Self-care Behaviors In Patients Research Articles

Self-Care Management Behavior of Type 2 Diabetes Mellitus Patients in Indonesian Diabetes Association (Persadia) Depok City

<p class="AbstractContent"><strong>Objective:</strong> Type 2 diabetes mellitus (type 2 diabetes) is a chronic disease that requires long-term management throughout the life to prevent acute and chronic complications. Self-care is a fundamental and integral part of diabetes management. Social support obtained from family, health professionals, friends, or diabetic peers may predict good self-care behavior. The purpose of this study was to evaluate the self-care behavior of adult with type 2 DM in Persadia Depok.</p><p class="AbstractContent"><strong>Methods: </strong>This quantitative study used a cross-sectional design. A consecutive sample of 52 subjects with type 2 DM who joined in Persadia Depok was included. The instrument used to measure self-care behavior is The Summary of Diabetes Self-Care Activities questionnaire</p><p class="AbstractContent"><strong>Results:</strong> The results showed that self-care behavior of participants in the last seven days is 4,4 days (Median 4.4, Minimal-Maximum 2.6-5.4, 95% CI 4.1-4.5). Self-care was described as “good” in only half of the participant (50%). Self-care behavior was reported good in diet, physical exercise, and taking medication, but it was poor in self-monitoring of blood glucose (SMBG) and foot care.<strong></strong></p><p><strong>Conclusion: </strong>This study recommended that nurses should enhance education and support to improve patient self-care behaviors especially SMBG and foot care.</p><p class="AbstractContent"><strong> </strong></p><p><strong>Keywords: </strong>Colon cancer, deep breathing, early mobilization, effective coughing, preoperative education.</p>

The association of illness perceptions and God locus of health control with self-care behaviours in patients with type 2 diabetes in Saudi Arabia

ABSTRACT Objective: To investigate the associations between illness perceptions, God locus of health control (GLHC) beliefs, and self-care behaviours in Saudi patients with type 2 diabetes (T2D). Design: A cross-sectional study was conducted with 115 adults with T2D in a Saudi Arabian diabetes clinic. Illness perceptions, GLHC beliefs, and self-care behaviours were assessed using the Arabic versions of the Brief Illness Perception Questionnaire, God Locus of Health Control, and Summary of Diabetes Self-Care Activities. Logistic and linear regressions were conducted. Results: Greater perceptions of personal control (OR = 2.07, p = .045) and diet effectiveness (OR = 2.73, p = .037) were associated with higher odds of adhering to general diet. Greater perceptions of diet effectiveness (β = 0.27, p = .034) and better understanding of T2D (β = 0.54, p < .001) were significant independent predictors of fruit and vegetables intake and exercise respectively. Patients with lower GLHC beliefs (OR = 4.40, p = .004) had higher odds of adhering to foot care than those with higher GLHC beliefs. Illness perceptions and GLHC beliefs did not predict adherence to a low-fat diet, self-monitoring of blood glucose, or not smoking. Conclusion: Greater perceptions of personal control, coherence, diet effectiveness, and lower GLHC beliefs were associated with higher adherence to self-care behaviours in Saudi patients with T2D. Interventions designed to promote self-care behaviours in Saudi patients with T2D could focus on addressing these perceptions.

Educational intervention for improving self-care behaviors in patients with heart failure: A narrative review

