The Effect of Telenursing on Self-Efficacy in Patients with Non-Alcoholic Fatty Liver Disease: A Randomized Controlled Clinical Trial
Gastroenterology and Hepatology from Bed to Bench,
30 October 2017
Aim: This study aimed to assess the effect of telenursing on nutritional behavior and physical activity self-efficacy in patients with non-alcoholic fatty liver disease (NAFLD).
Background: NAFLD is the most common liver disorder, which has a chronic course. Therefore, routine monitoring of these patients by medical staff helps them actively participate in the healing process and promote their self-efficacy.
Methods: In this randomized controlled clinical trial, 60 patients were chosen through convenience sampling among patients with NAFLD. After obtaining written informed consents, the participants were randomly divided into an intervention and a control group (each containing 30 subjects). The participants received diet consultation individually and were taught how to perform physical activities. Telephone intervention was conducted in the intervention group for 12 weeks. The study questionnaires were completed by the participants before and after the intervention. The data were analyzed using the SPSS statistical software.
Results: Based on the results, the mean score of nutritional behavior and physical activity self-efficacy increased in the study groups after the intervention. This increase was statistically significant only in the intervention group. Additionally, the two groups were significantly different regarding the mean scores of nutritional behavior and physical activity self-efficacy.
Conclusion: Telenursing could improve self-efficacy and physical activity in patients with NAFLD.
Keywords: Non-alcoholic fatty liver, Diet, Physical activity, Telenursing, Self-efficacy.
- Nonalcoholic fatty liver
- Physical Activity
Javanmardi Fard S, Ghodsbin F, Kaviani M J, Jahanbin I, Bagheri5 Z. The Effect of Follow up (Telenursing) on Liver Enzymes in Patients with Nonalcoholic Fatty Liver Disease: A Randomized Controlled Clinical Trial. IJCBNM . 2016; 4(3): 239-46.
Gabriela Murillo A, Diana M , Luz Fernandez D, Luz Fernandez M . The Potential of Non-Provitamin A Carotenoids for the Prevention and Treatment of Non-Alcoholic Fatty Liver Disease. Biology. 2016; 5(42): 1-15.
Sayiner M, Koenig A, Henry L, Younossi ZM. Epidemiology of Nonalcoholic Fatty Liver Disease and Nonalcoholic Steatohepatitis in the United States and the Rest of the World. Clin. Liver Dis. 2016; 20:205–214.
El-Koofy N , El-Karaksy H , El-Akel W, Helmy H, Anwar G, El-Sayed R, El-Hennawy A . Ultrasonography as a non-invasive tool for detection of nonalcoholic fatty liver disease in overweight/obese Egyptian children. European Journal of Radiology. 2012 ; 81 : 3120–23
Teresa Arias-Loste M , Iruzubieta P , Puente Á , Ramos D,
Santa Cruz C, Estébanez Á & et al . Increased Expression Profile and Functionality of TLR6 in Peripheral Blood Mononuclear Cells and Hepatocytes of Morbidly Obese Patients with Non-Alcoholic Fatty Liver Disease. International Journal of Molecular Sciences. 2016; 17: 1-11
Dong Fangyuan , Zhang Yan , Huang Y , Wang Y, Gansheng Z,
Hu X, Wang J, Chen J, Bao Zhijun . Long-term lifestyle interventions in middle-aged and elderly men with nonalcoholic fatty liver disease: a randomized controlled trial. Scientific RepoRts. 2016; 6(36783) : 1-8.
Chalasani N. et al. The diagnosis and management of non-alcoholic fatty liver disease: practice guideline by the American Gastroenterological Association, American Association for the Study of Liver Diseases, and American College of Gastroenterology.Gastroenterology. 2012 ; 142: 1592–1609.
Targher G, Day C P, Bonora E. Risk of cardiovascular disease in patients with nonalcoholic fatty liver disease. The New England journal of medicine. 2010; 363: 1341–1350.
Umpierre D. et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. Jama. 2011 ; 305: 1790–1799.
Setiawan V W, et al. Prevalence of chronic liver disease and cirrhosis by underlying cause in understudied ethnic groups: The Multiethnic Cohort. Hepatology. 2016; 64(6) :1969- 77.
Rahmani S. et al. Treatment of Non-alcoholic Fatty Liver Disease with Curcumin: A Randomized Placebo-controlled Trial. Phytotherapy research: PTR. 2016; 30:1541-48.
Johnson N A , George J. Fitness versus fatness: moving beyond weight loss in nonalcoholic fatty liver disease. Hepatology.2010; 52: 370–81.
Chalasani N. et al. The diagnosis and management of non-alcoholic fatty liver disease: practice Guideline by the American Association for the Study of Liver Diseases, American College of Gastroenterology, and the American GastroenterologicalAssociation. Hepatology. 2012;55: 2005–2023.
