPSS version 16.
Findings: There was a significant improvement in the mean quality of life score and its dimensions (p=0.001), as well as the medication adherence score and its dimensions (p=0.001) after the implementation and follow-up of the intervention program.
Conclusion: Tele-nursing interventions offer an effective and accessible approach to enhancing treatment adherence and improving the quality of life for pediatric heart transplant recipients.
Materials & Methods: This quasi-experimental study with a single-group design without a control group was done on 41 pediatric patients who were referred to a specialized hospital for heart transplantation in Tehran in 2022. Participants were selected through census sampling and received education via communication platforms, such as WhatsApp, Skype, and Telegram, as chosen by the patients and their parents. The program spanned eight weeks, during which data were collected using a socio-demographic questionnaire, the Pediatric Quality of Life Inventory for Cardiac Problems, and the Modanloo Medication Adherence Scale. Pre- and post-test results were analyzed using SPSS version 16.
Findings: There was a significant improvement in the mean quality of life score and its dimensions (p=0.001), as well as the medication adherence score and its dimensions (p=0.001) after the implementation and follow-up of the intervention program.
Conclusion: Tele-nursing interventions offer an effective and accessible approach to enhancing treatment adherence and improving the quality of life for pediatric heart transplant recipients.
Keywords: Treatment Adherence [MeSH], Heart Transplantation [MeSH], Children [MeSH], Telenursing [MeSH], Quality of Life [MeSH]
Article Type: Original Research |
Subject:
Health Education and Health Behavior
Received: 2024/10/26 | Accepted: 2024/12/19 | Published: 2024/12/25
Received: 2024/10/26 | Accepted: 2024/12/19 | Published: 2024/12/25
References
1. Kraus MJ, Smits JM, Meyer AL, Strelniece A, Van Kins A, Boeken U, et al. Outcomes in patients with cardiac amyloidosis undergoing heart transplantation: The eurotransplant experience. J Heart Lung Transplant. 2023;42(6):778-85. [Link] [DOI:10.1016/j.healun.2023.01.001]
2. Page A, Messer S, Large SR. Heart transplantation from donation after circulatory determined death. Ann Cardiothorac Surg. 2018;7(1):75-81. [Link] [DOI:10.21037/acs.2018.01.08]
3. Godown J, Thurm C, Hall M, Soslow JH, Feingold B, Mettler BA, et al. Changes in pediatric heart transplant hospitalization costs over time. Transplantation. 2018;102(10):1762-7. [Link] [DOI:10.1097/TP.0000000000002202]
4. Sehgal S, Shea E, Kelm L, Kamat D. Heart transplant in children: What a primary care provider needs to know. Pediatr Ann. 2018;47(4):e172-8. [Link] [DOI:10.3928/19382359-20180319-01]
5. Voeller RK, Epstein DJ, Guthrie TJ, Gandhi SK, Canter CE, Huddleston CB. Trends in the indications and survival in pediatric heart transplants: A 24-year single-center experience in 307 patients. Ann Thorac Surg. 2012;94(3):807-15. [Link] [DOI:10.1016/j.athoracsur.2012.02.052]
6. Dipchand AI, Laks JA. Pediatric heart transplantation: Long-term outcomes. Indian J Thorac Cardiovasc Surg. 2019;36(Suppl 2):175-89. [Link] [DOI:10.1007/s12055-019-00820-3]
7. Eisen H, Ross H. Optimizing the immunosuppressive regimen in heart transplantation. J Heart Lung Transplant. 2004;23(Suppl 5):S207-13. [Link] [DOI:10.1016/j.healun.2004.03.010]
8. Barron LC, Haas N, Hagl C, Schulze‐Neick I, Ulrich S, Lehner A, et al. Motor outcome, executive functioning, and health‐related quality of life of children, adolescents, and young adults after ventricular assist device and heart transplantation. Pediatr Transplant. 2020;24(1):e13631. [Link] [DOI:10.1111/petr.13631]
9. Raiesdana N, Peyrovi H, Mehrdad N. Exploring challenges of living after heart transplantation in heart recipients in Iran. Koomesh. 2017;19(2):492-504. [Persian] [Link]
10. McCormick King ML, Mee LL, Gutiérrez-Colina AM, Eaton CK, Lee JL, Blount RL. Emotional functioning, barriers, and medication adherence in pediatric transplant recipients. J Pediatr Psychol. 2014;39(3):283-93. [Link] [DOI:10.1093/jpepsy/jst074]
11. Amodeo G, Ragni B, Calcagni G, Piga S, Giannico S, Yammine ML, et al. Health-related quality of life in Italian children and adolescents with congenital heart diseases. BMC Cardiovasc Disord. 2022;22(1):173. [Link] [DOI:10.1186/s12872-022-02611-y]
