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Role of an e-Health Intervention in Holistic Healthcare: A Quasiexperiment in Patients Undergoing Cardiac Catheterization in Taiwan

BACKGROUND: The use of electronic health (e-health) resources is emerging as an alternative method to improve the secondary prevention of coronary artery disease (CAD). The aim of this study was to describe the influence of an e-health application in holistic healthcare for patients with CAD. METHOD...

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Autores principales: Peng, Jian-Rong, Su, Hung-Chi, Lin, Chia-Pin, Chen, Chun-Chi, Chang, Chi-Jen, Gong, Siou-Ling, Chu, Pao-Hsien
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7990527/
https://www.ncbi.nlm.nih.gov/pubmed/33815732
http://dx.doi.org/10.1155/2021/6692952
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author Peng, Jian-Rong
Su, Hung-Chi
Lin, Chia-Pin
Chen, Chun-Chi
Chang, Chi-Jen
Gong, Siou-Ling
Chu, Pao-Hsien
author_facet Peng, Jian-Rong
Su, Hung-Chi
Lin, Chia-Pin
Chen, Chun-Chi
Chang, Chi-Jen
Gong, Siou-Ling
Chu, Pao-Hsien
author_sort Peng, Jian-Rong
collection PubMed
description BACKGROUND: The use of electronic health (e-health) resources is emerging as an alternative method to improve the secondary prevention of coronary artery disease (CAD). The aim of this study was to describe the influence of an e-health application in holistic healthcare for patients with CAD. METHODS: A quasiexperiment with nonequivalent groups design recruited outpatients with a high risk of CAD admitted for cardiac catheterization. They were divided into two groups. Before the procedure, the control group received traditional patient education, and the intervention group watched videos on Internet-based social media. EQ-5D and FACIT–Sp-12 questionnaires were used as outcome measures of interest, and they were administered before and after the procedure and at the first return visit to the outpatient clinic after discharge. The effect of each intervention was tested using a linear mixed effects model. In addition, the 90-day readmission rate was also studied. RESULTS: A total of 300 patients were divided into intervention and control groups (150 patients in each group). The interaction effect of EQ-5D was not statistically significant; however, improvements in FACIT–Sp-12 were greater in the intervention group from baseline to before discharge (regression coefficient (B) = 1.70, p < 0.001) and from baseline to postdischarge first outpatient visit (B = 1.81, p < 0.001). Moreover, the 90-day readmission rate was significantly lower in the intervention group (14% vs. 18.7%; p=0.016, log-rank test). CONCLUSIONS: e-health intervention with easily accessible Internet-based social media is a promising model to meet the holistic needs of patients with CAD in the modern era.
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spelling pubmed-79905272021-04-02 Role of an e-Health Intervention in Holistic Healthcare: A Quasiexperiment in Patients Undergoing Cardiac Catheterization in Taiwan Peng, Jian-Rong Su, Hung-Chi Lin, Chia-Pin Chen, Chun-Chi Chang, Chi-Jen Gong, Siou-Ling Chu, Pao-Hsien J Healthc Eng Research Article BACKGROUND: The use of electronic health (e-health) resources is emerging as an alternative method to improve the secondary prevention of coronary artery disease (CAD). The aim of this study was to describe the influence of an e-health application in holistic healthcare for patients with CAD. METHODS: A quasiexperiment with nonequivalent groups design recruited outpatients with a high risk of CAD admitted for cardiac catheterization. They were divided into two groups. Before the procedure, the control group received traditional patient education, and the intervention group watched videos on Internet-based social media. EQ-5D and FACIT–Sp-12 questionnaires were used as outcome measures of interest, and they were administered before and after the procedure and at the first return visit to the outpatient clinic after discharge. The effect of each intervention was tested using a linear mixed effects model. In addition, the 90-day readmission rate was also studied. RESULTS: A total of 300 patients were divided into intervention and control groups (150 patients in each group). The interaction effect of EQ-5D was not statistically significant; however, improvements in FACIT–Sp-12 were greater in the intervention group from baseline to before discharge (regression coefficient (B) = 1.70, p < 0.001) and from baseline to postdischarge first outpatient visit (B = 1.81, p < 0.001). Moreover, the 90-day readmission rate was significantly lower in the intervention group (14% vs. 18.7%; p=0.016, log-rank test). CONCLUSIONS: e-health intervention with easily accessible Internet-based social media is a promising model to meet the holistic needs of patients with CAD in the modern era. Hindawi 2021-03-17 /pmc/articles/PMC7990527/ /pubmed/33815732 http://dx.doi.org/10.1155/2021/6692952 Text en Copyright © 2021 Jian-Rong Peng et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Peng, Jian-Rong
Su, Hung-Chi
Lin, Chia-Pin
Chen, Chun-Chi
Chang, Chi-Jen
Gong, Siou-Ling
Chu, Pao-Hsien
Role of an e-Health Intervention in Holistic Healthcare: A Quasiexperiment in Patients Undergoing Cardiac Catheterization in Taiwan
title Role of an e-Health Intervention in Holistic Healthcare: A Quasiexperiment in Patients Undergoing Cardiac Catheterization in Taiwan
title_full Role of an e-Health Intervention in Holistic Healthcare: A Quasiexperiment in Patients Undergoing Cardiac Catheterization in Taiwan
title_fullStr Role of an e-Health Intervention in Holistic Healthcare: A Quasiexperiment in Patients Undergoing Cardiac Catheterization in Taiwan
title_full_unstemmed Role of an e-Health Intervention in Holistic Healthcare: A Quasiexperiment in Patients Undergoing Cardiac Catheterization in Taiwan
title_short Role of an e-Health Intervention in Holistic Healthcare: A Quasiexperiment in Patients Undergoing Cardiac Catheterization in Taiwan
title_sort role of an e-health intervention in holistic healthcare: a quasiexperiment in patients undergoing cardiac catheterization in taiwan
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7990527/
https://www.ncbi.nlm.nih.gov/pubmed/33815732
http://dx.doi.org/10.1155/2021/6692952
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