Impact of Tele-Nursing on Adherence to Treatment Regimen and Quality of Life in Pediatric Patients Undergoing Heart Transplantation Surgery

Aims: Heart transplantation significantly alters the lifestyle and quality of life of children and adolescents post-surgery. These patients must strictly adhere to their treatment regimens to maintain graft viability and achieve better adaptation. Enhancing the quality of life in pediatric heart transplant recipients is a critical responsibility of nurses. This study aimed to evaluate the impact of a tele-nursing supportive educational program on treatment adherence and quality of life in children aged ۱۲-۱۸ years. Materials & Methods: This quasi-experimental study with a single-group design without a control group was done on ۴۱ pediatric patients who were referred to a specialized hospital for heart transplantation in Tehran in ۲۰۲۲. Participants were selected through census sampling and received education via communication platforms, such as WhatsApp, Skype, and Telegram, as chosen by the patients and their parents. The program spanned eight weeks, during which data were collected using a socio-demographic questionnaire, the Pediatric Quality of Life Inventory for Cardiac Problems, and the Modanloo Medication Adherence Scale. Pre- and post-test results were analyzed using SPSS version ۱۶. Findings: There was a significant improvement in the mean quality of life score and its dimensions (p=۰.۰۰۱), as well as the medication adherence score and its dimensions (p=۰.۰۰۱) after the implementation and follow-up of the intervention program. Conclusion: Tele-nursing interventions offer an effective and accessible approach to enhancing treatment adherence and improving the quality of life for pediatric heart transplant recipients.

کلیدواژه ها:

Treatment Adherence ، Heart Transplantation ، Children ، Telenursing ، Quality of Life