Heart failure is one of the most common cardiovascular disorders, and as a chronic and progressive disorder, it can disrupt with interpersonal and social relationships, reduce physical activity, and in fact, impair self-care. Therefore, it is necessary to improve the self-care behavior of the patients with heart failure with effective interventions. There are several ways to improve self-care behavior, and educational interventions are one of these methods. Review of educational interventions causes promotion in self-care behaviors of patients with heart failure. The aim of this study was reviewing the educational intervention for improving self-care behaviors in patients with heart failure. The present study is a narrative review study that uses a search in databases such as Google Scholar, Cochrane, Science Direct, ProQuest, Springer, SID, Magiran, IranMedex, Web of science, Scopus, and PubMed from 2000 to 2018. Search for articles using Keywords: heart failure, self care, education and training. All articles with educational intervention and clinical trial in Persian and English and articles with full-text of individual or group training in the database of internal and library were included in the study, and unrelated articles with just abstract were excluded from the study. Seventy-one articles were finally included, after removing repetitive and nonrelated items. Initially 340 articles were obtained and after reviewing the articles for inclusion criteria, finally 71 articles were included in the study. Educational interventions were divided into four groups: face-to-face teach-back training and home visitation by follow-up phone call, group training, and e-learning. The results of this study showed that four abovementioned educational methods significantly improved self-care behaviors in patients with heart failure. According to the findings of this study, it is recommended to improve self-care behaviors in patients with heart failure Based on the findings of the study, it is recommended to use one-to-one face-to-face, teach back, home visits with telephone follow-up, group training, and e-learning to improve self-care behaviors in patients with heart failure.

Determinants of self-care behaviors in patients with knee osteoarthritis based on the theory of planned behavior in Iran

Introduction: Knee osteoarthritis (OA) is one of the most prevailing causes of knee joint pains depending on age and one of the main reasons for functional deficiency. As patients are in need of effective self-care plans in promoting health, so that, this study was conducted with an aim to study the determinants of self-care behaviors in the patients with knee OA referring to clinical centers of Yazd city based on theory of planned behavior (TPB). Methods: The cross-sectional study was performed on 235 patients who referred to the health-care centers of Yazd city. A questionnaire was developed and used to collect the data based on TPB constructs. Data were analyzed using SPSS 18 software and by the statistical tests of correlative coefficient, Chi-square, and linear regression at 0.05 significance level. Results: This study was conducted on 235 patients. Based on the results of Pearson correlation test, the self-care behaviors of knee OA had a statistically significant positive correlation with all constructs of the TPB (P Conclusion: According to the results, the TPB can be suitable for explaining knee OA self-care behavior. Furthermore, recurrent training can be effective in promoting behavioral intention of patients in self-care.

Health Promoting Self-care Behaviors in Patients With Multiple Sclerosis in the Southeast of Iran: Developing a Model for Practice.

Introduction:Promoting self-care practice, as a critical strategy for enhancing the quality of life in patients with Multiple Sclerosis (MS) is a challenging issue. This study aimed to propose a model of health-promoting self-care behaviors in MS patients.Methods:In this cross-sectional study, 200 patients with MS, who had referred to the Hospital for Special Diseases in Kerman City, Iran, were chosen. The main data collection instruments were the multiple sclerosis knowledge questionnaire, the Rosenberg self-esteem scale, multiple sclerosis self-efficacy scale, questionnaire of perceived barriers and benefits of self-care behaviors, social support, the health promotion lifestyle profile II, and resilience and sense of coherence scale. Data analysis was conducted in SPSS V. 22 and AMOS18 software. The Structural Equation Modeling (SEM) was also used for further analysis of dataResults:The model explained 82% of variance in Health-Promoting self-care Behavior (HPB). The results of the final model obtained from the SEM showed that self-efficacy (β=0.53, SE=0.04, P= 0.007), self-esteem (β=0.39, SE=0.04, P=0.005), social support (β=0.36, SE=0.04, P=0.009), sense of coherence (β=0.34, SE=0.07, P=0.006), resilience (β=0.33, SE=0.07, P=0.018), and perceived benefits (β=0.25, SE=0.05, P=0.009) had a positive and significant relationship with HPB.Conclusion:The self-care empowerment model in patients with MS presented in this study can be used as a framework for designing health promotion interventions to improve the quality of life of patients with MS.

Classification of physical activity in patients with heart failure categorized as New York Heart Association class I or II.

