{"title":"网络教育对心力衰竭患者自我效能感和自我照顾能力的影响。","authors":"Ratih Arum Vatmasari, Kuswantoro Rusca Putra, Heni Windarwati","doi":"10.4103/ijnmr.ijnmr_404_22","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Self-care prevents rehospitalization and reduces mortality from heart failure. The self-care of heart failure patients is influenced by their sense of self-efficacy. Traditional educational methods are time-consuming, require patients to meet with health experts, and frequently cannot be accessed remotely. A web-based educational platform might be one of the innovations included in the development of health education for people with heart failure. The aim of this study is to determine the effect of web-based education on self-efficacy and self-care ability in heart failure patients.</p><p><strong>Materials and methods: </strong>This study design is quasi-experimental. The study sample consisted of 80 individuals with heart failure with New York Heart Association (NYHA) II-IV classes and separated into two groups: the intervention group (n = 40) and the control group (n = 40). The sampling technique used in this study is consecutive sampling. Self-care is measured using the Self-Care Heart Failure Instrument version. A pre-test was administered before the intervention, and post-test and follow-up were administered two weeks after the intervention. The control group received information leaflets and the intervention group received web-based education.</p><p><strong>Results: </strong>The results showed that the main group effect was significant, indicating a significant increase self-care (F<sub>1,80</sub> = 2769, <i>p</i> < 0.001) and self-efficacy (F<sub>1,67</sub> = 1600, <i>p</i> < 0.001) in the intervention group after web-based education and two weeks follow-up.</p><p><strong>Conclusions: </strong>Web-based education is more effective in increasing self-efficacy and self-care abilities among heart failure patients. Providing education via a web-based platform in phases and continuously can promote healthy behaviors.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 1","pages":"53-60"},"PeriodicalIF":1.0000,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881965/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effect of Web-Based Education on Self-efficacy and Self-care Ability in Heart Failure Patients.\",\"authors\":\"Ratih Arum Vatmasari, Kuswantoro Rusca Putra, Heni Windarwati\",\"doi\":\"10.4103/ijnmr.ijnmr_404_22\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Self-care prevents rehospitalization and reduces mortality from heart failure. The self-care of heart failure patients is influenced by their sense of self-efficacy. Traditional educational methods are time-consuming, require patients to meet with health experts, and frequently cannot be accessed remotely. A web-based educational platform might be one of the innovations included in the development of health education for people with heart failure. The aim of this study is to determine the effect of web-based education on self-efficacy and self-care ability in heart failure patients.</p><p><strong>Materials and methods: </strong>This study design is quasi-experimental. The study sample consisted of 80 individuals with heart failure with New York Heart Association (NYHA) II-IV classes and separated into two groups: the intervention group (n = 40) and the control group (n = 40). The sampling technique used in this study is consecutive sampling. Self-care is measured using the Self-Care Heart Failure Instrument version. A pre-test was administered before the intervention, and post-test and follow-up were administered two weeks after the intervention. The control group received information leaflets and the intervention group received web-based education.</p><p><strong>Results: </strong>The results showed that the main group effect was significant, indicating a significant increase self-care (F<sub>1,80</sub> = 2769, <i>p</i> < 0.001) and self-efficacy (F<sub>1,67</sub> = 1600, <i>p</i> < 0.001) in the intervention group after web-based education and two weeks follow-up.</p><p><strong>Conclusions: </strong>Web-based education is more effective in increasing self-efficacy and self-care abilities among heart failure patients. Providing education via a web-based platform in phases and continuously can promote healthy behaviors.</p>\",\"PeriodicalId\":44816,\"journal\":{\"name\":\"Iranian Journal of Nursing and Midwifery Research\",\"volume\":\"30 1\",\"pages\":\"53-60\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2025-01-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881965/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Iranian Journal of Nursing and Midwifery Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/ijnmr.ijnmr_404_22\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Iranian Journal of Nursing and Midwifery Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/ijnmr.ijnmr_404_22","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
背景:自我保健可防止再次住院并降低心力衰竭的死亡率。心衰患者的自我效能感影响其自我护理。传统的教育方法耗时,需要患者与卫生专家会面,而且经常无法远程访问。基于网络的教育平台可能是发展心力衰竭患者健康教育的创新之一。本研究旨在探讨网络教育对心力衰竭患者自我效能感及自我照顾能力的影响。材料与方法:本研究设计为准实验设计。研究样本包括80例纽约心脏协会(NYHA) II-IV级心力衰竭患者,分为两组:干预组(n = 40)和对照组(n = 40)。本研究采用的抽样技术是连续抽样。自我护理使用自我护理心力衰竭仪器版本进行测量。干预前进行预测试,干预后两周进行后测试和随访。对照组接受信息单张,干预组接受网络教育。结果:结果显示,主组效应显著,干预组在网络教育和随访2周后,自我护理(F1,80 = 2769, p < 0.001)和自我效能感(F1,67 = 1600, p < 0.001)显著提高。结论:网络教育对提高心力衰竭患者的自我效能感和自我护理能力更有效。通过网络平台分阶段、持续地提供教育可以促进健康行为。
Effect of Web-Based Education on Self-efficacy and Self-care Ability in Heart Failure Patients.
Background: Self-care prevents rehospitalization and reduces mortality from heart failure. The self-care of heart failure patients is influenced by their sense of self-efficacy. Traditional educational methods are time-consuming, require patients to meet with health experts, and frequently cannot be accessed remotely. A web-based educational platform might be one of the innovations included in the development of health education for people with heart failure. The aim of this study is to determine the effect of web-based education on self-efficacy and self-care ability in heart failure patients.
Materials and methods: This study design is quasi-experimental. The study sample consisted of 80 individuals with heart failure with New York Heart Association (NYHA) II-IV classes and separated into two groups: the intervention group (n = 40) and the control group (n = 40). The sampling technique used in this study is consecutive sampling. Self-care is measured using the Self-Care Heart Failure Instrument version. A pre-test was administered before the intervention, and post-test and follow-up were administered two weeks after the intervention. The control group received information leaflets and the intervention group received web-based education.
Results: The results showed that the main group effect was significant, indicating a significant increase self-care (F1,80 = 2769, p < 0.001) and self-efficacy (F1,67 = 1600, p < 0.001) in the intervention group after web-based education and two weeks follow-up.
Conclusions: Web-based education is more effective in increasing self-efficacy and self-care abilities among heart failure patients. Providing education via a web-based platform in phases and continuously can promote healthy behaviors.