Volume 23, Issue 2 (Pajouhan Scientific Journal, Spring 2025)                   Pajouhan Sci J 2025, 23(2): 114-122 | Back to browse issues page

Ethics code: IR.IAU.PS.REC.1401.331


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Gholamzadeh F, Nasrabadi T, Mahdavi M. Investigating the Effect of Smartphone-Based Parental Education on the Quality of Life of Children Undergoing Heart Transplant Surgery. Pajouhan Sci J 2025; 23 (2) :114-122
URL: http://psj.umsha.ac.ir/article-1-1163-en.html
1- Department of Nursing, TeMS,c., Islamic Azad University, Tehran, Iran
2- Department of Nursing, TeMS,c., Islamic Azad University, Tehran, Iran , taherehnasrabadi2009@gmail.com
3- Congenital Heart Diseases Research Center, Rajaei Cardiovascular Institute, Tehran, Iran
Abstract:   (744 Views)
Background and Objectives: Parental education for children undergoing heart transplant surgery has a significant impact on reducing postoperative hospitalizations and improving patients' quality of life. The present study was conducted to determine the effect of smartphone-based parental education on the quality of life of children undergoing heart transplant surgery.
Materials and Methods: In this quasi-experimental study was conducted in 2022, a total of 60 mothers of children undergoing heart transplant surgery at Shahid Rajaei Hospital in Tehran, Iran, were examined. Demographic information was recorded, and the children's quality of life was assessed using the PedsQL version 4 questionnaire. Parents of children with a quality-of-life score below two were randomly assigned to either a feedback-based education group or a smartphone-based education group. The feedback-based education included four in-person sessions, while the smartphone-based education involved sending educational files through social networks. Two weeks after the intervention, participants completed the questionnaire again, and follow-ups were conducted four weeks post-intervention. Data were analyzed using SPSS (version 21), with Chi-square, Wilcoxon, and repeated measures ANOVA tests.
Results: Smartphone-based education had a significant impact on improving the quality of life of children undergoing heart transplantation (P<0.05). The results showed that in the pre-test phase, there was no significant difference between the smartphone and feedback-based groups in the quality of life and performance of heart transplant children. However, in the follow-up phase, the smartphone group showed significant improvement in physical and emotional performance compared to the feedback-based group (P<0.05). Meanwhile, no significant difference in the overall quality of life of children was observed between the two groups in the different phases.
Conclusion: Parental education using smartphones significantly improves the quality of life of children undergoing heart transplant surgery. The smartphone-based education method, with its positive impact, can enhance clinical outcomes and could be used as an effective strategy in parental care and educational programs in this field.
Full-Text [PDF 1199 kb]   (130 Downloads)    
Type of Study: Research Article | Subject: Basic Sciences
Received: 2025/01/16 | Accepted: 2025/05/6 | Published: 2025/06/21

