Effect Using of Applied Education Program to Self-Directed Learning via Internet on Knowledge and Self-Care Ability in Patients undergoing Coronary Artery Bypass Grafting

Main Article Content

Anutsara Mansin
Oratai Somnarin
Nopamas Khamsombat


A quasi-experimental research, the purposes of this research were to study the effects of education program to self-directed learning via internet on knowledge and self-care ability in patients undergoing coronary artery bypass grafting. The sample was composed of 99 patients who underwent Coronary Artery Bypass Grafting: CABG surgery for the first time. The first 49 patients were assigned into the control group, followed by 50 patients into the experimental group.  the experimental group received an education program delivered by video media via internet at the day appointed for a surgery and the 5th post- operative day before discharge. The video media was the comprehensive pre- and post-operative information enhancing recovery during hospitalization and at home. Data were collected by using the pre- and post-operative knowledge questionnaires, before and after self-directed learning via Internet for 2 weeks, 1-month post-operative self-care ability questionnaires. All research instruments were content validated by three experts. Data were analyzed by using mean, SD and independent t-test for test of the difference between groups. The study revealed that the pre-operative and pre-discharge knowledge after self-directed learning via internet mean scores, and the mean self-care ability scores at 1-month post-operative of the experimental group were significantly higher than those of the control group (p < .001). The results suggested that should be manipulated education program inform with video media and deliver to self-directed learning via internet, benefit for enhancing at pre- and post-operative knowledge, at 1-month post-operative self-care ability in patients undergoing coronary artery bypass grafting.


Download data is not yet available.

Article Details

How to Cite
Mansin อ, Somnarin อ, Khamsombat น. Effect Using of Applied Education Program to Self-Directed Learning via Internet on Knowledge and Self-Care Ability in Patients undergoing Coronary Artery Bypass Grafting. NJPH (วารสาร พ.ส.) [Internet]. 2022 Apr. 26 [cited 2022 Aug. 8];32(1):88-100. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/257444


World Health Organization. Cardiovascular diseases (CVDS) [Internet]. Geneva: WHO;2017 [cited 2017 May 17]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/cardiovas cular-diseases-(cvds).

Epidemiology Division, Department of Disease Control, Ministry of Public Health. [Internet]. Nonthabuli: Epidemiology Division, Ministry of Public Health; 2019 [cited 2019]. Coronary Artery Disease (CAD) in 2019. (2019). Available from: https://ddc.moph.go.th/uploads/files/1081120191227084415.pdf.(in Thai).

Department of Cardiovascular-Thoracic Surgery Outpatient, Rajavithi Hospital. The statistical number of cardiac patients who were underwent in cardiac surgery [copied document]. Bangkok, Rajavithi Hospital, 2018.(in Thai).

Chintapanyakun T, Ua-Kit N, Chaiyaroj S. Predicting factors of health status among patients after coronary artery bypass graft surgery. Thai Journal of Cardio-Thoracic Nursing. 2017;28(1):96-110.(in Thai).

Srikasem S. Discharge planning for patients after coronary artery bypass grafting surgery (CABG): application of transition theory. Thai Red Cross Nursing Journal. 2020;13(2):47-61.(in Thai).

Mansin A, lerdkittikulyotin S, Lerttraikul N, Asdornwised U, Thanakiatpinyo T, Tantiwongkosri K. The effect of education program on knowledge and self-care ability in patients undergoing coronary artery bypass grafting. Journal of Nursing Science, Mahidol University. 2016;34(1):17-26.(in Thai).

Ruggeri K, Farrington C, Brayne C. A global model for effective use and evaluation of e- learning in health. Telemed J E Health. 2013 Apr;19(4):312-21. doi:10.1089/tmj.2012.0175.

Bandura A. Self efficacy: The exercise of control. New York: W.H. Freeman and Company.1997.

Karen M Scott, Louise Baur, Jenny Barrett. Evidence-Based Principles for Using Technology-Enhanced Learning in the Continuing Professional Development of Health Professionals. Contin Educ Health Prof. Winter 2017;37(1):61-66. doi:10.1097/CEH.0000000000000146.

Curran V, Fleet L, Simmons K, Lannon H, Gustafson DL, Wang C, et al. Adoption and Use of Mobile Learning in Continuing Professional Development by Health and Human Services Professionals. J Contin Educ Health Prof. Spring 2019;39(2):76-85. doi: 10.1097/CEH.0000000000000243.

Mohsenipouya H, Majlessi F, Forooshani AR, Ghafari R. The effects of health promotion model-based educational program on self-care behaviors in patients undergoing coronary artery bypass grafting in Iran. Electron Physician. 2018 Jan 25;10(1):6255-6264. doi:10.19082/6255.eCollection 2018 Jan.

Zarani F, Besharat MA, Sadeghian S, Sarami G. The effectiveness of the information- motivation-be havioral skills model in promoting adherence in CABG patients. J Health Psychol. 2010;15(6):828-37.

Savci S, Degirmenci B, Saglam M, Arikan H, Inal-Ince D, Turan HN, et al. Short-term effects of in spiratory muscle training in coronary artery bypass graft surgery: a randomized controlled trial. Scand Cardiovasc J.2011;45(5):286-93.

Chen J-O, Liu J-F, Liu Y-Q, Chen Y-M, Tu M-L, Yu H-R, et al. Effectiveness of a perioperative pulmonary rehabilitation program following coronary artery bypass graft surgery in patients with and without COPD. Int J Chron Obstruct Pulmon Dis. 2018 May 16;13:1591-7. doi: 10.2147/COPD. S157967. eCollection 2018.

Almaskari AA, Noumani HA, Al-Omari K, Al-Maskari MA. Patients’ and nurses’ perceptions of post-coronary artery bypass graft learning needs in two Omani hospitals. Sultan Qaboos Univ Med J. 2019 May;19(2):e122-8. doi: 10.18295/squmj.2019.19.02.007.

Ma L, Deng L, Yu H. The effects of a comprehensive rehabilitation and intensive education program on anxiety, depression, quality of life, and major adverse cardiac and cerebrovascular events in unprotected left main coronary artery disease patients who underwent coronary artery bypass grafting. Ir J Med Sci. 2020; 189(2):477-88. doi: 10.1007/s11845-019-02129-x.