This study aimed that we were classification of physical activity in patients with heart failure categorized as New York Heart Association (NYHA) class I or II. We were a survey using a researcher- administered questionnaire, SF-8, the Specific Activity Scale (SAS), and the Scale to Measure Self-Care Behavior of Patients with Heart Disease. We included 70 patients who were treated in the Department of Cardiovascular Medicine at Hospital A. Regarding patient characteristics and clinical information after the cluster analysis, there were significant differences in the NYHA class (p = 0.001), BNP level (p = 0.012), self-management of medication adherence (p = 0.000), and exercise habits (p = 0.005). We summarized characteristics of each group as follows : Group A showed high tolerance to physical activity and near-perfect self-management; Group B showed moderate tolerance to physical activity but was not willing to commit to daily exercise and self-management; and Group C showed low tolerance to physical activity and often requested others to handle medication management. We needed that tolerance to physical activity and proposals for tailored instruction according to patient conditions, and needed that instructions tailored to the characteristics of heart failure patients in groups A-C. J. Med. Invest. 67 : 124-133, February, 2020.

Factors Influencing Self-Care Behaviors of Renal Dialysis Patients

Background: The purpose of this study was to analyze the relationship between self-care behaviors in renal dialysis patients and to provide the basic data for management of self-care behaviors. Methods: This study was conducted from December 1, 2015 to January 30, 2016 in 120 patients with chronic renal failure receiving dialysis treatment for 6 months or longer at a medical institution in B city. The collected data were analyzed using SPSS/WIN 21.0 program. Results: The self-care behaviors of the renal dialysis patients showed a statistically significant positive correlation with autonomous motivation (r=.33, p&amp;lt;.001), health provider’s support (r=.34, p&amp;lt;.001), and family support (r=.40, p&amp;lt;.001), a negative correlation with depression (r=-.31, p=.001). A stepwise regression analysis was performed to examine the factors affecting self-care behaviors in renal dialysis patients. Family support, depression and autonomous motivation were significant predictors of self-care behaviors in renal dialysis patients, and these variables accounted for 23.5% of self-care behaviors. Conclusions: This study was to find out the relationship between self-care behaviors related variables in renal dialysis patients and to provide basic data for management, maintenance, and promotion of self-care behaviors. Family support, depression and autonomous motivation of renal dialysis patients were most important variables related to self-care behaviors. Therefore, it is necessary to develop a plan that can intervene in depression in renal dialysis patients early and effectively to improve family support and subject’s autonomous motivation.

The impact of internet-based cognitive behavioral therapy and depressive symptoms on self-care behavior in patients with heart failure: A secondary analysis of a randomised controlled trial

BackgroundPatients with chronic heart failure may require treatment of depressive symptoms to improve self-care behaviour. ObjectivesTo investigate the impact of internet-based cognitive behavioral therapy (CBT) on self-care behaviour in heart failure patients, and to study the association between changes in depressive symptoms and changes in self-care behaviour. DesignA secondary analysis of data collected in a pilot randomized controlled study. Setting50 heart failure patients with depressive symptoms were recruited from four hospitals in Sweden. MethodsPatients were randomized to nine weeks of internet-based CBT (n = 25) or to an active control group participating in an online discussion forum (n = 25). In week two and three, those in the internet-based CBT group worked with psychoeducation about heart failure and depression, emphasizing heart failure self-care. During the same weeks those in the on-line discussion forum specifically discussed heart failure self-care. Patient Health Questionnaire-9 was used to measure depressive symptoms at baseline and at the nine-week follow-up. The European Heart Failure Self-care Behaviour Scale-9 was used to measure self-care behaviour (i.e., the summary score and the subscales autonomous based, provider based and consulting behaviour) at baseline, and at the three-week and nine-week follow-ups. ResultsNo significant differences were found in self-care between the patients in the internet-based CBT and the patients in the online discussion group at the three- and nine-week follow-up. Within-group analysis of the changes in the European Heart Failure Self-care Behaviour Scale showed that from baseline to week three, the summary score increased significantly for the online discussion group (p = 0.04), but not for the internet-based CBT group (p = 0.15). At the nine-week follow-up, these scores had decreased. Similarly, consulting behaviour improved at week three for the online discussion group (p = 0.04), but not for the internet-based CBT group (p = 0.22). Provider-based adherence at the nine-week follow-up had increased from baseline in the internet-based CBT group (p = 0.05) whereas it had decreased in the on-line discussion group. Improvement in symptoms of depression was significantly associated with improvement in autonomy-based self-care (r = 0.34, p = 0.03). ConclusionImprovement in depressive symptoms was associated with improved autonomous-based self-care. ICBT for depression in HF may benefit aspects of self-care that are vital to improve symptoms and prognosis.

