scholarly journals Effect of a self-care educational intervention to improve self-care adherence among patients with chronic heart failure: a clustered randomized controlled trial in Northwest Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Getenet Dessie ◽  
Sahai Burrowes ◽  
Henok Mulugeta ◽  
Dessalegn Haile ◽  
Ayenew Negess ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Health Education ◽  
Educational Intervention ◽  
Self Care ◽  
Northwest Ethiopia ◽  
Sub Saharan Africa ◽  
Care Education ◽  
Referral Hospitals ◽  
Sub Saharan

Abstract Background As the burden of cardiovascular disease increases in sub-Saharan Africa, there is a growing need for low-cost interventions to mitigate its impact. Providing self-care health education to patients with chronic heart failure (CHF) is recommended as an intervention to prevent complications, improve quality of life, and reduce financial burdens on fragile health systems. However, little is known about health education’s effectiveness at improving CHF self-management adherence in sub-Saharan Africa. Therefore the present study aimed to assess the effectiveness of an educational intervention to improve self-care adherence among patients with CHF at Debre Markos and Felege Hiwot Referral Hospitals in Northwest Ethiopia. Methods To address this gap, we adapted a health education intervention based on social cognitive theory comprising of intensive four-day training and, one-day follow-up sessions offered every four months. Patients also received illustrated educational leaflets. We then conducted a clustered randomized control trial of the intervention with 186 randomly-selected patients at Debre Markos and Felege Hiwot referral hospitals. We collected self-reported data on self-care behavior before each educational session. We analyzed these data using a generalized estimating equations model to identify health education's effect on a validated 8-item self-care adherence scale. Results Self-care adherence scores were balanced at baseline. After the intervention, patients in the intervention group (n = 88) had higher adherence scores than those in the control group (n = 98). This difference was statistically significant (β = 4.15, p < 0.05) and increased with each round of education. Other factors significantly associated with adherence scores were being single (β = − 0.25, p < 0.05), taking aspirin (β = 0.76, p < 0.05), and having a history of hospitalization (β = 0.91, p < 0.05). Conclusions We find that self-care education significantly improved self-care adherence scores among CHF patients. This suggests that policymakers should consider incorporating self-care education into CHF management. Trial registration number: PACTR201908812642231

scholarly journals Medication Adherence and Associated Factors among Chronic Heart Failure Clients on Follow Up Oromia Region, West Ethiopia

2019 ◽  
Vol 17 (2) ◽  
pp. 104-114
Author(s):  
Getahun Fetensa ◽  
Birhanu Yadecha ◽  
Tadesse Tolossa ◽  
Tariku Tesfaye Bekuma
Keyword(s):  
Heart Failure ◽  
Medication Adherence ◽  
Chronic Heart Failure ◽  
Health Education ◽  
Study Design ◽  
Associated Factors ◽  
Multivariable Analysis ◽  
Self Care ◽  
P Value

Background: Chronic heart failure is a complex clinical syndrome with typical symptoms that can occur at rest or on effort. It requires patients to manage their lifestyle with their disease and when to notify their healthcare provider. The study was aimed to identify medication adherence and associated factors among chronic heart failure clients on follow up Oromia region, West Ethiopia, 2017. Methods: Institutional based cross-sectional study design was employed, after selecting three hospitals by lottery method and allocating respondents to the three hospitals proportionally. A total of 424 patients were admitted to the medical ward and/or chronic follow up of Nekemte referral, Gimbi, and Shambu hospitals. The data was collected using a structured questionnaire. The data was entered into Epi-data version 3.1, cleared, explored, and then exported to SPSS windows version 24.0 for further analysis. Variable having a p-value less than 0.05 in the bivariate analysis was a candidate for multivariable analysis and the effect of confounding variables was observed. Variables having a p-value less than 0.05 in the multivariable analysis were assumed significant. Results: A total of 424 respondents were included in the final analysis giving a 95.3% response rate. The result indicated that more than half of the study participants have adhered to prescribed medication. Respondents with good medication adherence were more likely to adhere to good self-care behavior [AOR (95% CI of OR) = 3.5(2.044, 5.96)]. Respondents whose limited fluid intake was one or half-liter per day were more likely to adhere to the medication [AOR (95% CI of OR) = 2.5(1.43, 4.49)]. It was also found that those patients who avoided spices, sauces and others in food are more likely to adhere to the medication [AOR (95% CI of OR) = 2.2 (1.152, 4.039)]. Conclusion and Recommendation: Even if more than half of the study respondents have good medication and self-care adherence, still it needs great attention in health education over their visit. Health institutions are strongly recommended to give health education for clients and researchers to use advanced study design for measuring medication adherence and self-care behaviors.

scholarly journals Self-care Education for People with Chronic Heart Failure

2011 ◽  
Vol 20 ◽  
pp. S232
Author(s):  
M. Boyde ◽  
S. Song ◽  
R. Peters ◽  
C. Turner ◽  
D. Thompson ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Self Care ◽  
Care Education

scholarly journals Nurse-based educational intervention in a heart failure unit improves outcomes in self-care, quality of life and depression of high-risk patients with chronic heart failure

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P643-P643 ◽  
Author(s):  
S. Lopez-Fernandez ◽  
M. Puga-Martinez ◽  
M. Jimenez-Fernandez ◽  
M. J. Molina-Lerma ◽  
V. Alcalde-Martinez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
High Risk ◽  
Chronic Heart Failure ◽  
Educational Intervention ◽  
Self Care ◽  
Care Quality ◽  
Heart Failure Unit ◽  
Risk Patients

scholarly journals Extra Analysis of Health Care Policy for Patients with Corona Virus during COVID 19 and with Chronic Heart Failures and Roles of Nurses at Hospitals in Vietnam

