Implementing a Protocol to Improve Self-Care Behaviors in Adult Patients With Heart Failure

2018 ◽  
Vol 11 (1) ◽  
pp. 59-71 ◽  
Author(s):  
Sari Capilouto ◽  
Erica M. Brewer ◽  
Wynne Crawford
Keyword(s):  
Heart Failure ◽  
Hospital Admissions ◽  
Sodium Intake ◽  
Self Care ◽  
Heart Association ◽  
Adult Patients ◽  
Written Information ◽  
Practice Organization ◽  
Patients With Heart Failure ◽  
Implementation Period

Background:Heart failure (HF) is a condition that affects millions of Americans and costs $30 billion to treat annually. HF is the cause for frequent hospitalizations. Self-care practices have been found to improve quality of life, decrease hospitalizations, and reduce treatment costs.Participants:Fifteen adult patients with a HF diagnosis ages 18 to 70 voluntarily participated in the implementation of a protocol aimed at improving self-care behaviors in patients with HF in a private cardiology practice located in a southeastern city.Methods:The project was a quality improvement design. A protocol was implemented using resources from the American Heart Association. Monitoring logs were provided to patients to record daily weights, sodium intake, blood pressure, and symptoms. Educational resources included information about medications and a list of valid HF websites. Participants were provided medication organizers and a two-liter container with which to monitor daily fluid intake. The written information and logs were compiled in red folders.Results:Of the 15 participants, there were no hospital admissions or readmissions for HF during the implementation period. Leg and ankle swelling worsened; dyspnea improved; fewer participants felt like a burden to their family; HF knowledge improved.Discussion:The findings indicate the feasibility of implementing the protocol throughout a private practice organization.

Determinants of Self-Care in Patients With Heart Failure: Observations From a Developing Country in the Middle East

2019 ◽  
Vol 31 (3) ◽  
pp. 294-303 ◽  
Author(s):  
Angela Massouh ◽  
Huda Abu Saad Huijer ◽  
Paula Meek ◽  
Hadi Skouri
Keyword(s):  
Heart Failure ◽  
Social Support ◽  
New York ◽  
Care Management ◽  
Medical Center ◽  
Self Care ◽  
Heart Association ◽  
Caregiver Support ◽  
Patients With Heart Failure ◽  
New York Heart Association

Introduction: Self-care is recognized as a means for improving outcomes of heart failure (HF), yet studies have not addressed what predicts successful self-care in collectivist cultures like Lebanon. Methodology: Self-care was measured, using the Arabic Self-Care of HF index, in 100 participants with HF (76% males; mean age 67.59) recruited from a tertiary medical center. Results: Self-care was suboptimal, with mean scores of 67.26, 66.96, and 69.5 for self-care maintenance, management, and confidence. Better HF knowledge, social support, and self-care confidence and lower New York Heart Association score predicted better self-care maintenance. Better knowledge, social support, and self-care maintenance, no recent hospitalization, and being unemployed predicted better self-care confidence. Better self-care confidence, maintenance, and HF knowledge predicted better self-care management. Discussion: HF self-care in Lebanon is suboptimal. Nurses need to identify facilitators of and barriers to self-care particular to this population. Interventions targeting HF knowledge, confidence, and caregiver support are expected to improve self-care in Lebanese patients.

Motivational Interviewing and Self-care Practices in Adult Patients With Heart Failure

2020 ◽  
Vol 35 (2) ◽  
pp. 107-115
Author(s):  
Tamara Sokalski ◽  
K. Alix Hayden ◽  
Shelley Raffin Bouchal ◽  
Pavneet Singh ◽  
Kathryn King-Shier
Keyword(s):  
Heart Failure ◽  
Motivational Interviewing ◽  
Self Care ◽  
Adult Patients ◽  
Patients With Heart Failure ◽  
Care Practices

Socio-clinical variables affecting the level of self-care in elderly patients with heart failure