Relationship Between Health-Promoting Lifestyle and Self-Care Behaviors in Patients With Heart Failure

Relationship Between Health-Promoting Lifestyle and Self-Care Behaviors in Patients With Heart Failure

The Relationship of Health Literacy and Adherence to Self-care Behaviors in Patients With Metabolic Syndrome

The Relationship of Health Literacy and Adherence to Self-care Behaviors in Patients With Metabolic Syndrome

Effectiveness of a Social Media-Based, Health Literacy-Sensitive Diabetes Self-Management Intervention: A Randomized Controlled Trial.

The purpose of the study was to evaluate the effects of a social media-based, health literacy-sensitive diabetes management intervention on patient activation, self-care behaviors, and glucose control compared to telephone-based, health literacy-sensitive diabetes management intervention and usual care. Additionally, this study aimed to identify how patient health literacy influenced the effectiveness of health literacy-sensitive diabetes management interventions. 3 (treatment condition) × 2 (health literacy level) randomized factorial trial. In total, 151 patients diagnosed with type 2 diabetes were randomly assigned to the social media-based or telephone-based, health literacy-sensitive diabetes management interventions or the usual care control. The health literacy-sensitive diabetes management intervention consisted of an initial face-to-face diabetes nurse education using easy-to-read educational materials, the teach-back method, and eight weekly action-planning sessions guided with the use of social media or phone calls for each group. Patients with high health literacy at the 9-week follow-up showed higher levels of patient activation than those with low health literacy in the control group, but the effect of health literacy was no longer significant when patients were provided with social media-based or telephone-based interventions. Patients who received the telephone-based, health literacy-sensitive diabetes management intervention had a significantly higher score for self-care behaviors than the usual care control group at 9 weeks' follow-up. No other effects for self-care behaviors or glycated hemoglobin were significant at follow-up. The social media-based, health literacy-sensitive diabetes management intervention was effective at mitigating the disadvantages faced by people with low health literacy when attempting to improve self-care activation. Social media-based self-management interventions accommodating low health literacy have the potential to help people overcome their disadvantages associated with low health literacy.

Randomized Controlled Trial on Effects of a Brief Clinical-Based Intervention Involving Planning Strategy on Self-Care Behaviors in Periodontal Patients in Dental Practice.

Background: Strengthening adherence to self-care behaviors in patients with periodontal disease (PD) and reducing the plaque index is crucial for improving PD treatment. We evaluated the effectiveness of a theory of planned behavior (TPB)-based health education intervention involving a planning strategy on self-care behaviors in patients with PD. Methods: A randomized controlled trial was conducted; 158 and 139 patients comprised the experimental group (EG) and control group (CG), respectively. Both groups received a leaflet, and the EG also received a planning intervention, which was a brief one-on-one counseling session with a planning sheet. Data were collected using a self-administered questionnaire. Results: Between-group comparisons of TPB measures revealed significant differences in all domains when controlling for baseline covariates. The EG exhibited significantly higher levels of action and coping planning than the CG at two-week follow-up (effect size (ES) = 5.54 and 5.57, respectively) and six-week follow-up (ES = 5.66 and 5.66, respectively). Between-group differences in changes of brushing behaviors increased significantly. More frequent use of dental floss was observed in the EG than in the CG at two-week and six-week follow-ups (24.7% and 22.8%, respectively). Conclusions: The intervention involving planning strategy effectively promoted adherence to self-care behaviors in patients with PD.