12. Kamrani F, Nikkhah S, Borhani F, Jalali M, Shahsavari S, Nirumand-Zandi K. The effect of patient education and nurse-led telephone follow-up (telenursing) on adherence to treatment in patients with acute coronary syndrome. Iran J Cardiovasc Nurs. 2015;4(3):16-24. [Persian] [Link]
13. Fathizadeh P, Heidari H, Masoudi R, Sedehi M, Khajeali F. Telenursing strategies in Iran: A narrative literature review. Int J Epidemiol Health Sci. 2020;1:e3. [Link] [DOI:10.51757/IJEHS.1.3.2020.46189]
14. Sadeghmoghadam L, Ahmadi Babadi S, Delshad Noghabi A, Nazari S, Farhadi A. Effect of telenursing on aging perception of Iranian older adults. Educ Gerontol. 2019;45(7):476-82. [Link] [DOI:10.1080/03601277.2019.1657263]
15. Shahsavari A, Bavarsad MB. Is telenursing an effective method to control BMI and HbA1c in illiterate patients aged 50 years and older with type 2 diabetes? A randomized controlled clinical trial. J Caring Sci. 2020;9(2):73-9. [Link] [DOI:10.34172/JCS.2020.011]
16. Nishigaki K, Yamaji N, Adachi N, Kamei T, Kobayashi K, Kakazu S, et al. Telenursing on primary family caregivers and children with disabilities: A scoping review. Front Pediatr. 2024;12:1374442. [Link] [DOI:10.3389/fped.2024.1374442]
17. Shah AC, Badawy SM. Telemedicine in pediatrics: Systematic review of randomized controlled trials. JMIR Pediatr Parent. 2021;4(1):e22696. [Link] [DOI:10.2196/22696]
18. Noori N, Teimouri A, Boryri T, Shafiee SS. Quality of life in children and adolescents with congenital heart diseases in Zahedan, Iran. J Pediatr Perspect. 2017;5(1):4193-208. [Link]
19. Modanloo M. Development and psychometric tools adherence of treatment in patients with chronic [dissertation]. Tehran: Iran University; 2013. [Link]
20. Seraj B, Alaee Alaee-Karahroudi F, Ashktorab T, Moradian M. The effect of telenursing on adherence to treatment in adolescents undergoing cardiac surgery. Iran J Cardiovasc Nurs. 2020;9(1):100-10. [Persian] [Link]
21. Timmers T, Janssen L, Kool RB, Kremer JA. Educating patients by providing timely information using smartphone and tablet apps: systematic review. J Med Internet Res. 2020;22(4):e17342. [Link] [DOI:10.2196/17342]
22. Kelly SL, Steinberg EA, Suplee A, Upshaw NC, Campbell KR, Thomas JF, et al. Implementing a home-based telehealth group adherence intervention with adolescent transplant recipients. Telemed J E Health. 2019;25(11):1040-8. [Link] [DOI:10.1089/tmj.2018.0164]
23. Meyer M, Brudy L, Fuertes-Moure A, Hager A, Oberhoffer-Fritz R, Ewert P, et al. E-health exercise intervention for pediatric patients with congenital heart disease: A randomized controlled trial. J Pediatr. 2021;233:163-8. [Link] [DOI:10.1016/j.jpeds.2021.01.058]
24. Mousavi SK, Kamali M, Azizkhani H. Effect of telephone education on medication adherence in patients with epilepsy. HAYAT. 2021;27(2):117-29. [Persian] [Link] [DOI:10.4103/ijnmr.ijnmr_213_20]
25. Ziebell D, Stark M, Xiang Y, Mckane M, Mao C. Virtual cardiac fitness training in pediatric heart transplant patients: A pilot study. Pediatr Transplant. 2023;27(1):e14419. [Link] [DOI:10.1111/petr.14419]
26. Cousino MK, Pasquali SK, Romano JC, Norris MD, Yu S, Reichle G, et al. Impact of the COVID-19 pandemic on CHD care and emotional wellbeing. Cardiol Young. 2021;31(5):822-8. [Link] [DOI:10.1017/S1047951120004758]
27. Dulfer K, Duppen N, Kuipers IM, Schokking M, Van Domburg RT, Verhulst FC, et al. Aerobic exercise influences quality of life of children and youngsters with congenital heart disease: A randomized controlled trial. J Adolesc Health. 2014;55(1):65-72. [Link] [DOI:10.1016/j.jadohealth.2013.12.010]
28. McGillion MH, Parlow J, Borges FK, Marcucci M, Jacka M, Adili A, et al. Post-discharge after surgery virtual care with remote automated monitoring-1 (PVC-RAM-1) technology versus standard care: Randomised controlled trial. BMJ. 2021;374:n2209. [Link]
29. Sadeghi F, Kermanshahi S, Memariyan R. The effect of discharge planning on the quality of life of school-age children with congenital heart disease undergoing heart surgery. Avicenna J Nurs Midwifery Care. 2013;21(1):15-25. [Persian] [Link]
30. Weigmann‐Faßbender S, Pfeil K, Betz T, Sander A, Weiß K, Tönshoff B, et al. Physical fitness and health‐related quality of life in pediatric renal transplant recipients: An interventional trial with active video gaming. Pediatr Transplant. 2020;24(1):e13630. [Link] [DOI:10.1111/petr.13630]
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