2019 ◽  
Vol 18 (7) ◽  
pp. 628-636 ◽  
Author(s):  
Barbara Prochota ◽  
Katarzyna Szwamel ◽  
Izabella Uchmanowicz
Keyword(s):  
Heart Failure ◽  
New York ◽  
Elderly Patients ◽  
Self Care ◽  
Heart Association ◽  
York Heart Association Class ◽  
Patients With Heart Failure ◽  
New York Heart Association ◽  
Behavior Scale ◽  
Care Behavior

Background: Promoting self-care is the cornerstone of heart failure management. The number of hospitalizations and unscheduled visits could be reduced in elderly patients with heart failure by the patients’ active involvement in self-care. Aims: The aim of this study was to measure the level of self-care in elderly patients with heart failure, to examine the influence of socio-clinical variables on the level of self-care, and identify the socio-clinical variables that are predictors of self-care. Methods: The study included 100 heart failure patients (48 female, 52 male) aged between 60 and 88 years, treated at the Oleśno Health Care Center (Poland). The European Heart Failure Self-care Behavior Scale-9 and Mini-Mental State Examination were used. Results: The total classic European Heart Failure Self-care Behavior Scale-9 score was 22.76 points (standard deviation=8.49), and the standardised European Heart Failure Self-care Behavior Scale-9 score was 61.78 (standard deviation=23.59). Patients who were in a relationship, did not take digoxin or diuretics, were in New York Heart Association classes I and II, and had normal scores or cognitive impairment in the Mini-Mental State Examination, had significantly higher levels of self-care. Self-care was also correlated with patient age ( rs=−0.36, p<0.001) and left ventricle ejection fraction ( rs=0.23, p=0.019). Linear regression analysis demonstrated that only the New York Heart Association class has a significant impact on European Heart Failure Self-care Behavior Scale-9 scores. Compared to classes I and II, New York Heart Association class IV decreases the standardised European Heart Failure Self-care Behavior Scale-9 score by a mean of 23.60 points. Conclusions: Intensified self-care education should be provided to patients living alone, taking digoxin and diuretics, suffering from moderate dementia, and classified in New York Heart Association class IV. These patients may require specific educational strategies to gain the knowledge required for effective self-care.

scholarly journals Effect of Nurse-led Educational Interventions on Self-care of Adult Patients with Heart Failure: A Systematic Review

2020 ◽  
Vol 10 (2) ◽  
pp. 192
Author(s):  
Reginus Tertius Malara ◽  
Syarul Syarul
Keyword(s):  
Heart Failure ◽  
Systematic Review ◽  
Intervention Study ◽  
Self Care ◽  
Educational Interventions ◽  
Adult Patients ◽  
Adult Care ◽  
Education Of Patients ◽  
Pubmed Database ◽  
Patients With Heart Failure

The purpose of this systematic review is to identify the effect of individual nursing-led, patient sessions on adult care with heart failure (HF) in hospitals, outpatient clinics and at home or community. A systematic review of the intervention study. Using nurse terminology, education, heart failure, self-care in the PubMed database, ScienceDirect, Willey, ProQuest. The articles in question are related to educational interventions by individual nurses to patients with management of heart failure. The results of this review identified nursing-led education sessions to adults with heart failure proven to improve self-care abilities. These results suggest that the education of patients led by nurses to adult patients with heart failure improves self-care. Education led by nurses delivered in hospitals, outpatient and in-home clinics using diverse methods have an impact on improving self-care.

scholarly journals Effects of Health Education Program and Improving Self-care among Vietnamese Adult Patients with Chronic Heart Failure in Nam Dinh Province Vietnam

2021 ◽  
pp. 167-175
Author(s):  
Ngo Huy Hoang ◽  
Pham Thi Hong Nhung
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Self Care ◽  
Heart Association ◽  
Education Programme ◽  
Adult Patients ◽  
Care Practice ◽  
P Values ◽  
The Mean ◽  
Knowledge And Practice