Identification of Psychological Factors Associated with Adherence to Self-Care Behaviors amongst Patients with Type 1 Diabetes.

Purpose To explore the factors involved in adherence to self-care behaviors in patients with type 1 diabetes. Materials and Methods Patients with type 1 diabetes (age range: 14-71 years) were invited to participate at seven Spanish hospitals. They completed a dossier which recorded sociodemographic and clinical variables and also measured personality variables, emotional state, beliefs, and concerns regarding the illness, by means of questionnaires. Results A total of 428 patients with type 1 diabetes were included (58% women, age 36 (11.8) years, diabetes duration 18.3 (10.2) years, HbA1c 7.9 +/-1.3%). A total of 60.1% of patients found it difficult to follow the treatment recommendations for the care of their disease. The reasons given were mood (25.2%), lack of motivation (13.4%), work (12%), and economic difficulties (3.8%). Other personal reasons were reported by 5.7%. Motivation, training in diabetes management, importance the patient attributed to the disease, and self-efficacy were the variables that predicted adherence to self-care behaviors, together accounting for 32% of its variance. Anxiety and depression were highly prevalent in this study population (57.1% and 23.1%, respectively) and were associated with lower adherence. Conclusion In the present study assessing patients with type 1 diabetes, motivation, training in diabetes management, beliefs regarding the disease, and self-efficacy were the main contributors to adherence to self-care behaviors. On the other hand, anxiety and depression were highly prevalent and associated with lower adherence. Thus, supplementing therapeutic education with strategies designed to raise levels of motivation, discussion of beliefs about the disease, and encouragement of self-efficacy might be a useful way to increase patient involvement in self-care.

The Impact of Self-care Education Based on Orem's Model on Self-care Behaviors of Patients with β-Thalassemia Major: A Clinical Trial

Background: Thalassemia negatively affects key aspects of life and self-care behaviors. It is essential to promote self-care behaviors in patients with thalassemia in order to improve their functions and mitigate adverse effects. Objectives: In this context, the present study aimed to investigate the effects of self-care education on self-care behaviors of patients with major β-thalassemia based on Orem’s model. Methods: This clinical trial investigated 60 patients with major β-thalassemia who had been admitted to Razi Hospital in Saravan, southeast of Iran, in 2017. The subjects were selected and randomly allocated to the control and experimental groups. A demographic questionnaire and a researcher-made self-care scale were used to gather data. The experimental group received individual- and group-training for 5 sessions of 30 to 45 minutes, while the control group was presented with routine instructions. After one month, the questionnaires were completed again and the data were analyzed in SPSS 23 using chi-square test and independent t-test. Results: The results of this study showed that administering the self-care program enhanced three aspects of self-care, including mental health, physical activities, and therapeutic measures in patients with major β-thalassemia, but no improvement was observed in terms of nutrition after the intervention (P = 0.28). Conclusions: It is promising to undertake self-care interventions to improve self-care behaviors of patients with major β-thalassemia.

Implications of we-talk for relationships and health among patients with type 1 diabetes and their spouses

We-talk (first-person plural pronoun usage) is frequently used to represent the degree to which a person views an illness as shared within a couple. There is evidence that we-talk is related to good relationship and health. However, research has failed to examine the implications of we-talk for spouses and the interpersonal mechanisms that underlie relational and health benefits. To address these limitations, we investigated the association of we-talk to relationship and health among 199 couples in which one person had type 1 diabetes. We-talk was assessed in the context of a brief coping interview with patients and spouses separately. Patients reported their perceptions of their spouse’s behavior over the past month. Actor–partner interdependence, regression, and bootstrap models showed that patient we-talk was unrelated to patient and spouse well-being, but greater spouse we-talk was associated with higher patient relationship satisfaction, higher patient self-efficacy, and better patient self-care behavior. For spouses, greater spouse we-talk also was associated with higher relationship satisfaction, lower stress, and fewer depressive symptoms. Mediational analyses showed that patients’ perceptions of spouses’ greater emotional support and fewer critical behaviors partially accounted for these associations. Spouse we-talk may be more important than patient we-talk because it signifies that spouses are involved in helping with diabetes management, namely by providing emotional support and refraining from criticizing the patient.

