مديريت مراقبت بهداشتي و نظارت دارويي الكترونيكي جهت پيشگيري از ابتلا به بيماري كوويد-19 ويروس ( SARS-CoV-2) ، افزايش تيعيت از رژيم درماني و كاهش اضطراب بيماري كوويد-19بعداز جراحي باي پس عروق كرونر قلب -يك مطالعه پايلوت

The Effectiveness of Electronic Health Care and Pharmacy Monitoring Program to Prevent CoVID-19 (SARS-CoV-2 Virus) and Reduce of Corona Disease Anxiety after Bypass Surgery - A Pilot Study

مقدمه: بيماري كوويد-19(COVID-19) كه كل جهان را فراگرفته است ناشي از ويروس (2 ( SARS-CoV- مي باشد كه چالش هاي براي نظام سلامت جهاني و تهديدي براي بيماران قلبي به وجود آورده است. روش كار: اين پژوهش پايلوت از نوع نيمه آزمايشي با گروه كنترل است. جامعه آماري مورد مطالعه ي اين تحقيق بيماران داراي تجربه جراحي عروق كرونر قلب مي باشد كه با استفاده از روش نمونه گيري در دسترس در دو گروه 5نفر (مداخله و كنترل) گمارده شده اند. داده هاي تحقيق با استفاده از پرسشنامه دموگرافيك و پرسشنامه تبيعت از رژيم درماني بيگي(1391)، پرسشنامه محقق ساخته پيشگيري از ابتلا به ويروس SARS-CoV-2 ، پرسشنامه اضظراب بيماري كوويد-19 جمع آوري شده و با استفاده از آزمون تي مستقل و كاي دو(خي دو) و نرم افزار spssمورد تجزيه و تحليل قرا گرفت. يافته ها: يافته هاي اين تحقيق نشان داد كه ميزان تبعيت از رژيم دارويي و تبعيت از رژيم غذايي و فعاليت جسماني و تبعيت از مسايل پيشگيرانه ابتلا به كوييد19(ويروس كرونا2019) در طي 10 جلسه از شروع مداخله، در گروه آموزشي تغيير معنادراي وجود دارد (0/005

Introduction: The rapid worldwide emergence of the SARS-coronavirus 2 (SARS-CoV-2), the cause of COVID-19, has resulted in a global health emergency. It has been shown that the rate of mortality is significantly higher among patients with preexisting conditions, including those with heart failure. Therefore, at this time, special healthcare should be adopted for patients with heart diseases or those who underwent heart bypass surgery to reduce their infection rate or anxiety of being infected with SARS-CoV-2. The purpose of this study was to evaluate the effectiveness of remote monitoring and supervision on medical adherence of patients who underwent heart bypass surgery to reduce their infection rate and stress of being infected with SARS-CoV-2. Methods: The study was of a quasi-experimental type with control group. The participants were 10 patients with coronary artery bypass graft surgery who assigned into two groups of intervention (n=5) and control (n=5).The data were collected using demographic questionnaire, Beigi diet adherence questionnaire (2012), a researcher-made questionnaire for evaluation of the preventive measures to combat with SARS - CoV-2 infection, and a COVID - 19 Anxiety questionnaire developed by the researcher. The analysis of data was performed by independent t-test and chi-square (x2) using SPSS software. A. Result: Our results showed no significant difference before intervention between two groups, however after 10 sessions of educational intervention, significant changes (p ≤0.005) were observed in terms of adherence to prescribed medications and dietary regimen, physical activity as well as willingness to follow care advice, between intervention and control group. Moreover, patients who received educational interventions had significantly low anxiety scores. Conclusions: According to the findings, at the current critical juncture in the worldwide spread of COVID-19, providing remote monitoring and supervision on medical adherence could essentially be useful for patients with heart failure or those with other preexisting conditions who are extremely at risk.