Web Tabanlı Eğitimin Kardiyovasküler Hastalıkların Yönetimine Etkisi

Yıl 2021, , 389 - 403, 29.05.2021

Abdullah Avcı , Meral Gün

https://doi.org/10.46237/amusbfd.799106

Öz

Kardiyovasküler hastalıklar hem gelişmiş hem de gelişmekte olan ülkeler arasında en sık görülen mortalite ve morbidite nedeni arasında yer almaktadır. Kardiyovasküler hastalıkların kontrolü ve yönetiminde en önemli bileşenlerin hasta eğitimi ve taburculuk sonrası izlem olduğu belirtilmektedir. Davranış değişikliği ve sağlıklı bir yaşam tarzı sağlama konusunda yapılan planlı ve düzenli hasta eğitimi tedaviye uyumu, öz bakımı ve yaşam kalitesini arttırmaktadır. Geçmişte yüz yüze, kitapçık ve broşür vb. ile sınırlı olan hasta eğitimi tüm dünyada her geçen gün internet kullanan bireylerin sayısının artmasıyla birlikte web tabanlı eğitim haline getirmiştir. Web tabanlı eğitim ile zaman ve mekân kısıtlaması olmaksızın görüntülü, sesli ve yazılı iletişimin aynı anda sağlanabilmesi, tekrarlanabilir olması, aynı durumu yaşamış bireylerin deneyimlerinden faydalanmalarını sağlayan sosyal bir ortamın yaratılması ve geniş kitlelere ulaşmanın mümkün olması bu eğitim yönteminin kullanılabilirliğini ve önemini arttırmıştır. Bu derlemenin amacı web tabanlı eğitimin tasarımı ve içeriği ve web tabanlı eğitimin avantaj ve dezavantajları konusunu irdelemek ve kardiyovasküler hastalık yönetiminde web ortamında yapılan eğitimlerin etkinliğini literatür doğrultusunda değerlendirmektir.

Anahtar Kelimeler

Kardiyovasküler hastalıklar, Hastalık yönetimi, Hasta eğitimi, Web tabanlı eğitim

The Effect of Web-Based Education on the Management of Cardiovascular Diseases

Öz

Cardiovascular diseases are among the most common causes of mortality and morbidity among both developed and developing countries. It has been reported that the most important components in the control and management of cardiovascular diseases are patient education and follow-up after discharge. If patient education is provided planned and regularly for behavioral change and a healthy lifestyle, it increases the compliance to treatment, self-care and quality of life in cardiovascular diseases. The patient education, which was limited with face-to-face education, booklets and brochures etc. in the past, has made web-based education with the constantly increasing number of internet users all around the world. The facts that it is possible to provide visual, audio and written communication at the same time without any time and space restrictions, it is repeatable, it is possible to create a social environment that enables individuals, who have experienced the same situation, to benefit from each other’s experiences, and to reach wide masses with the Web-based education, have increased the usability and importance of this education method. The aim of this compilation is to scrutinize the design and content of web-based education and the advantages and disadvantages of it and to evaluate the effectiveness of education provided through web in cardiovascular disease management in line with the literature.

Anahtar Kelimeler

Cardiovascular Diseases, Disease Management, Patient Education, Web-based Education

