Assessing Adherence to Treatment After Coronary Bypass Surgery Through Distance Education and Telephone Follow-up

Fallahfaragheh, Ahmadreza; Soltanipour, Faezeh; Nayeb, Mohammad Reza; Fattahi, Saeed; Rabiei, Elnaz; Zare Garizi, Sajida; Shojaeifar, Fahimeh

Volume 2, Issue 3 (10-2023) 2023, 2(3): 28-39 | Back to browse issues page

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Fallahfaragheh A, Soltanipour F, Nayeb M R, Fattahi S, Rabiei E, Zare Garizi S et al . Assessing Adherence to Treatment After Coronary Bypass Surgery Through Distance Education and Telephone Follow-up. Journal title 2023; 2 (3) :28-39
URL: http://jrhms.thums.ac.ir/article-1-90-en.html

Assessing Adherence to Treatment After Coronary Bypass Surgery Through Distance Education and Telephone Follow-up

Ahmadreza Fallahfaragheh

, Faezeh Soltanipour

, Mohammad Reza Nayeb

Nursing Department, Research Center of Shahid Sadoughi Hospital, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , fahimehshojaefar@yahoo.com

Abstract: (3 Views)

Coronary surgery can lead to complications ranging from infection and arrhythmias to myocardial infarction or stroke. Active patient participation in treatment is essential to reduce chronic disease consequences. The present study aimed to examine adherence to treatment in patients undergoing coronary bypass surgery through distance education based on telephone follow-up. This quasi-experimental study evaluated 53 post-CABG patients before and after the intervention using a convenience sampling method. Those who were selected received training for 4 weeks and were followed up by phone for 6 weeks. A demographic questionnaire and Medication Adherence Questionnaire (MAQ) were used in this study. The mean score of treatment adherence showed a slight increase after the intervention; however, this change was not statistically significant (P = 0.527). No statistically significant association was observed between adherence scores and demographic variables, except for marital status (P˂ 0.001). Although changes in adherence scores did not reach statistical significance (p = 0.527), the observed effect size was moderate (Cohen’s d = 0.53), indicating a clinically meaningful improvement in patient adherence. Data were analyzed using SPSS v22. Descriptive statistics (mean ± SD, frequencies) were reported. Comparisons of adherence scores over time were conducted using the Wilcoxon test, and differences between independent groups were evaluated with the Mann-Whitney test. A p-value < 0.05 was considered statistically significant. Although telephone follow-up and distance education did not yield statistically significant improvements in adherence, the approach showed potential. Its focus on simplicity and accessibility makes it a practical option for post-CABG patients, particularly in resource-limited settings or among those with low digital literacy.

Keywords: Treatment adherence, Telephone follow-up, CABG

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Type of Study: Research | Subject: General
Received: 2025/07/19 | Accepted: 2025/09/29 | Published: 2025/10/8