The Utilizing Heart Failure Digital Education Media (HF-DEM) Intervention on the Quality of Life among Heart Failure Patients
Abstract
Introduction: Heart failure patient care has evolved to include a variety of methods and technology aimed at preventing recurrence and improving patients' quality of life. the use of digital media aims to improve the self-care ability of heart failure patients. Digital health technologies can improve patient participation through education, remote monitoring, and individualized care. Purpose: This study to identify the effect of Heart Failure Digital Education Media(HF-DEM) on the quality of life of heart failure patients at Dustira Hospital, Bandung-Indonesia. Method: Quantitative research quasi experiment approach type with pre post method. The population of this study were 63 patients with heart failure who underwent outpatient care with the criteria Patients who were diagnosed with heart failure for more than 2 years and had been treated at Dustira Hospital and were able to read and have a smartphone. Sample size are 30 respondents with purposive sampling technique and divided into 2 groups. Respondent in Intervention group was given the digital education namely Heart Failure Digital Education Media (HF-DEM) consisting Video and e-booklet and intervention was given 1 week. Result:The results showed that the quality of life of heart failure patients at Dustira Hospital before being given the intervention was 3 respondents (20%) had a moderate quality of life and 12 respondents (80%) had a poor quality of life and after being given the intervention as many as 13 respondents (87%) had a good quality of life and 2 respondents (13%) had a moderate quality of life. Statistical tests using Mann Withney obtained a p-value of 0.000 which indicates the effect of providing HF-DEM interventions on the quality of life of heart failure patients at Dustira Hospital. Discussion:After the HF-DEM intervention, there was an improvement in the patient's quality of life, this shows the effect of the intervention provided along with the improvement of the patient's Self Care.
Keywords:
Digital Media, Education, Heart Failure, Quality of Life
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References
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Baymot, A., Gela, D., & Bedada, T. (2022). Adherence to self-care recommendations and associated factors among adult heart failure patients in public hospitals, Addis Ababa, Ethiopia, 2021: cross-sectional study. BMC Cardiovascular Disorders, 22(1), 1-11. https://doi.org/10.1186/s12872-022-02717-3
Bhattad, P. B., & Pacifico, L. (2022). Empowering patients: promoting patient education and health literacy. Cureus, 14(7), 1-15. https://doi.org/10.7759/cureus.27336
Bozkurt, B., Coats, A. J. S., Tsutsui, H., Abdelhamid, C. M., Adamopoulos, S., Albert, N., Anker, S. D., Atherton, J., Böhm, M., Butler, J., Drazner, M. H., Michael Felker, G., Filippatos, G., Fiuzat, M., Fonarow, G. C., Gomez-Mesa, J. E., Heidenreich, P., Imamura, T., Jankowska, E. A., … Zieroth, S. (2021). Universal definition and classification of heart failure: a report of the Heart Failure Society of America, Heart Failure Association of the European Society of Cardiology, Japanese Heart Failure Society and Writing Committee of the Universal Definition o. European Journal of Heart Failure, 23(3), 352–380. https://doi.org/10.1002/ejhf.2115
Camp, N., Lewis, M., Hunter, K., Johnston, J., Zecca, M., Di Nuovo, A., & Magistro, D. (2021). Technology used to recognize activities of daily living in community-dwelling older adults. International Journal of Environmental Research and Public Health, 18(1), 1–18. https://doi.org/10.3390/ijerph18010163
Chen, H. M., Wang, S. T., Wu, S. J., Lee, C. S., Fetzer, S. J., & Tsai, L. M. (2020). Effects of predischarge patient education combined with postdischarge follow-ups on self-care, readmission, sleep, and depression in patients with heart failure. Journal of Nursing Research, 28(5), 1–11. https://doi.org/10.1097/JNR.0000000000000395
Comín-Colet, J., Martín Lorenzo, T., González-Domínguez, A., Oliva, J., & Jiménez Merino, S. (2020). Impact of non-cardiovascular comorbidities on the quality of life of patients with chronic heart failure: a scoping review. Health and quality of life outcomes, 18, 1-13. https://doi.org/10.1186/s12955-020-01566-y
Dessie, G., Burrowes, S., Mulugeta, H., Haile, D., Negess, A., Jara, D., ... & Khanam, R. (2021). Effect of a self-care educational intervention to improve self-care adherence among patients with chronic heart failure: a clustered randomized controlled trial in Northwest Ethiopia. BMC cardiovascular disorders, 21, 1-11. https://doi.org/10.1186/s12872-021-02170-8
