Volume 21, Issue 2 (Summer 2026)
Salmand: Iranian Journal of Ageing 2026, 21(2): 268-281 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Molaie H, pazokian M, Boozaripour M, Nasiri M, saleh F. Impact of an Online Self-management Program on Hope and Anxiety in Patients With Congestive Heart Failure: A Randomized Clinical Trial. Salmand: Iranian Journal of Ageing 2026; 21 (2) :268-281
URL: http://salmandj.uswr.ac.ir/article-1-3091-en.html
URL: http://salmandj.uswr.ac.ir/article-1-3091-en.html
1- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Department of Medical Surgical Nursing, Clinical Research Development Center, School of Nursing and Midwifery, Loghman Hakim Hospital, Shahid Beheshti University of Medical sciences, Tehran, Iran. ,pazokian@sbmu.ac.ir
3- Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4- MSc in Geriatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Department of Medical Surgical Nursing, Clinical Research Development Center, School of Nursing and Midwifery, Loghman Hakim Hospital, Shahid Beheshti University of Medical sciences, Tehran, Iran. ,
3- Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4- MSc in Geriatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract: (1786 Views)
Objectives This study aimed to develop and implement an online self-management program and evaluate its effect on hope and anxiety in patients with congestive heart failure.
Methods & Materials In this randomized clinical trial, 100 patients with congestive heart failure were selected using a convenience sampling method and randomly assigned to two intervention and control groups. The data collection tools included a sociodemographic checklist (age, gender, marital status, education level, occupation, time of heart failure diagnosis, comorbidities, medications used, monthly income, family history of heart disease, and Underlying disease and Diagnosis time), Eifert’s cardiac anxiety questionnaire (CAQ), and the Miller Hope scale (MHS). The intervention group received the self-management educational program for 6 weeks via WhatsApp based on Kern’s six-stage model. The collected data were analyzed using descriptive and statistical methods in SPSS software, verson 19.
Results The intervention group showed a significant decrease in cardiac anxiety (from 44.00±8.22 to 44.00±7.025) and a significant increase in hope (from 44±18.15 to 44±16.32). There was no significant difference in the mean CAQ and MHS scores between the pre-test and post-test phases in the control group, but a significant difference was observed in the intervention group (P<0.001). There was a significant difference in the mean CAQ and MHS scores between the control and intervention groups after the intervention, with the intervention group showing lower anxiety (P=0.004) and higher hope (P=0.021)
Conclusion The implementation of the online self-management educational program can improve hope and reduce anxiety in patients with congestive heart failure.
Methods & Materials In this randomized clinical trial, 100 patients with congestive heart failure were selected using a convenience sampling method and randomly assigned to two intervention and control groups. The data collection tools included a sociodemographic checklist (age, gender, marital status, education level, occupation, time of heart failure diagnosis, comorbidities, medications used, monthly income, family history of heart disease, and Underlying disease and Diagnosis time), Eifert’s cardiac anxiety questionnaire (CAQ), and the Miller Hope scale (MHS). The intervention group received the self-management educational program for 6 weeks via WhatsApp based on Kern’s six-stage model. The collected data were analyzed using descriptive and statistical methods in SPSS software, verson 19.
Results The intervention group showed a significant decrease in cardiac anxiety (from 44.00±8.22 to 44.00±7.025) and a significant increase in hope (from 44±18.15 to 44±16.32). There was no significant difference in the mean CAQ and MHS scores between the pre-test and post-test phases in the control group, but a significant difference was observed in the intervention group (P<0.001). There was a significant difference in the mean CAQ and MHS scores between the control and intervention groups after the intervention, with the intervention group showing lower anxiety (P=0.004) and higher hope (P=0.021)
Conclusion The implementation of the online self-management educational program can improve hope and reduce anxiety in patients with congestive heart failure.
Type of Study: Research |
Subject:
nursing
Received: 2025/07/10 | Accepted: 2025/11/29 | Published: 2026/07/01
Received: 2025/07/10 | Accepted: 2025/11/29 | Published: 2026/07/01
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 (CC-By-NC 4.0), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
