Volume 23, Issue 4 (Special Issue 2025)
Nursing and Midwifery Journal 2025, 23(4): 32-37 |
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Shekarchi A, Radfar M, Nourani A, Moradi Y. Impact of Digital Nursing Interventions on Depressive Symptoms in Patients with Mechanical Heart Valves: A Quasi-Experimental Study. Nursing and Midwifery Journal 2025; 23 (4) :32-37
URL: http://unmf.umsu.ac.ir/article-1-5454-en.html
URL: http://unmf.umsu.ac.ir/article-1-5454-en.html
1- Student Research Committee, Nursing & Midwifery School, Urmia University of Medical Sciences, Urmia, Iran
2- Patient Safety Research Center, Clinical Research Institute, Nursing & Midwifery School, Urmia University of Medical Sciences, Urmia, Iran
3- Health and Biomedical Informatics Research Center, Urmia University of Medical Sciences, Urmia, Iran / Department of Medical Informatics, School of Allied Medical Sciences, Urmia University of Medical Sciences, Urmia, Iran
4- Patient Safety Research Center, Clinical Research Institute, Nursing & Midwifery School, Urmia University of Medical Sciences, Urmia, Iran ,Yasermoradi1045@gmail.com
2- Patient Safety Research Center, Clinical Research Institute, Nursing & Midwifery School, Urmia University of Medical Sciences, Urmia, Iran
3- Health and Biomedical Informatics Research Center, Urmia University of Medical Sciences, Urmia, Iran / Department of Medical Informatics, School of Allied Medical Sciences, Urmia University of Medical Sciences, Urmia, Iran
4- Patient Safety Research Center, Clinical Research Institute, Nursing & Midwifery School, Urmia University of Medical Sciences, Urmia, Iran ,
Abstract: (185 Views)
Background: Warfarin therapy remains the primary strategy to prevent thromboembolism in patients with mechanical heart valves. However, long-term use of warfarin is often associated with psychological burdens, particularly depression, which can negatively affect adherence and clinical outcomes. Recent advances in digital health have highlighted remote nursing as an effective approach to provide education, continuous monitoring, and psychosocial support for patients with chronic conditions. This study aimed to evaluate the effectiveness of digital nursing interventions on depression among these patients.
Methods: This quasi-experimental study was conducted on 50 patients with mechanical heart valves referred to Seyed Al-Shohada Teaching Hospital in Urmia in 2025. Participants were selected using convenience sampling and randomly assigned to intervention (n = 25) and control (n = 25) groups. The intervention group received tele-nursing care through the Warfarin and Depression module of the Warfarin Assistant application, developed by the research team, while the control group received routine care. Depression was assessed before and 3 months after the intervention using the Beck Depression Inventory-II. Data were analyzed with SPSS version 20 using chi-square, Fisher’s exact test, and independent t-test.
Results: Baseline demographic and depression characteristics were comparable between groups, with no significant differences in age, gender, duration of valve replacement, or pre-intervention depression scores. Following the three-month intervention, the intervention group demonstrated significant reductions in total depression (p = 0.01) and anhedonia scores (p = 0.01), while negative self-affect showed a non-significant decrease (p = 0.12). These findings suggest that such telenursing interventions may be effective in alleviating depressive symptoms in these patients.
Conclusions: Telenursing interventions, delivered through the Warfarin and Depression module, can significantly alleviate depressive symptoms in patients with mechanical heart valves on warfarin therapy. Healthcare administrators should consider integrating such interventions into routine cardiac care protocols to strengthen psychological support and improve clinical outcomes.
Methods: This quasi-experimental study was conducted on 50 patients with mechanical heart valves referred to Seyed Al-Shohada Teaching Hospital in Urmia in 2025. Participants were selected using convenience sampling and randomly assigned to intervention (n = 25) and control (n = 25) groups. The intervention group received tele-nursing care through the Warfarin and Depression module of the Warfarin Assistant application, developed by the research team, while the control group received routine care. Depression was assessed before and 3 months after the intervention using the Beck Depression Inventory-II. Data were analyzed with SPSS version 20 using chi-square, Fisher’s exact test, and independent t-test.
Results: Baseline demographic and depression characteristics were comparable between groups, with no significant differences in age, gender, duration of valve replacement, or pre-intervention depression scores. Following the three-month intervention, the intervention group demonstrated significant reductions in total depression (p = 0.01) and anhedonia scores (p = 0.01), while negative self-affect showed a non-significant decrease (p = 0.12). These findings suggest that such telenursing interventions may be effective in alleviating depressive symptoms in these patients.
Conclusions: Telenursing interventions, delivered through the Warfarin and Depression module, can significantly alleviate depressive symptoms in patients with mechanical heart valves on warfarin therapy. Healthcare administrators should consider integrating such interventions into routine cardiac care protocols to strengthen psychological support and improve clinical outcomes.
Type of Study: Research |
Subject:
Digital Nursing
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