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Original Research

Open Access

Effect of Telenursing on the Self-efficacy of Patients with Myocardial Infarction: A Quasi-experimental Study

  • Najmeh Keshavaraz1
  • Mahin Naderifar2
  • Mohammadreza Firouzkohi2
  • Abdolghani Abdollahimohammad2
  • Majid Reza Akbarizadeh3

1Student Research Committee, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran

2Department of Nursing, Zabol University of Medical Sciences, Zabol, Iran

3Department of Pediatrics, Zabol University of Medical Sciences, Zabol, Iran

DOI: 10.22514/sv.2020.16.0039 Vol.16,Issue 2,October 2020 pp.92-96

Published: 28 October 2020

*Corresponding Author(s): Mahin Naderifar E-mail:


Background and Objective: Despite medical advances, patients with Myocardial Infarction do not fully recover and require rehabilitation and other treatment measures as well. One way to empower these patients is to promote self-efficacy. Therefore, the present study aimed to determine the effect of Tele-nursing on the self-efficacy of patients with myocardial infarction. Methods: This quasi-experimental study was conducted on 40 patients with Myocardial Infarction. The participants selected using the simple random sampling method. The patients were divided into two intervention and control groups of 20 participants. Routine training was given to both groups before discharge. The demographic data questionnaire and Sullivan’s cardiac self-efficacy questionnaire were then provided to each patient. In the intervention group, in addition to routine training, the telephone follow-up intervention was performed by the researcher within one month (once a week with an average call duration of 10 minutes). After one month, the self-efficacy questionnaire was provided to each of the study units again. Finally, after determining the normal distribution, the data were analyzed by chi-square, independent t-test, and ANCOVA tests, using SPSS v.25 software. Results: There was no statistically significant difference between the two groups in terms of demographic variables and disease characteristics. The mean score of self-efficacy before and after the intervention in the control group was 22.90 ± 3.93 and 33.35 ± 8.36, respectively, and in the intervention group, was 25.60 ± 6.90 and 47.45 ± 5.60, respectively. There was a statistically significant difference between the two groups after the intervention (p < 0.001). Conclusion: Telenursing can improve adherence to the treatment program and promote patients’ self-efficacy. Therefore, due to its reliability, availability, and low cost, this method can be used in patient care and follow-up.


Telenursing, Self-Efficacy, Myocardial Infarction

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Najmeh Keshavaraz,Mahin Naderifar,Mohammadreza Firouzkohi,Abdolghani Abdollahimohammad,Majid Reza Akbarizadeh. Effect of Telenursing on the Self-efficacy of Patients with Myocardial Infarction: A Quasi-experimental Study. Signa Vitae. 2020. 16(2);92-96.


[1] Rejeh N, Heravi-Karimooi M, Taheri Kharame Z, et al. Quality of life in patients with myocardial infarction and related factors: A cross sectional Study. IJNR. 2015;9:1-11.

[2] Kaibab Z, Mirzaei M, Dabiran S. The Pattern of Age Changes of First Acute Myocardial Infarction in Rafsanjan During 2003 to 2012: Has Age Decreased? JRUMS. 2017;15:1015-1026.

[3] Shahsavari S, Nazari F, Karimyar Jahromi M, et al. Epidemiologic study of hospitalized cardiovascular patients in Jahrom hospitals in 2012- 2013. Cardiovascular Nursing Journal. 2013;2:14-21.

[4] Vahedian-azimi A, Alhani F, Goharimogaddam K, et al. Effect of family - centered empowerment model on the quality of life in patients with myocardial infarction: A clinical trial study. 3 JNE. 2015;4:8-22.

[5] Boroumand S, Shahriari M, Abbasi Jebeli M, et al. Determine the level of self-efficacy and its related factors in patients with ischemic heart disease: A descriptive correlational study. IJNR. 2015;9:61-69.

[6] Akbari O, Vaghar Seyedin SA, Saadatjoo SA, Kazemi T. Effect of Continuous Care Model on the Self-Efficacy of Patients with My-ocardial Infarction in Controlling Disease Complications. Medical-Surgical Nursing Journal. 2015;3:185-194.

[7] Zand S, Rafiei M. The efficacy of an instrument designed for specific self – efficacy measurment in patients with mi. Nurs Midwifery J. 2013;11:0-0.

[8] Behnam Moghadam M, Behnam Moghadam A, Yarian S, et al. Predicting the Quality of Life Based on Public Health, Social Support and Self Efficacy in Cardiovascular Patients. Armaghane danesh. 2014;19:633-642.

[9] Sanaie N, Nejati S, Zolfaghari M, et al. The Effects of Family-based Empowerment on Family Cooperation in Following Patient Treatment Regime after Coroner Arteries Bypass Surgery. Mod Care

J. 2014;11:19-27.

[10] Baljani E, Rahimi J, Amanpour E, et al. Effects of a Nursing Interven-tion on Improving Self-Efficacy and Reducing Cardiovascular Risk Factors in Patients with Cardiovascular Diseases . Hayat. 2011;17:45-54.