Etminani, K., Tao Engström, A., Göransson, C., Sant’Anna, A., & Nowaczyk, S. (2020). How behavior change strategies are used to design digital interventions to improve medication adherence and blood pressure among patients with hypertension: systematic review. Journal of Medical Internet Research, 22(4), 1-18. https://doi.org/10.2196/17201
Fonseca, A. F., Lahoz, R., Proudfoot, C., Corda, S., Loefroth, E., Jackson, J., ... & Studer, R. (2021). Burden and quality of life among female and male patients with heart failure in Europe: a real-world cross-sectional study. Patient preference and adherence, 1693-1706. https://doi.org/10.2147/PPA.S312200
Gold, N., Yau, A., Rigby, B., Dyke, C., Remfry, E. A., & Chadborn, T. (2021). Effectiveness of digital interventions for reducing behavioral risks of cardiovascular disease in nonclinical adult populations: systematic review of reviews. Journal of medical Internet research, 23(5), 1-51. https://doi.org/10.2196/19688
Gulbrandsen, T. R., Gulbrandsen, M. T., O’Reilly, O. C., Gao, B., Phipatanakul, W. P., & Nepola, J. V. (2023, May). Health literacy in shoulder arthroplasty: a quantitative assessment of the understandability and readability of online patient education material. In Seminars in Arthroplasty: JSES. WB Saunders. 33(4), 619–626. https://doi.org/10.1053/j.sart.2023.04.010
Jaarsma, T., Hill, L., Bayes‐Genis, A., La Rocca, H. P. B., Castiello, T., Čelutkienė, J., ... & Strömberg, A. (2021). Self‐care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology. European journal of heart failure, 23(1), 157-174. https://doi.org/10.1002/ejhf.2008
Jarva, E., Oikarinen, A., Andersson, J., Tuomikoski, A. M., Kääriäinen, M., Meriläinen, M., & Mikkonen, K. (2022). Healthcare professionals' perceptions of digital health competence: A qualitative descriptive study. Nursing Open, 9(2), 1379-1393. https://doi.org/10.1002/nop2.1184
Johansson, I., Joseph, P., Balasubramanian, K., McMurray, J. J., Lund, L. H., Ezekowitz, J. A., ... & G-CHF Investigators. (2021). Health-related quality of life and mortality in heart failure: the global congestive heart failure study of 23 000 patients from 40 countries. Circulation, 143(22), 2129-2142. https://doi.org/10.1161/CIRCULATIONAHA.120.050850
Koirala, B., Himmelfarb, C. R. D., Budhathoki, C., & Davidson, P. M. (2020). Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: A cross-sectional observational study. Heliyon, 6(2), 1-7. https://doi.org/10.1016/j.heliyon.2020.e03412
Koirala, B., Turkson‐Ocran, R. A., Baptiste, D., Koirala, B., Francis, L., Davidson, P., ... & Commodore‐Mensah, Y. (2021). Heterogeneity of cardiovascular disease risk factors among Asian immigrants: insights from the 2010 to 2018 National Health Interview Survey. Journal of the American Heart Association, 10(13), 1-14. https://doi.org/10.1161/JAHA.120.020408
Kusuma, D. Y., Shatri, H., Alwi, I., & Abdullah, M. (2019). Validity and reliability studies of the Indonesian Version of the Minnesota Living with Heart Failure Questionnaire (MLHFQ): quality of life questionnaire for patients with chronic heart failure. Acta Med Indones, 51(1), 26-33.
Lip, G. Y., Lane, D. A., Lenarczyk, R., Boriani, G., Doehner, W., Benjamin, L. A., ... & Potpara, T. (2022). Integrated care for optimizing the management of stroke and associated heart disease: a position paper of the European Society of Cardiology Council on Stroke. European Heart Journal, 43(26), 2442-2460. https://doi.org/10.1093/eurheartj/ehac245
Maddula, R., MacLeod, J., McLeish, T., Painter, S., Steward, A., Berman, G., ... & Brown, S. A. (2022). The role of digital health in the cardiovascular learning healthcare system. Frontiers in Cardiovascular Medicine, 9, 1-13. https://doi.org/10.3389/fcvm.2022.1008575
Mahmoudi, H., Jafari, R., Saffari, M., Koenig, H. G., Ameryoun, A., & Lin, C. Y. (2023). Factors Affecting Self-Care in Cardiovascular Patients: An Integrative Review Based on Orem’s Theory. Hospital Practices and Research, 8(1), 189-198. https://doi.org/10.30491/HPR.2023.180890
Malara, R. T., & Syarul, S. (2020). Effect of Nurse-led Educational Interventions on Self-care of Adult Patients with Heart Failure: A Systematic Review. J Keperawatan, 10(2), 192. https://doi.org/10.22219/jk.v10i2.6509
Mweshi, G. K., & Sakyi, K. (2020). Application of sampling methods for the research design. Archives of Business Review–Vol, 8(11), 180-193. https://doi.org/10.14738/abr.811.9042
Niksadat, N., Ghaffari, M., Ramezankhani, A., Rakhshanderou, S., Farahani, A. V., & Negarandeh, R. (2023). Experiences of patient education among people affected by cardiovascular disease: a qualitative study based on Andragogy model. BMC Health Services Research, 23(1), 1-10. https://doi.org/10.1186/s12913-023-09622-1