Kaynakça

• 1. World Health Organization. Cardiovascular diseases fact sheet. http://www.who.int/mediacentre/factsheets/fs317/en/(17.02.2020) (Erişim Tarihi: 17 Şubat 2020).
• 2. Türkiye İstatistik Kurumu (TÜİK). Ölüm Nedeni İstatistikleri, 2018. http:// www.tuik.gov.tr/PreHaberBultenleri.do?id=24572 (Erişim Tarihi: 03 Mart 2020).
• 3. Ponikowski, P., Voors, A. A., Anker, S. D., Bueno, H., Cleland, J. F., Coats, A. S., et al. (2016). 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. European Journal of Heart Failure, 18(8):891-975.
• 4. Riegel, B., Moser, D. K., Buck, H. G., Dickson, V. V., Dunbar, S. B., Lee, C. S., et al. (2017). Self‐care for the prevention and management of cardiovascular disease and stroke: A scientific statement for healthcare professionals from the American Heart Association. Journal of the American Heart Association, 6(9):e006997.
• 5. Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Colvin, M. M., et al. (2017). ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Circulation, 136(6):137-161.
• 6. Avşar, G., & Kaşıkcı, M. (2009). Ülkemizde Hasta Eğitiminin Durumu. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 12(3):67-73.
• 7. Beigi, M. A. B., Zibaeenezhad, M. J., Aghasadeghi, K., Jokar, A., Shekarforoush, S., & Khazraei, H. (2014). The effect of educational programs on hypertension management. International Cardiovascular Research Journal, 8(3):94-98.
• 8. Mantovani, V. M., Ruschel, K. B., Souza, E. N. D., Mussi, C., & Rabelo-Silva, E. R. (2015). Treatment adherence in patients with heart failure receiving nurse-assisted home visits. Acta Paulista de Enfermagem, 28(1):41-47.
• 9. Jiang, W., Feng, M., Gao, C., Li, J., Gao, R., & Wang, W. (2020). Effect of a nurse-led individualized self-management program for Chinese patients with acute myocardial infarction undergoing percutaneous coronary intervention. European Journal of Cardiovascular Nursing, 19(4):320-329.
• 10. Dadosky, A., Overbeck, H., Egnaczyk, G., Menon, S., Obrien, T., & Chung, E. (2016). The effect of enhanced patient education on 30-day heart failure readmission rates. Heart Lung, 45(4):372.
• 11. Can, A., Sönmez, E., Özer, F., Ayva, G., Bacı, H., Kaya, H., ve ark. (2014). Sağlık arama davranışı olarak internet kullanımını inceleyen bir araştırma. Cumhuriyet Tıp Dergisi, 36(4):486-494.
• 12. Demir, Y., & Gözüm S. (2011). Sağlık eğitiminde yeni yönelimler; web destekli sağlık eğitimi. (Elektronik Dergi) 4(4):196-203. https://app.trdizin.gov.tr/publication/paper/detail/TVRNek1EQXlNZz09 (Erişim tarihi: 23 Mart 2020).
• 13. Bölüktaş, R. P., Özer, Ö. G. Z., & Yıldırım, Ö. Ü. D. (2019). Web Tabanlı Eğitimin Sağlık Alanında Kullanılabilirliği. Uluslararası Yönetim ve Sosyal Araştırmalar Dergisi, 6(11):197-207.
• 14. Yıldırım, J. G., & Çevirgen, A. (2019). Kronik hastalıkların yönetiminde bilişim teknolojileri uygulamaları. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 6(1):65-73.
• 15. Dogu, O., & Kaya, H. (2018). Compliance of the Web-based Distance Training and Consultancy on Individual's Treatment having Suffered Myocardial Infarction and its Effects on Well-being. Journal of the College of Physicians and Surgeons Pakistan, 28(12):953-959.
• 16. Kim, J. Y., Wineinger, N. E., & Steinhubl, S. R. (2016). The influence of wireless self-monitoring program on the relationship between patient activation and health behaviors, medication adherence, and blood pressure levels in hypertensive patients: a substudy of a randomized controlled trial. Journal of Medical Internet Research, 18(6):116.
• 17. Kao, C. W., Chen, T. Y., Cheng, S. M., Lin, W. S., & Chang, Y. C. A. (2019). Web-Based Self-Titration Program to Control Blood Pressure in Patients With Primary Hypertension: Randomized Controlled Trial. Journal of Medical Internet Research, 21(12):e15836.
