Effects of an E-Learning Education Program on Knowledge and Practices of Elective Cardiac Surgery Patients
Keywords:
education program, e-learning, knowledge, practice, cardiac surgeryAbstract
The purposes of this quasi-experimental research were to study the effects of an e-learning education program on the knowledge and practices of patients awaiting cardiac surgery at a tertiary hospital. The sample was composed of 99 patients; the control group consisted of 49 patients and the experimental group of 50 patients. The control group received conventional care, while the experimental group received self-directed e-learning educational program videos with comprehensive pre- and post-operative practical information for improving recovery during hospitalization. Data were collected using pre- and post-program questionnaires, as well as a post-operative practice questionnaire administered after 5 days. All research instruments in this study were validated for content by three experts. Data were analyzed by using mean, standard deviation, and independent t-test to test the difference between groups.
This study revealed that the mean scores for knowledge and for post-operative practices after 5 days for the experimental group were significantly higher than those of the control group (p < .001). The results recommended that a comprehensive self-directed e-learning education program be delivered using video to successfully enhance knowledge and practices.
References
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/cardiovascular-diseases-(cvds).
Epidemiology Division, Department of Disease Control, Ministry of Public Health. Coronary artery disease (CAD) in 2019 [Internet]. Nonthaburi: Epidemiology Division, Ministry of Public Health; 2019 [cited 2019 Jun 1]. 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)
Chaiyaroj S. Coronary artery bypass graft surgery: CABG. In: Chaiyaroj S, editor. Essentials in cardiothoracic surgery. Bangkok: The Society of Thoracic Surgeons of Thailand; 2010. p. 141-3. (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. Nursing Science Journal of Thailand 2016;34(1):17-26. (in Thai)
ReBRAIN Specialized Physical Therapist Team. How is self- preparation for pre- & post- operative for cardiac surgery [Internet]. 2021 [cited 2021 Oct 9]. Available from: https://www.rebrain-physio.com/ผ่าตัดหัวใจ/. (in Thai)
Srison P, Hachuck W, Ratchapakdee P, Uppasarn W. Health literacy and self-care behavior among post valvular heart surgery patients. Journal of Nurses Association of Thailand Northern Office 2019;25(1):1-13. (in Thai)
Kunnahong Y, Ua-kit N. The effect of preparatory information program on anxiety in patients undergoing open heart surgery. Kuakarun Journal of Nursing 2021;28(1):20-32. (in Thai).
Bandura A. Self- efficacy: the exercise of control. New York: W.H. Freeman; 1997.
Ruggeri K, Farrington C, Brayne C. A global model for effective use and evaluation of e-learning in health. Telemed J E Health 2013;19(4):312-21. doi: 10.1089/tmj.2012.0175.
Dupont WD, Plummer WD, Jr. PS: Power and sample size calculation 3.1.2 [Internet]. 2018 [cited 2021 Jun 5]. Available from: https://biostat.app.vumc.org/wiki/Main/PowerSampleSize.
Asdornwised U. The nursing care of patients with coronary artery bypass graft. In: Asdornwised U, editor. The important issue in surgical nursing, Vol. 2. Bangkok: Wattana Printing; 2011. p. 21-32. (in Thai)
Bamroonsuk V. Process of cardiac rehabilitation. In: Bamroonsuk V, editor. Cardiac rehabilitation: coronary artery disease. Bangkok: L.T. Press; 2005. p. 68-75. (in Thai)
Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika 1951;16:297-334.
Phaenthong J. Reliability of questionnaire [Internet]. 2019 [cited 2019 Mar 17]. Available from: https://krujakkrapong.com/หาความเชื่อมั่นของแบบส/. (in Thai)
Jungul S, Charoensuk K. The effect of instruction in pre opened heart patients by Video Compact Disc on knowledge regarding health practice and anxiety level. Nursing Journal of The Ministry of Public Health 2015;25(1):157-66. (in Thai)
Scott KM, Baur L, Barrett J. Evidence-based principles for using technology-enhanced learning in the continuing professional development of health professionals. J Contin Educ Health Prof 2017:37(1):61-6. doi: 10.1097/CEA.0000000000000146.
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;10(1): 6255-64. doi: 10.19082/6255.
McLaughlin PA. Development and evaluation of preoperative teaching materials for CABG/Valve surgery patients. J Dr Nurs Pract 2019;12(1):73-92. doi: 10.1891/2380-9418.12.1.73.
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;13:1591-7. doi: 10.2147/COPD.S157967.
Waite I, Deshpande R, Baghai M, Massey T, Wendler O, Greenwood S. Home-based preoperative rehabilitation (prehab) to improve physical function and reduce hospital length of stay for frail patients undergoing coronary artery bypass graft and valve surgery. J Cardiothorac Surg 2017;12(1):91. doi: 10.1186/s13019-017-0655-8.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Srisavarindhira Thai Red Cross Institute of Nursing
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
เนื้อหาบทความหรือข้อคิดเห็นต่างๆ ในวารสารพยาบาลสภากาชาดไทยนี้ เป็นความคิดเห็นของผู้เขียนบทความ ไม่ใช่ความเห็นของกองบรรณาธิการ หรือสถาบันการพยาบาลศรีสวรินทิรา สภากาชาดไทย