This study aimed toimprove the knowledge and practice of self-care among Vietnamese adult patients with chronic heart failure in Nam Dinh province Vietnam. The one group pre-test and post-test educational intervention was conducted among 90patients with chronic heart failurein Nam Dinh General Hospital. The education programme based on the guidelines for self-care of heart failure by Vietnam National Heart Association 2015 and by American Heart Association2014. The evaluation knowledge and practice before and after based on the Atlanta Heart Failure Knowledge Testand the Self-care of Heart Failure Index. By the scale of 22 points for self-care knowledge, the mean score of participated patients before the intervention was 10.41 ± 3.54, then went up to 19.38 ± 2.16 points right after completing the intervention and retained at 17.92 ± 2.52 points at the time of one month later (p values of 0.001).By the scale of 100 points for each field of self-care practice,the mean scores of participated patientsbefore the intervention were limited in three fields of practicewith41.52 ± 20.51 points for self-care maintenance, 35.56 ± 15.21 points for self-care management, and 50.45 ± 16.11 for self-care self-confidence, thenpositive changes in comparison with these three fields before the interventionwere seen after completing the interventionone month,including 53.90 ± 20.03 points, 52.96 ± 15.08 points, and 59.31 ± 14.68, respectively(p values of 0.001).The study revealed a reality of limited self-care knowledge and practice among Vietnamese adult patients with chronic heart failure before the intervention and showed the initial positive results in improvingboth knowledge and practice of patients with chronic heart failure through the patient educationwhich helping themto do self-caring theirconditionand needs to be implemented regularly.

Clinical impact of compound sarcopenia in hospitalized older adult patients with heart failure

2021 ◽  
Author(s):  
Amy Attaway ◽  
Annette Bellar ◽  
Faty Dieye ◽  
Douglas Wajda ◽  
Nicole Welch ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adult ◽  
Clinical Impact ◽  
Adult Patients ◽  
Patients With Heart Failure

scholarly journals Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled Trial

2021 ◽  
Vol 11 (2) ◽  
pp. 418-429
Author(s):  
Joana Pereira Sousa ◽  
Hugo Neves ◽  
Miguel Pais-Vieira
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Care Management ◽  
Controlled Trial ◽  
Self Care ◽  
Fluid Restriction ◽  
Symptom Recognition ◽  
Patients With Heart Failure ◽  
Randomised Controlled

Patients with heart failure have difficulty in self-care management, as daily monitoring and recognition of symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate the longitudinal effect of a nursing-led complex intervention on self-care management and quality-of-life changes in patients with heart failure and assessed by a pilot study performed on sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p < 0.001) and emergency admission (IRR 4.24; p < 0.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (βSlope. Assignment_group = −0.881; p < 0.001) and in the quality of life (βSlope. Assignment_group = 1.739; p < 0.001). This study supports that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure. This randomised controlled trial was retrospectively registered (NCT04892004).

scholarly journals Knowledge about self-care and associated factors among heart-failure patients in Ayder Referral Hospital, Ethiopia, 2018: A cross-sectional study

2020 ◽  
pp. 201010582096214
Author(s):  
Tsegu Hailu Gebru ◽  
Haftea Hagos Mekonen ◽  
Kbrom Gemechu Kiros
Keyword(s):  
Heart Failure ◽  
New York ◽  
Logistic Regression ◽  
Self Care ◽  
Heart Association ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knowledge Age

Background: Good knowledge of self-care related to heart failure (HF) is key to improve patient outcomes. However, information regarding how much patients know about self-care is lacking in developing countries, particularly in the study setting. Objective: The objectives of this study were to assess HF patients’ knowledge about self-care and to explore predictors among HF patients in Ayder comprehensive specialised referral hospital, Tigray, Ethiopia. Methods: This hospital-based cross-sectional study design was undertaken in Ayder comprehensive specialised referral hospital, Tigray, Ethiopia. A total of 408 HF patients participated, and the study was done between February and April 2018. An interviewer-assisted structured questionnaire was used to collect data. Bivariate logistic regression and multivariable logistic regression were conducted to identify the predictors associated with knowledge about self-care. Results: The mean age of the participants was 45.4 years (standard deviation=19 years). Around 255 (62.5%) of the participants had poor self-care knowledge. Age, New York Heart Association classes, duration of the disease and previous hospitalisation were the factors associated with knowledge about self-care. Conclusion: More than half of all participants had poor knowledge about self-care. Improving existing prevention strategies and strengthening patients’ knowledge are recommended to address this knowledge deficit.

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