The Efficacy of Chronic Disease Self Management Programs and Tele-Health on Psychosocial Adjustment by Increasing Self-efficacy in Patients with CABG

摘要

Aim : Coronary Artery Disease is a chronic and debilitating condition that seriously affects the lives of patients and their families. Despite advances in medical treatment, CAD is still associated with high morbidity and mortality, high hospitalization rates. It is well known that rehabilitation is an integral component of the care of people with chronic disease. Despite the expense associated with rehabilitation following chronic disease, dissatisfaction with psychosocial outcomes is common. The purpose of this study was to test the efficacy of The Chronic ? Disease Self Management Rehabilitation Program and Telehealth in cardiac patients undergone Coronary Artery Bypass Surgery (CABGS), in order to improve, enhance and maintain their psychosocial adjustment to illness through increasing self efficacy. 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 Psychosocial Adjustment to Illness Scale (PAIS) and Cardiac Self Efficacy Questionnaire (CSEQ). Participants were reassessed 2-months and 3- months later. Results : 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 Psychosocial Adjustment to Illness through enhanced self efficacy. Conclusion : The Chronic Disease Self management Rehabilitation Program and Tele-health improved the self efficacy of cardiac patients which then enhanced and maintained their Psychosocial Adjustment to Illness.