Key result
A continuous care program significantly increased self-efficacy compared to routine care in patients with an implantable cardioverter defibrillator (p < 0.001).
Why the study?
Despite life-preserving benefits, patients with an implantable cardioverter defibrillator experience adverse physical, psychological, and social consequences, prompting investigation into continuous care effects on self-efficacy.
Does a continuous care program improve self-efficacy in patients with an implantable cardioverter defibrillator?
RCT (n=80)
randomly assigned
No
Does a continuous care program improve self-efficacy in patients with an implantable cardioverter defibrillator?
A continuous care program significantly improves self-efficacy in patients receiving an implantable cardioverter defibrillator compared to routine care.
Answers are grounded in this paper and cite their sources.
Supports integrating continuous care into post-ICD follow-up; provides RCT evidence for enhancing self-efficacy in device patients.
Background: The majority of cardiac disorders resulting from ventricular dysrhythmias are fatal. The Implantable Cardioverter Defibrillator (ICD) is one of the most common treatments of ventricular dysrhythmias. Despite the benefits of ICD in preserving life, patients with ICD experience adverse physical, psychological, and social consequences. This study investigated the effects of the continuous care program on self-efficacy in patients with ICD. Materials and Methods: The present study was a randomized clinical trial. Based on the inclusion criteria, 80 patients attending an educational cardiovascular center in Tehran during 2017–2018, were randomly assigned to two intervention and control groups (40 in each). The intervention included the continuous care program, an educational session, and a follow-up program undertaken for the patients receiving the ICD. The control group received routine care. Self-efficacy was then measured by ICD (SE-ICD and OE-ICD) questionnaires and compared between the two groups. Results: The results showed no difference between the two groups before the intervention ( p > 0.05). However, there was a significant difference in the mean self-efficacy score between the two groups after the intervention, being significantly higher in the intervention group (t 77 = 4.9, p < 0.001). Conclusions: The results of the present study indicated that providing a continuous care program can increase self-efficacy in patients with ICD and can be used as an effective model in the nursing care of patients with ICD.
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Khani et al. (2023) conducted an RCT in Implantable Cardioverter Defibrillator (ICD) (n=80). Continuous care program vs. Routine care was evaluated on Self-efficacy (p=<0.001). A continuous care program significantly increased self-efficacy compared to routine care in patients with an implantable cardioverter defibrillator (p < 0.001).
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