Phase I cardiac rehabilitation training using augmented reality significantly improved cardiovascular management self-efficacy compared to routine care in patients undergoing coronary artery bypass grafting.
RCT (n=60)
Single-blind (outcome assessors and statisticians)
Random sequence generated by SPSS software
No
Does phase I cardiac rehabilitation training based on augmented reality improve cardiovascular management self-efficacy in patients undergoing coronary artery bypass graft surgery?
Phase I cardiac rehabilitation training using augmented reality significantly improves cardiovascular management self-efficacy in patients undergoing coronary artery bypass graft surgery compared to routine face-to-face training.
Standardized Mean Difference: 0.91
Absolute Event Rate: 28.4% vs 24.9%
p-value: p=<0.001
BACKGROUND: Open-heart surgery is considered one of the primary treatments for severe coronary artery stenosis, but it comes with its own set of complications. However, these complications can be reduced through the implementation of proper cardiac rehabilitation during phase I. This study aimed to examine the impact of phase I cardiac rehabilitation training, using augmented reality, on the self-efficacy of cardiac management in patients undergoing coronary artery bypass grafting. METHODOLOGY: This randomized clinical trial study involved 60 patients who were admitted to the Cardiac Surgery Intensive Care Unit at Ghaem Hospital in Mashhad. The software used in this study consisted of various videos and educational images demonstrating physical exercises for cardiac rehabilitation. The software was developed to train the patients in the intervention group on the rehabilitation program, starting from their admission to the Intensive Care Unit until their discharge from the hospital. The collected data were analyzed using statistical tests such as independent t-test, Mann-Whitney test, paired t-test, chi-square test, as well as descriptive indicators. Cohen's d was also used to evaluate the magnitude of the effect size. RESULTS: The findings of this study revealed that the total mean score for cardiovascular management self-efficacy significantly increased during the transfer to the Intensive Care Unit and at the time of discharge. Notably, the increase observed in the intervention group was significantly greater than that of the control group (P < 0.001). CONCLUSION: The results of this study indicated that implementing early rehabilitation programs, using innovative educational technology like augmented reality, enhanced the self-efficacy of patients undergoing coronary artery bypass grafting. These findings suggest that such programs can be effectively employed as educational tools throughout different stages of cardiac rehabilitation. TRIAL REGISTRATION: This study was registered in the Iranian Registry of Clinical Trials (no. IRCT20200203046361N1) on 16/02/2020.
Moghaddam et al. (Fri,) conducted a rct in Coronary artery bypass graft surgery (n=60). Phase I cardiac rehabilitation training based on augmented reality vs. Routine rehabilitation training method (face-to-face) was evaluated on Cardiovascular management self-efficacy total score at transfer to ICU (Cohen's d 0.91, p=<0.001). Phase I cardiac rehabilitation training using augmented reality significantly improved cardiovascular management self-efficacy compared to routine care in patients undergoing coronary artery bypass grafting.