Effect of Social-Platform Educational Instructions on Self-Efficacy and SelfEsteem of Patients with Coronary Artery Diseases

Document Type : Original Article

Authors

1 Lecature in Medical Surgical Nursing, Faculty of Nursing, Port-Said University, Egypt

2 Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Damanhur University, Egypt

3 Lecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Port- Said University

4 Lecturer in Medical Surgical Nursing, Faculty of Nursing, Mansoura University

5 Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Port-Said University, Egypt

Abstract

Background: The main cause of mortality in the developed world is coronary artery disease. Low
self-efficacy and self-esteem are associated with it. Self-efficacy is a critical, adjustable personal
resource that influences rehabilitation adherence and disease outcomes including health-related
quality of life in persons with cardiovascular disease. Aim: This study was aimed to determine the
effect of social-platform educational instructions on self-efficacy and self-esteem of patients with
coronary artery diseases. Subjects and method: Design: A quasi-experimental research design was
utilized. Setting: The study was applied in the cardiology unit and outpatients’ clinics at Port-Said
University Hospital. Subjects: A Purposive sample of (80) adult patients diagnosed with coronary
artery disease. Participants were equally and randomly allocated to an intervention and a control
group, (40) patients for each one. Tools for data collection: Tool (1) a structured interviewing
questionnaire, Tool (2) cardiac self-efficacy scale, Tool (3) cardiac exercise self-efficacy scale, Tool
(4) Coopersmith Self-Esteem Inventory, and Tool (5) adult patients' satisfaction with social
platform educational instructions. Results: The study result portrays that (82.5%) of the study group
and (72.5%) of the control group were of the same age from 30- ≤ 60 groups with a mean age
(45.21 ± 7.02) (46.61 ± 10.43) respectively. The majority of the patients in the study group had
satisfactory knowledge levels, and had high cardiac self-efficacy, self-esteem, and practice exercise
self-efficacy post-social-platform educational instructions implementation. The mean score of self
efficacy in the intervention group significantly increased across the two measurement time points as
well as self-esteem, while it remained significantly unchanged in the control group. Conclusion:
Regarding knowledge, cardiac self-efficacy, cardiac exercise self-efficacy post, and after two
months of social-platform educational instructions, there was a statistically significant difference
between the study and control groups. Social-platform educational instructions were effective and
significantly improved adult patients' knowledge, self-efficacy, and self-esteem.
Recommendations: We recommend interventions to improve patient's compliance with treatment
should be encouraged. Therefore, nurses can use this strategy to improve these patients’ self
efficacy and self-esteem. 

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