Impacto de un programa de enfermería de atención domiciliaria basado en aplicaciones móviles en la calidad de vida de los pacientes y la carga familiar

Abstract

ObjectiveThis study aims to identify the effectiveness of a mobile application-based home care nursing service in improving patient quality of life and healthy lifestyle and reducing the family burden. MethodsThis study was a clinical trial with a pre- and post-test control group design. The accessible population in this study was post-discharge patients from general hospitals in West Kalimantan and East Kalimantan, Indonesia, who required home care nursing. We allocated a selected sample of 40 people to the intervention group and 40 people to the control group using a randomized block design. We gave mobile application-based home care nursing to the intervention group and community health nursing care to the control group. This study was conducted in 10 months (January-October 2022). We measure the patient quality of life, healthy lifestyle, and family burden before and 3 months after the intervention. ResultsThere was no significant difference in the post-test quality of life between the two groups (P=.187), but there was a significant difference in the psychological (P=.014) and environmental health (P=.021) domain of quality of life. There was no significant difference in the post-test of a healthy lifestyle between the two groups (P=.083). There was a significant difference in the post-test family burden between the two groups (P=.015). ConclusionMobile Application-Based Home Care Nursing is effective in improving patient quality of life in the psychological and environmental health domains and reducing the family burden for post-discharge patients.