References
1. Chong B, Jayabaskaran J, Jauhari SM, Chan SP, Goh R, Kueh MTW, et al. Global burden of cardiovascular diseases: projections from 2025 to 2050. European Journal of Preventive Cardiology. 2024:zwae281. [DOI:10.1093/eurjpc/zwae281] [PMID]
2. Gulati J, Zhu M, Gilbreth J, Wang S. The Use of Stem Cells in Cardiac Pathologies: A Review. Georgetown Medical Review. 2024;7(1) [DOI:10.52504/001c.94024]
3. O'Connor MJ, Lorts A, Kwiatkowski D, Butts R, Barnes A, Jeewa A, et al. Learning networks in pediatric heart failure and transplantation. Pediatric transplantation. 2021;25(5):e14073. [DOI:10.1111/petr.14073] [PMID]
4. Ubeda Tikkanen A, Berry E, LeCount E, Engstler K, Sager M, Esteso P. Rehabilitation in pediatric heart failure and heart transplant. Frontiers in Pediatrics. 2021;9:674156. [DOI:10.3389/fped.2021.674156] [PMID]
5. Rossano JW, Singh TP, Cherikh WS, Chambers DC, Harhay MO, Hayes Jr D, et al. The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: Twenty-second pediatric heart transplantation report-2019; Focus theme: Donor and recipient size match. The Journal of heart and lung transplantation: the official publication of the International Society for Heart Transplantation. 2019;38(10):1028. [DOI:10.1016/j.healun.2019.08.002] [PMID]
6. Duvant P, Fillat M, Garaix F, Roquelaure B, Ovaert C, Fouilloux V, et al. Quality of life of transplanted children and their parents: a cross-sectional study. Orphanet Journal of Rare Diseases. 2021;16(1):364. [DOI:10.1186/s13023-021-01987-y] [PMID]
7. Dopps SA. Social Support, Depression, and Belief in God, as Predictors of Optimism in Pediatric Transplant Patients. Biola University. 2022.
8. Aleid AM, Alzedany SK, Alkhonizy SW, Emam R, Alluwya SA, Alessa FI, et al. The Impact of Caregiver Education on the Outcomes of Pediatric Surgery Patients in Saudi Arabia: Cross Sectional Study. Journal of Advanced Trends in Medical Research. 2024;1(1):207-16. [DOI:10.4103/ATMR.ATMR_116_24]
9. Yoo HJ, Suh EE. Effects of a smartphone-based self-care health diary for heart transplant recipients: A mixed methods study. Appl Nurs Res. 2021;58:151408. [DOI:10.1016/j.apnr.2021.151408] [PMID]
10. Najafi Ghezeljeh T, Davoudi M, Vakilian F. The impact of using a smartphone-based application on medication adherence in people with heart failure. Nursing And Midwifery Journal. 2019;17(6):494-504.
11. Davoudi M, Najafi Ghezeljeh T, Vakilian Aghouee F. Effect of a smartphone-based app on the quality of life of patients with heart failure: randomized controlled trial. JMIR nursing. 2020;3(1):e20747. [DOI:10.2196/20747] [PMID]
12. Al Nasiri YSM. Parent Educational Intervention Program (PEIP) for improving Parental Knowledge, Self-Efficacy, & Parent Perception of Health Related Quality of Life in Children with Sickle Cell Disease Using Smartphone Technology. University of California, Los Angeles. 2018.
13. Mannarino CN, Michelson K, Jackson L, Paquette E, McBride ME. Post-operative discharge education for parent caregivers of children with congenital heart disease: a needs assessment. Cardiology in the Young. 2020;30(12):1788-96. [DOI:10.1017/S1047951120002759] [PMID]
14. Varni JW, Burwinkle TM, Seid M, Skarr D. The PedsQL™* 4.0 as a pediatric population health measure: feasibility, reliability, and validity. Ambulatory pediatrics. 2003;3(6):329-41. https://doi.org/10.1367/1539-4409(2003)003<0329:TPAAPP>2.0.CO;2 [DOI:10.1367/1539-4409(2003)0032.0.CO;2] [PMID]
15. Varni JW, Seid M, Rode CA. The PedsQL™: measurement model for the pediatric quality of life inventory. Medical care. 1999;37(2):126-39. [DOI:10.1097/00005650-199902000-00003] [PMID]
16. Zhang QL, Lei YQ, Liu JF, Cao H, Chen Q. Using telemedicine to improve the quality of life of parents of infants with CHD surgery after discharge. Int J Qual Health Care. 2021;33(3). [DOI:10.1093/intqhc/mzab133] [PMID]
17. Begjani J, Negarandeh R, Haghani S, Rajabi MM. Design, implementation, and evaluation of an educational mobile application for home care after surgery of pediatrics with congenital heart disease: A protocol study. Iran Journal of Nursing. 2023;36(142):212-25. [DOI:10.32598/ijn.36.142.3348.2]
18. Rajabi MM, Begjani J, Negarandeh R. The Effect of an Educational Application on The Quality of Life and Treatment Adherence in Mothers of Children with Congenital Heart Disease Undergoing Cardiac Surgery: A Randomized Clinical Trial. International Journal of Community Based Nursing & Midwifery. 2025; 13(1):40.
19. Long Z, Wang K, Wang H, Yao W, Liu C. Effect of a mental health education intervention on children's life satisfaction and self-confidence in rural China. Frontiers in Psychology. 2023;14:1277139. [DOI:10.3389/fpsyg.2023.1277139] [PMID]
20. Chapman L, Hutson R, Dunn A, Brown M, Savill E, Cartwright-Hatton S. The impact of treating parental anxiety on children's mental health: An empty systematic review. Journal of Anxiety Disorders. 2022;88:102557. [DOI:10.1016/j.janxdis.2022.102557] [PMID]
21. Nasi G, Cucciniello M, Guerrazzi C. The role of mobile technologies in health care processes: the case of cancer supportive care. Journal of medical Internet research. 2015;17(2):e26. [DOI:10.2196/jmir.3757] [PMID]
22. Bezerra Giordan L, Tong HL, Atherton JJ, Ronto R, Chau J, Kaye D, et al. The Use of Mobile Apps for Heart Failure Self-management: Systematic Review of Experimental and Qualitative Studies. JMIR Cardio. 2022;6(1):e33839. [DOI:10.2196/33839] [PMID]
23. Tsai HH, Cheng CY, Shieh WY, Chang YC. Effects of a smartphone-based videoconferencing program for older nursing home residents on depression, loneliness, and quality of life: a quasi-experimental study. BMC geriatrics. 2020; 20(1):27. [DOI:10.1186/s12877-020-1426-2] [PMID]
24. Karimullah SS. The Influence of Technology on the Interaction of Parents and Children in the Family. AGENDA Jurnal Analisis Gender dan Agama. 2023;5(2):2023. [DOI:10.31958/agenda.v5i2.10645]
25. Edwards J, Waite-Jones J, Schwarz T, Swallow V. Digital Technologies for Children and Parents Sharing Self-Management in Childhood Chronic or Long-Term Conditions: A Scoping Review. Children (Basel). 2021; 8(12):1203. [DOI:10.3390/children8121203] [PMID]

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