Knowledge, Family and Social Support, Self Efficacy and Self-Care Behaviour in Pulmonary Tuberculosis Patients

Tuberculosis is a disease that requires lengthy treatment. Knowledge of tuberculosis as well as family and social support are considered as important components of efficacy decisions. This study was conducted to analyse the relationship between knowledge, family and social support and self-efficacy and self-care behaviour in patients with pulmonary tuberculosis. The research used a cross sectional design. The population were 77 people and 65 respondents were obtained using a purposive sampling technique. Instruments used were knowledge, family support, social support, self-efficacy and self-care behaviour questionnaires. The data analysis method used was the Spearman rho test with a significance value of ??0.05. There were significant correlations between knowledge (p=0.003) and family support (p=0.000) and self-efficacy. There was no correlation between social support (p=0.106) and self-efficacy. There was a correlation between knowledge (p=0.048), family support (p=0.036) and social support (p=0.022) and self-care behaviour. There was a relationship between knowledge and family support and self-efficacy, whereas social support had no relationship with self-efficacy. There was a relationship between knowledge, family support and social support and self-care behaviour. Future researchers are expected to be able to design quasi experimental research to determine cultural differences (habits) in patients with pulmonary tuberculosis

Effect of Self-Care Education Designed Based on Bandura’s Self-efficacy Model on Patients with Hypertension: A Randomized Clinical Trial

Background: Self-care in patients with hypertension can be improved through education and implementation of learning theories. Aim: The present study aimed to determine the effect of educating self-care in patients with hypertension through the implementation of Bandura’s self-efficacy model. Method: A randomized controlled clinical trial was conducted on 60 patients with hypertension who visited a randomly selected group of health centers in Mashhad, Iran, during 2017. The intervention group participated in a self-efficacy training program designed based on the self-efficacy theory in the form of four 45-minute weekly sessions. The control group received the routine treatment provided by community health centers. Self-care was measured with the questionnaire of self-care in patients with hypertension at three stages of before the intervention, immediately after the intervention, and one month later. Data were analyzed in SPSS (version 16) software using repeated measures ANOVA. Results: The mean ages were reported at 62.0±6.9 and 59.3±9.2 in the intervention and control groups, respectively. The repeated measures ANOVA showed significant differences between the two groups after the intervention in terms of adherence to medication regimen (P=0.004), engagement in physical activity (P=0.002), adherence to weight management goals (P=0.006). Significant differences were observed between the two groups in terms of their total self-care score immediately after the intervention and one month later (P=0.002). Implications for Practice: The use of Bandura’s self-efficacy theory can improve the self-care in patients with hypertension. Therefore, it is recommended to conduct further studies to examine the long-term effects of training programs based on this theory on the self-care behaviors of patients with hypertension.

Effect of A Mobile-Phone Mediated Based Education on Self-Care Behaviors of Patients With Thalassemia Major.

