Volume 9, Issue 1 (Winter 2023)                   JCCNC 2023, 9(1): 69-78 | Back to browse issues page


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1- Department of Pediatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
3- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
4- Social Research Center, Karaj Municipality, Karaj, Iran.
5- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. , sabetifa@yahoo.com
Abstract:   (1396 Views)
Background: Self-care of adolescents with congenital heart disease (CHD) is one of the challenges of the health care system. CHD is a common chronic disease that affects the quality of life (QoL) and self-efficacy of adolescents. This study compares the effectiveness of self-care education by face-to-face method and video clip (VC) on self-efficacy and QoL in late adolescents with CHD.
Methods: This research was a non-randomized clinical trial. A total of 111 late adolescents aged 18 to 21 years with CHD referred to Rajaie Cardiovascular, Medical, and Research Center in Tehran, Iran, were recruited by convenience sampling and non-randomly assigned to either control, face-to-face (F2F), or VC groups (37 subjects in each group). The F2F group participated in two educational sessions (each lasted 35-45 minutes) with an interval of one week, and the VC group received a 90-minute video to watch at home. The study data were collected before (T1) and two months after the intervention (T2), using the Generalized Self-Efficacy (GSE) scale and World Health Organization’s Quality of Life Questionnaire (WHOQOL-BREF) and analyzed in SPSS version 19 software using the Chi-square test, Fisher test, paired t test, Scheffé test, and ANOVA. The significance level was set at P<0.05.
Results: Before the intervention, demographic variables, self-efficacy, and QoL were not significantly different in the three groups. The self-efficacy significantly increased in the F2F (P<0.004) and VC groups (P<0.031) at T2. Furthermore, QoL dimensions significantly improved in the F2F and VC groups (P<0.05), except for the environment dimension (P>0.05).
Conclusion: Self-care education through F2F and VC significantly affects the self-efficacy and QoL of late adolescents. Such educational programs can greatly reduce the possible complications of the disease by empowering this group.
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Type of Study: Research | Subject: Special
Received: 2022/09/13 | Accepted: 2022/10/25 | Published: 2023/01/10

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