Evaluation of the Effect of Patient Education and Telephone Follow-Up on Self-Care, Self-Efficacy, and Admission Rate of Heart Patients with COVID-19

Fereshteh  Araghian Mojarad; Hamid  Salehiniya; Lotfollah  Davoodi; Masoumeh  Ghasemian; Nahid  Nazari; Abolfazl  Ebrahimzadeh; Kobra  Abdi

doi:10.18502/tbsrj.v4i3.10513

Fereshteh Araghian Mojarad Traditional and Complementary Medicine Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Hamid Salehiniya Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Lotfollah Davoodi Microbial Resistance Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Masoumeh Ghasemian Fatemeh Zahra Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
Nahid Nazari Fatemeh Zahra Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
Abolfazl Ebrahimzadeh Student Research Committee, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
Kobra Abdi Fatemeh Zahra Hospital, Mazandaran University of Medical Sciences, Sari, Iran.

DOI: https://doi.org/10.18502/tbsrj.v4i3.10513

Keywords: COVID-19; Education; Self-Care; Self-Efficacy; Telephone follow-up; Triage

Abstract

Introduction: Telephone follow-up is known for sharing information, providing health education, diagnosing complications quickly, managing symptoms, and providing quality aftercare services. The aim of this study was to investigate the effect of patient education and telephone follow-up on self-care and self-efficacy as well as readmission rate of heart patients with COVID-19.

Material and Methods: In this interventional study, 64 heart patients with COVID-19 admitted to a training center in northern Iran during the period from June 1 to September 22, in 2020 were intervened. Data collection tools included demographic and clinical questionnaires, Scherer self-care and self-efficacy questionnaires. After completing the questionnaires and teaching self-care about corona disease and heart disease to patients during six sessions over the phone (10-20 minutes), the researcher again completed the self-care and self-efficacy questionnaires on the fourteenth day. For data analysis, paired t-test and independent t-test were used using SPSS software version 21.

Results: The mean age of participants was 59.53±15.32. The results showed that the mean score of self- care after the intervention had a significant increase (P<0.001), so that the mean score of self- care before the intervention was 54 and after the intervention was 60.14, the mean score of self-efficacies after the intervention increased which is not statistically significant.

Conclusion: Education and follow-up of heart patients with COVID-19 is associated with increased self-care in patients every day. Therefore, follow-up programs, especially telephone follow-up, are recommended to improve the health status of patients.