• 18. Duan, Y. P., Liang, W., Guo, L., Wienert, J., Si, G. Y., & Lippke, S. (2018). Evaluation of a web-based intervention for multiple health behavior changes in patients with coronary heart disease in home-based rehabilitation: pilot randomized controlled trial. Journal of Medical Internet Research, 20(11):e12052.
• 19. Schulz, S. M., Ritter, O., Zniva, R., Nordbeck, P., Wacker, C., Jack, M., et al. (2019). Efficacy of a web-based intervention for improving psychosocial well-being in patients with implantable cardioverter-defibrillators: the randomized controlled ICD-FORUM trial. European Heart Journal, 41(11):1203-1211.
• 20. Yardımcı, T., & Mert, H. (2019). Web-based intervention to improve implantable cardioverter defibrillator patients’ shock-related anxiety and quality of life: A randomized controlled trial. Clinical Nursing Research, 28(2):150-164.
• 21. Younge, J. O., Wery, M. F., Gotink, R. A., Utens, E. M., Michels, M., Rizopoulus, D., et al. (2015). Web-based mindfulness intervention in heart disease: a randomized controlled trial. PLoS One, 10(12):e0143843.
• 22. Houchen-Wolloff, L., Gardiner, N., Devi, R., Robertson, N., Jolly, K., Marshall, T., et al. (2018). Web-based cardiac rehabilitation alternative for those declining or dropping out of conventional rehabilitation: results of the WREN feasibility randomised controlled trial. Open Heart, 5(2):e000860.
• 23. Internet world status. World Internet Users and 2020 Population Stats, https://www.internetworldstats.com/stats.htm (Erişim Tarihi: 15 Eylül 2020).
• 24. Türkiye İstatistik Kurumu (TÜİK). Hane Halkı Bilişim teknolojileri kullanım araştırması, 2020. http://www.tuik.gov.tr/PreHaberBultenleri.do?id=33679 (Erişim Tarihi: 20 Eylül 2020).
• 25. Socialtouch. Türkiye’de internetin sağlık bilgi ve hizmetlerine ulaşma amaçlı kullanım alışkanlıkları, 2013. http://www.socialtouch.com.tr/Turkiyede_internetin_saglik_amacli_kullanimi_eylul2013.pdf (Erişim Tarihi: 22 Şubat 2020).
• 26. Wakefield, B. J., Alexander, G., Dohrmann, M., & Richardson, J. (2017). Design and evaluation of a web-based symptom monitoring tool for heart failure. CIN: Computers, Informatics Nursing, 35(5):248-254.
• 27. Win, K. T., Hassan, N. M., Bonney, A., & Iverson, D. (2015). Benefits of online health education: perception from consumers and health professionals. Journal of Medical System, 39(3):27.
• 28. Pandya, E., & Bajorek, B. V. (2016). Assessment of Web‐based education resources informing patients about stroke prevention in atrial fibrillation. Clin Pharmacol Ther, 41(6):667-676.
• 29. Bashi, N., Windsor, C., & Douglas, C. (2016). Evaluating a Web-based self-management intervention in heart failure patients: a pilot study. JMIR Research Protocols, 5(2):e116.
• 30. Tomita, M. R., Tsai, B. M., Fisher, N. M., Kumar, N. A., Wilding, G., Stanton, K., et al. (2009). Effects of multidisciplinary Internet-based program on management of heart failure. Journal of Multidisciplinary Healthcare, (2):13-21.
• 31. Norlund, F., Wallin, E., Olsson, E. M. G., Wallert, J., Burell, G., von Essen, L., et al. (2018). Internet-based cognitive behavioral therapy for symptoms of depression and anxiety among patients with a recent myocardial infarction: the U-CARE heart randomized controlled trial. Journal of Medical Internet Research, 20(3):e88.
• 32. Liu, S., Dunford, S. D., Leung, Y. W., Brooks, D., Thomas, S. G., Eysenbach, G., et al. (2013). Reducing blood pressure with Internet-based interventions: a meta-analysis. Canadian Journal of Cardiology, 29(5): 613-621.
• 33. Munro, J., Angus, N., & Leslie, S. J. (2013). Patient focused internet-based approaches to cardiovascular rehabilitation–a systematic review. Journal of telemedicine and telecare, 19(6): 347-353.
• 34. Lundgren, J., Johansson, P., Jaarsma, T., Andersson, G., & Köhler, A. K. (2018). Patient experiences of web-based cognitive behavioral therapy for heart failure and depression: qualitative study. Journal of medical Internet research, 20(9): e10302.