2021 ◽  
pp. 358-368
Author(s):  
Pham Thi Bich Ngoc ◽  
Dinh Tran Ngoc Huy ◽  
Vu Thanh Binh ◽  
Pham Thi Hong Nhung ◽  
Ngo Huy Hoang
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Health Education ◽  
General Hospital ◽  
Inpatient Treatment ◽  
Self Care ◽  
Left Ventricular ◽  
Education Intervention ◽  
Cardiology Department ◽  
Health Education Intervention

The study aims to provide knowledge of self-care for patients with COVID 19 and with heart failures. In the United States, between 2011 and 2014, an estimated 6.5 million Americans over the age of 20 had chronic heart failure The estimated prevalence of heart failure in Asia ranges from 1.26% to 6.7%, in Southeast Asian countries from 4.5% to 6.7%. This study used Health education intervention that was carried out for 90 patients with chronic heart failure inpatient treatment at Cardiology Department - Nam Dinh General Hospital. The rate of heart failure in Korea was estimated at 1.53% in 2013. The frequency of heart failure in Korea is expected to double, from 1.60% in 2015 to 3.35% in 2040. By 2040, more than 1.7 million Koreans are expected to have heart failure .In Japan, an estimated 1.0 million patients have heart failure and the number of outpatients with left ventricular dysfunction is expected to gradually increase to 1.3 million by 2030 In China, 4.2 million people suffer from heart failure and 500,000 new cases are diagnosed each year). We perform method of one-group intervention study with before-after comparison. Health education intervention was carried out in 90 patients with chronic heart failure inpatient treatment at Cardiology Department - Nam Dinh General Hospital.  Our results show that patients with cardiovascular disease need to be aware that they are a very high risk group for infection as well as serious complications that may occur if they are unfortunately infected with COVID-19. This research finding and recommended healthy foods to support for better health of patients with chronic heart failure in many developing countries. Last but not least, vital roles of nurses in Nam Dinh and Vietnam hospitals have been increasing in recent years in helping patients and help them to gain knowledge for self-care with COVID 19 and with heart failures and practice “Maintenance of care” of patients with chronic heart failure.

scholarly journals Healthcare Policy for Patients with Chronic Heart Failures at Nam Dinh General Hospital in Vietnam

2021 ◽  
pp. 292-299
Author(s):  
Pham Thi Bich Ngoc ◽  
Dinh Tran Ngoc Huya ◽  
Pham Thi Hong Nhung
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Health Education ◽  
General Hospital ◽  
Group Intervention ◽  
Self Care ◽  
Current Status ◽  
Education Interventions ◽  
Knowledge And Practice ◽  
Health Education Interventions

The study aims to provide knowledge of healthy food to serve for better health of patients through analyzing the current status of self-care knowledge and practice of patients with chronic heart failure at the Department of Cardiology - Nam Dinh General Hospital in 2018 and evaluate the change in self-care knowledge of patients with chronic heart failure after health education interventions. We perform method of one-group intervention study with before-after comparison. Health education intervention was carried out for 90 patients with chronic heart failure inpatient treatment at Cardiology Department - Nam Dinh General Hospital.  Our results show that a good healthcare and nutrition policy for patients are needed: reduce natri, increase fibre-rich foods such as whole grain, vegetables, bean, etc. It pointed that roles of nurses are becoming important because Patients with chronic heart failure have limited knowledge and practice of self-care but have improved significantly after health education interventions. Research results show the need for regular health education to improve knowledge and practice self-care for patients with chronic heart failure. This research finding and recommended healthy foods to support for better health of patients with chronic heart failure in many developing countries.

scholarly journals A Supportive-Educational Intervention for Heart Failure Patients in Iran: The Effect on Self-Care Behaviours

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Vahid Zamanzadeh ◽  
Leila Valizadeh ◽  
A. Fuchsia Howard ◽  
Fatemeh Jamshidi
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Educational Intervention ◽  
Cultural Context ◽  
Intervention Group ◽  
Self Care ◽  
Educational Interventions ◽  
Control Group ◽  
Heart Failure Patients ◽  
To Receive

Background. Chronic heart failure is a major health and social problem. The promotion of self-care behaviours can potentially assist patients to effectively manage this chronic condition and prevent worsening of the disease. Formal personalized educational interventions that provide support and take into consideration the cultural context are needed.Objective. The objective of this research was to evaluate the effect of a supportive-educational intervention on self-care behaviours of heart failure patients in Iran.Methods. This research was a prospective, randomized trial of a supportive-educational intervention. Eighty heart failure patients were randomly assigned to receive the supportive-educational intervention or usual care. The intervention consisted of a one-hour, nurse-led, in-person education session and postdischarge followup by telephone over three months. Data were collected at baseline, one, two, and three months.Results. The control and intervention groups did not differ in self-care scores at baseline (P>0.05). Each of the self-care scores was significantly higher in the intervention group than the control group at 1, 2, and 3 months (P<0.001). There were significant differences in self-care behaviours over the three months, among participants in the intervention group.Conclusion. This study provides support for the effectiveness of a supportive-educational intervention to increase self-care behaviours among Iranian patients suffering from chronic heart failure.

Sign in / Sign up

Export Citation Format

Share Document