[11] salavati M, khatiban M, moghadari koosha B, et al. Evaluating the Effect of Teach Back Education on Self-Care Behaviours and Quality of Life in Patients With Myocardial Infarction in 2015: A Randomised Controlled Trial. Sci J Hamadan Nurse Midwifery Fac. 2017;25:1-8.

[12] Elham M, Samadi N, Mehrnush N, et al. Tele Nursing: Optimal Option for Patient Educational Improvement. JHC. 2011;13:0-0.

[13] Kamrani F, Nikkhah S, Borhani F, et al. The effect of patient education and nurse-led telephone follow-up (telenursing) on adherence to treatment in patients with acute coronary syndrome. Cardiovascular Nursing Journal. 2015;4:16-24.

[14] Forouzesh M, Sanagoo A, ghavidel A, et al. The effect of telenursing (telephone follow up) after discharge on readmission due to complications after coronary artery bypass graft surgery. J Urmia Nurse Midwifery Fac. 2017;15:584-594.

[15] Raziani F, Naderipour A, Jalali R, et al. The effect of duration of using cochlearimplant and hearing aid on the speech intelligibility of children with hearing loss. J Clin Res Paramed Sci. 2017;6:300-309.

[16] Shirkosh S, Rostami M. Telenursing: A new opportunity for care of chronic patients. cjhaa. 2017;1:49-55.

[17] Varaei S, Shamsizadeh M, Cheraghi MA, et al. Effects of a peer education on cardiac self-efficacy and readmissions in patients undergoing coronary artery bypass graft surgery: a randomized-controlled trial. Nursing in critical care. 2017;22:19-28.

[18] Farazmand J, Nasiripour AA, Raeissi P. The Effect of Telephone Follow-up Programs after Hospital Discharge on Hope and the Quality of Life in Patients Admitted to the Coronary Care Unit (CCU) . JBUMS. 2017;19:41-46.

[19] hatami H, hasanpoor A, salehi S, et al. Investigating the Effect of Intervention Based on Basnef Model on Quality of Life Among Myocardial Infarction Patients. Journal of Clinical Nursing and Midwifery. 2020;8:526-534.

[20] Rahimi H, Azizkhani L, Vahedi S, et al. Study of the Duration, Outcomes, and Related Factors of Reperfusion Therapy in Patients with ST-Segment Elevation Myocardial Infarction. Avicenna J Clin Med. 2020;26:220-226.

[21] faraji N, Pashaeypoor S, negarandeh R. The effect of pre-discharge education and telephone follow-up on illness perception and lifestyle in patients with myocardial infarction. Avicenna J Nurs Midwifery care. 2015;23:82-91.

[22] Rahimzadeh M, Kavehei B. Short-term survival rates after myocar-dial infractions in Iran: meta-analysis and systematic review. J Arak Univ Med Sci. 2017;20:57- 67.

[23] Yan J, You LM, Liu B, et al. The effect of a telephone follow-up intervention on illness perception and lifestyle after myocardial infarction in China: A randomized controlled trial. Int J Nurs Stud. 2014;51:844-55.

[24] Najaf SS, Shaabani M, Momennassab M, et al. The Nurse-Led Telephone Follow-Up on Medication and Dietary Adherence among Patients after Myocardial Infarction: A Randomized Controlled Clinical Trial. IJCBNM. 2016;4:199-208.

[25] Javanmardifard S, Ghodsbin F, Kaviani MJ, et al The effect of telenursing on self-efficacy in patients with non-alcoholic fatty liver disease: a randomized controlled clinical trial. Gastroenterol Hepatol Bed Bench. 2017;10:263-271.

[26] Mohammadi N, Soleymani R, Omidi A, et al. The Effect of Telephone Nursing Follow-up on Self-Efficacy of Females with Type 2 Diabetes Mellitus. Sci J Hamadan Nurse Midwifery Fac. 2017;25:61-68.

[27] Shojaee A, Nehrir B, Naderi N, et al. Comparison of patient education and follow up by nurse on anxiety in heart failure patients. Medical-Surgical Nursing Journal. 2014;3:52-60.

[28] Emme C, Mortensen EL, Rydahl-Hansen S, et al. The impact of virtual admission on self-efficacy in patients with chronic obstructive pulmonary disease - a randomised clinical trial. J Clin Nurs. 2014;23:3124-37.

[29] Carroll Diane L, Robinson E, Buselli E, et al. Activities of the APN to Enhance Unpartnered Elders Self-Efficacy After Myocardial Infarction. Clin Nurse Spec. 2001;15:60-66.

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