Musavi fard A, Zolfaghari M, Pedram SH, Haghani H. The effect of the two following methods (mobile and telephon) on adherence to regimen in patients with diabetes. Iranian Journal of Diabetes and Lipid Disorders. 2011;10(4):407-18. ( in Persian)
.Nesari M, Zakeri moghadam M, Rajab A, Faghih zade S, Basampur SH, Rahmani M. Effect of telephone follow-up by nurses on blood glucose and lipid control in patients with type 2 diabetes. Iranian Journal of Diabetes and Lipid Disorders. 2008;8(2):115-22. ( in Persian)
16.Schlachta-Fairchild L, Elfrink V, Deickman A.Patient Safety, Telenursing, and Telehealth. Patient Safety and Quality: An Evidence Based Handbook for Nurses Agency for Healthcare Research and Quality (US). 2008. ( in Persian)
.zakeri moghadam M, basampur SH, rajab A, faghih zade S, Nesari M. Effect of telephone follow-up by a nurse (Telenursing) on dietary adherence in patients with diabetes mellitus type 2. Journal of Faculty of Nursing and Midwifery Tehran University of Medical Sciences. 2008;14(2):63-71. ( in Persian)
Zamanzadeh V, Valizadeh L, Mohjelaghdal R, Gholifam A. Current status of patient education: perceptions of nurses in training centers - Tabriz. Nursing & Midwifery Journal of Tabriz. 2010 (19). ( in Persian)
Aliabadi H, Salimi S, Faizi A, Safarivaghaslu S. The relationship between self-efficacy and self-care in patients with COPD. Bimonthly Journal of Urmia Nursing and Midwifery Faculty. 2012;10(1):68-74. ( in Persian)
.Safavi M, Yahyavi H, Purheydari M. Effects of feeding behaviors and exercise activities training on the efficacy of Middle school student. Medical Sciences Journal of Islamic Azad University,Tehran Medical Branch. 2012;22(2):143-51. ( in Persian)
.Hosseinzadeh T, Paryad E, Kazemnejad E. Predictors of Diet Self-Efficacyin Coronary Artery Disease Patients. The Journal of Nursing and Midwifery Faculties Guilan Medical University. 2010. ( in Persian)
Nikrou H, Nemati M, Sima H, Attarzadeh Hoseini R. Effect of diet with or without exercise program on anthropometric and cardiorespiratory fitness in patients with non-alcoholic steatohepatitis. Journal of North Khorasan University of Medical Sciences. 2011;3:91-9.(In Persian)
Davoodi M, Moosavi H, Nikbakht M.The effect of eight weeks selected aerobic exercise on liver parenchyma and liver enzymes (AST, ALT) of fat liver patients. Journal of Shahrekord University of Medical Sciences. 2012;14:84-9 (In Persian)
Sreenivasa Baba C, Alexander G, Kalyani B, et al. Effect of exercise and dietary modification on serum aminotransferase levels in patients with nonalcoholic steatohepatitis. J Gastroenterol Hepatol. 2006;21:191-8.
Promrat K, Kleiner DE, Niemeier HM, et al. Randomized Controlled Trial Testing the Effects of Weight Loss on Nonalcoholic Steatohepatitis. Hepatology. 2010;51:121-9.
Aghamolaei T, Tavafian S, Hasani L. Efficacy, benefits and barriers to regular physical activity in students in Hormozgan University of Medical Sciences. Iranian Journal of Epidemiology. 2008;4(3,4):9-15. ( in Persian)
Aliha JM, Asgari M, Khayeri F, et al. Group Education and Nurse-Telephone Follow-Up Effects on Blood Glucose Control and Adherence to Treatment in Type 2 Diabetes Patients. International Journal of Preventive Medicine. 2013;4:797-802.
Schlachta-Fairchild L, Elfrink V, Deickman A. Patient Safety, Telenursing, and Telehealth. Patient Safety and Quality: An Evidence Based Handbook for Nurses. In: Hughes RG, editors. US: Agency for Healthcare Research and Quality; 2008.
.Ahmadi F, GHofranipour F, Abedi HA, Arefi SH. Effect of continuos consultation care model on re hospitalization and chest pain in patient. The Journal of Qazvin University of Medical Sciences. 2005;35:99-103.
.Rezaei S. The effect of applying continuos care model on clinical manifestations , laboratory data & litestyle in patients with myocardial infarction admitted in hospitals affiliated to shiraz university of medical sciences . Nursing Master Thesis. shiraz university of medical sciences. 2012.
.Kim HS, Oh JA. Adherence to diabetes control recommendations: impact of nurse telephone calls. J Adv Nurse. 2003;44(3):256-61.
Jamali Moghadam N. A comparative study of the effect of education by peers and health personnel on the prevention of osteoporosis in adolescents with nephrotic syndrome. Nursing Master Thesis. shiraz university of medical sciences.2011.
Hosein nejad M, Alizade M, Alizade S, Hagh dost A. The role of self-efficacy in dietary behaviors among female students in Kerman High Schools in 1386. J Shaheed Sadoughi Univ Med Sci. 2009;16(3):49-56.
.Navidian A, Kerman Saravy F, Eimani M. The relationship between self-control lifestyle with the Over weight and Obesity. Iranian Journal of Endocrinology and Metabolism. 2013;14(6):556-63.
Bas M, Donmez S. Self-efficacy and restrained eating in relation to weight loss among overweight men and women in Turkey. Appetite. 2009;52:209-16.
.Liou D. Influence of Self-Efficacy on Fat-Related Dietary Behavior in Chinese Americans. The International Electronic Journal of Health Education. 2004;7:27-37.
.Rejeski WJ, Mihalko SL, Ambrosins WT, Bearon LB. WEIGHT LOSS AND Self - regulatory eating efficacy in older adult. THE Cooperative lifestyle intervention program. The Journal of Gerontology. 2011;66:279-86.
.Didarlu A, Shojaeizadeh D, Eftekhar ardebili H, Niknami SH, Hajizadeh E, Alizade M, et al. Determinants of physical activity in diabetic women based on developed rational action theory. PAYESH. 2010;11(2):201-11.
.Roozbahani N, Ghofranipour F, Eftekhar-Ardebili H, Hajizadeh E. The relationship between self-efficacy and stage of change and physical activity behavior in postpartum women. Arak Medical University Journal. 2013;15(68):61-71.
- Abstract Viewed: 3309 times
- PDF Downloaded: 133 times