Introduction: One way to improve the quality of life of the patients with thalassemia major is to enable them through education. The present research aimed to explore the effects of an educational intervention through mobile phones on self-care behaviors of the patients with thalassemia majorMethods: In this quasi experimental study, which was done from May to January in 2017, 91 patients were enrolled who were suffering from thalassemia major.The census sampling method was performed with random allocation of interventional and control groups. Educational intervention was only applied to the intervention group. The study instrument was a questionnaire which was filled out by the patients before and two months after the educational intervention. For data analysis, statistical tests including independent samples t-test, paired-samples t-test, Mann-Whitney test and Wilcoxon test, were used through SPSS ver.13 software.Results: Prior to the intervention, the mean scores of knowledge, attitude and self-care behaviors were not significantly different between the intervention and control groups. After the intervention, , however, there was a statistically significant increase in the aforementioned scores in the intervention group, but there was no statistically significant increase in scores of the control group.Conclusion: The present findings showed the positive effect of the mobile-phone mediated education on knowledge, attitude and self-care behaviors of the patients with thalassemia major. Therefore, the use of mobile phone is recommended as an effective way of transferring instructional material as related to self-care to patients with thalassemia major particularly when access to them is limited.

Effectiveness of avatar-based technology in patient education for improving chronic disease knowledge and self-care behavior: a systematic review.

The objective of the review was to examine the effectiveness of patient education using avatar-based technology on knowledge and self-care behaviors in patients with chronic disease. Chronic disease is a major global problem. Patients with chronic disease who engage in self-care and self-management of their illnesses have better health outcomes and fewer hospitalizations and complications. Currently, information and communication technologies are used to support self-care and improve health outcomes. Within the body of literature, research into avatar-based technology for patient education is growing rapidly. To date, the evidence has not been systematically reviewed to determine the effectiveness of patient education using avatar-based technology on patients' knowledge and self-care behaviors in chronic disease. This review included studies of children and adults who have received avatar-based patient education interventions. The comparator was usual care or other forms of educational programs. The outcomes were knowledge, self-care behavior, self-efficacy, health-related quality of life, readmission and medication adherence. Experimental designs were eligible, including non-randomized controlled trials, and quasi-experimental, prospective and retrospective before and after studies. Seven databases, including MEDLINE, CINAHL, PsycINFO, Cochrane Central Register of Controlled Trials, ProQuest, Web of Science, Scopus and three other trial registries, including the World Health Organization (WHO), ClinicalTrials.gov and Australian New Zealand Clinical Trials Registry, were systematically searched for studies published between January 2005 and March 2017. Papers selected for retrieval were assessed by two independent reviewers for methodological validity prior to inclusion in the review using the standardized critical appraisal instrument from the Joanna Briggs Institute System for the Unified Management Assessment and Review of Information (JBI SUMARI). Data extracted from papers included specific details about the interventions, populations, study methods and outcomes significant to the review question and specific objectives using the standardized data extraction tool from JBI SUMARI. Due to heterogeneity among the included studies, statistical pooling and meta-analysis were not possible. The results were tabulated, and the data narratively synthesized. Nine publications from eight studies were included in this review (n = 752). Three out of the eight studies were randomized controlled trials and five were non-randomized experimental studies. The overall quality of the included studies was moderate. There was a low risk of bias for the randomized controlled trial studies and moderate risk of bias for the quasi-experimental studies. Four of the eight studies showed that patients who participated in avatar-based education had a statistically significant improvement in knowledge (p < 0.05). Three studies showed improvement in behaviors and self-efficacy. Only three of eight studies examined health-related quality of life and adherence to medication, but the results were not statistically significant (p > 0.05). No studies identified the effectiveness of avatar-based patient education on readmission. Avatar-based technology in patient education can have a positive effect on a wide range of healthcare outcomes. The intervention can improve knowledge, self-care behaviors and self-efficacy in patients with chronic diseases. However, there is limited evidence of improvement in health-related quality of life and adherence to medication, and no available research on readmission.

اثربخشی مذل مراقبت پیگیر بر رفتارهای خود مراقبتی بیماران مبتال به انفارکتوس میوکارد: یک مطالعه کارآزمایی بالینی تصادفیشذه

اثربخشی مذل مراقبت پیگیر بر رفتارهای خود مراقبتی بیماران مبتال به انفارکتوس میوکارد: یک مطالعه کارآزمایی بالینی تصادفیشذه