Nuraeni, A., Sugiharto, F., Anna, A., Sari, E., Mirwanti, R., Trisyani, Y., & Emaliyawati, E. (2023). Self-efficacy in self-care and its related factors among patients with coronary heart disease in Indonesia: a rasch analysis. Vascular Health and Risk Management, 19, 583-593. https://doi.org/10.2147/VHRM.S427488
Perrin, A., Siqueira do Prado, L., Duché, A., Schott, A. M., Dima, A. L., & Haesebaert, J. (2021). Using the Brief Health Literacy Screen in chronic care in French hospital settings: Content validity of patient and healthcare professional reports. International Journal of Environmental Research and Public Health, 18(1), 1-14. https://doi.org/10.3390/ijerph18010096
Persell, S. D., Karmali, K. N., Lee, J. Y., Lazar, D., Brown, T., Friesema, E. M., & Wolf, M. S. (2020). Associations between health literacy and medication self-management among community health center patients with uncontrolled hypertension. Patient preference and adherence, 14, 87-95. https://doi.org/10.2147/PPA.S226619
Pouls, B. P., Vriezekolk, J. E., Bekker, C. L., Linn, A. J., van Onzenoort, H. A., Vervloet, M., ... & van den Bemt, B. J. (2021). Effect of interactive eHealth interventions on improving medication adherence in adults with long-term medication: systematic review. Journal of medical Internet research, 23(1), 1-16. https://doi.org/10.2196/18901
Rosu, D., Tulai, I., Penciu, O. M., Pinkhasova, P., & Galin, I. (2020). Heart failure self-management using a mobile web-based telemonitoring system: impact on hospital readmission and quality of life. Journal of the American College of Cardiology, 75 (11_Supplement_1), 781-781. https://doi.org/10.1016/s0735-1097(20)31408-x
Schooley, B., Singh, A., Hikmet, N., Brookshire, R., & Patel, N. (2020). Integrated digital patient education at the bedside for patients with chronic conditions: observational study. JMIR mHealth and uHealth, 8(12), 1-11. https://doi.org/10.2196/22947
Seid, M. A. (2020). Health-related quality of life and extent of self-care practice among heart failure patients in Ethiopia. Health and Quality of Life Outcomes, 18(1), 1-7. https://doi.org/10.1186/s12955-020-01290-7
Seid, S. S., Amendoeira, J., & Ferreira, M. R. (2023). Self-Care and Quality of Life Among Adult Patients with Heart Failure: Scoping Review. SAGE Open Nursing, 9, 1-15. https://doi.org/10.1177/23779608231193719
Senbekov, M., Saliev, T., Bukeyeva, Z., Almabayeva, A., Zhanaliyeva, M., Aitenova, N., ... & Fakhradiyev, I. (2020). The recent progress and applications of digital technologies in healthcare: a review. International journal of telemedicine and applications, 2020.1-18. https://doi.org/10.1155/2020/8830200
Skevington, S. M., Rowland, C., Panagioti, M., Bower, P., & Krägeloh, C. (2021). Enhancing the multi-dimensional assessment of quality of life: introducing the WHOQOL-Combi. Quality of Life Research, 30(3), 891-903. https://doi.org/10.1007/s11136-020-02661-9
Suhail, M., Saeed, H., Saleem, Z., Younas, S., Hashmi, F. K., Rasool, F., ... & Imran, I. (2021). Association of health literacy and medication adherence with health-related quality of life (HRQoL) in patients with ischemic heart disease. Health and quality of life outcomes, 19, 1-13. https://doi.org/10.1186/s12955-021-01761-5
Vaduganathan, M., Mensah, G. A., Turco, J. V., Fuster, V., & Roth, G. A. (2022). The global burden of cardiovascular diseases and risk: a compass for future health. Journal of the American College of Cardiology, 80(25), 2361-2371. https://doi.org/10.1016/j.jacc.2022.11.005
Vallée, A., Blacher, J., Cariou, A., & Sorbets, E. (2020). Blended learning compared to traditional learning in medical education: systematic review and meta-analysis. Journal of medical Internet research, 22(8), 1–19. https://doi.org/10.2196/16504
Victoria-Castro, A. M., Martin, M. L., Yamamoto, Y., Melchinger, H., Weinstein, J., Nguyen, A., ... & Wilson, F. P. (2024). Impact of digital health technology on quality of life in patients with heart failure. Heart Failure, 12(2), 336-348. https://doi.org/10.1016/j.jchf.2023.09.022
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How to Cite
Amalia, I., Said, F., & Nambiar, N. (2024). The Utilizing Heart Failure Digital Education Media (HF-DEM) Intervention on the Quality of Life among Heart Failure Patients. International Journal of Advancement in Life Sciences Research, 7(2), 123-131. https://doi.org/https://doi.org/10.31632/ijalsr.2024.v07i02.010
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Research Articles
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