scholarly journals Development and feasibility testing of an education program to improve knowledge and self-care among Aboriginal and Torres Strait Islander patients with heart failure

2015 ◽  
Author(s):  
Robyn Clark ◽  
Bronwyn Fredericks ◽  
Natahlia Buitendyk ◽  
Michael Adams ◽  
Jill Howie-Esquivel ◽  
...  
Keyword(s):  
Heart Failure ◽  
Education Program ◽  
Torres Strait Islander ◽  
Self Care ◽  
Patients With Heart Failure ◽  
Torres Strait ◽  
Feasibility Testing

scholarly journals Development of a self-care simulation education program for older patients with heart failure

2013 ◽  
Vol 4 (1) ◽  
pp. 1-3 ◽  
Author(s):  
Heng-Hsin Tung ◽  
Jeng Wei ◽  
Liang-Kung Chen ◽  
Jen-Chen Tsai ◽  
Kuan-Chia Lin ◽  
...  
Keyword(s):  
Heart Failure ◽  
Education Program ◽  
Older Patients ◽  
Self Care ◽  
Simulation Education ◽  
Patients With Heart Failure

4035Impact of qualified nursing education on the care of heart failure patients in a regional physician network

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A Huesken ◽  
R Hoffmann
Keyword(s):  
Heart Failure ◽  
Education Program ◽  
Weight Control ◽  
Self Care ◽  
Knowledge Score ◽  
Structured Education ◽  
Disease Knowledge ◽  
Patients With Heart Failure ◽  
Care Behavior

Abstract Background The ESC guidelines on management of patients with heart failure support a multidisciplinary management program including intensive patient teaching and follow-up care. However, adequate information of patients with heart failure on their disease by the treating physician is often limited due to time restrictions. Aim This study evaluated the short and long-term impact of a structured education program by a qualified heart failure nurse on the patient's understanding of his disease and adherence to therapy. Methods 95 consecutive patients (67 male, mean age 66±11 years) hospitalized for heart failure symptoms were included in a structured education program. Each patient underwent an individual one hour teaching program by a qualified heart failure nurse who used structed teaching material. Patients were requested to respond to a questionnaire consisting of 15 questions 1 day before and 1 day after the teaching course as well as at a 6 months follow-up. The questionnaire included the nine questions of the European Heart Failure Self-Care Behaviour Scale (EHFSCB9-Scale) as well as 6 questions on the patient's knowledge about his disease. For each question the patient had to respond to a scale ranging from 1 point (complete disagreement) to 5 points (complete agreement). 6 months follow-up data were obtained by physicians providing the outpatients care and implemented into a password protected software offering all patient data within the local network consisting of the hospital and 4 regional outpatient cardiologists. Results Total self-care behavior and disease knowledge score improved from 48.3±10.1 points before teaching to 64.0±9.9 points after teaching (p<0.001). Before teaching there were significant differences in the scores of individual questions ranging from 2.40±1.36 points on understanding of the own disease to 4.71±0.80 points on complete adherence to the medication protocol. After teaching there was a more homogenous score levels. Greatest gains on individual question scores could be obtained on “the patients understanding of the causes of his disease” (1.52±1.38 points), “the feeling of being completely informed about the disease” (1.44±1.23 points) and “daily weight control” (1.73±1.58 points). At 6-months follow-up total self-care behavior and disease knowledge score was 59.2±13.2 points (p=0.231 to immediately after teaching) in the 67% of patients with complete follow-up. In a logistic regression analyses no parameter could be defined which predicted a low knowledge score before teaching or an insufficient teaching effect. Conclusions A qualified nurse education program significantly improves self-care behavior and disease knowledge. The effect persists at 6 months follow-up. Improvements can be obtained in particular with regards to patients understanding of his disease causes and daily weight control. There are no patient characteristics which obviate the need for teaching or predict a low teaching effect. Acknowledgement/Funding Deutsche Stiftung für chronisch Kranke

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).

Development of self-care educational material for patients with heart failure in Japan: a pilot study

2012 ◽  
Vol 14 (2) ◽  
pp. 156-164 ◽  
Author(s):  
Naoko Kato ◽  
Koichiro Kinugawa ◽  
Miho Sano ◽  
Satomi Seki ◽  
Asuka Kogure ◽  
...  
Keyword(s):  
Heart Failure ◽  
Pilot Study ◽  
Self Care ◽  
Educational Material ◽  
Patients With Heart Failure

The relationship between health literacy and self-care in patients with heart failure

2021 ◽  
pp. 1-10
Author(s):  
Katie Nesbitt ◽  
Huiyun Du ◽  
Paul Nolan ◽  
Susie Cartledge ◽  
Parichat Wonggom ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Literacy ◽  
Patient Group ◽  
Care Management ◽  
Self Care ◽  
Randomised Control Trial ◽  
Adequate Health Literacy ◽  
Patients With Heart Failure ◽  
Literacy Knowledge ◽  
The Relationship

Background/Aims Research has shown that health literacy can influence an individual's ability to practise self-care, particularly for patients with heart failure. This study aimed to assess health literacy and its relationship with heart failure knowledge and self-care practices in this patient group. Methods An observational sub-study was conducted with the data from a large randomised control trial that evaluated the relationship between patients' health literacy, general literacy, knowledge of heart failure and self-care. Results A total of 36 participants were recruited, of which 33 (89.9%) had adequate levels of health literacy. Health literacy was positively associated with heart failure knowledge. However, 67.7% of participants with adequate health literacy were found to have inadequate levels of self-care management. Conclusions Health literacy may facilitate better heart failure knowledge, but it does not necessarily lead to improved self-care management in patients with heart failure. This suggest that clinicians need to put more emphasis on translating knowledge into behavioural changes for self-care in this patient group.

Testing a Middle -Range Theory of Heart Failure Self-Care

2021 ◽  
Vol 34 (4) ◽  
pp. 378-391
Author(s):  
Sumayya A. Attaallah ◽  
Rosalind M. Peters ◽  
Ramona Benkert ◽  
Hossein Yarandi ◽  
Sandra Oliver-McNeil ◽  
...  
Keyword(s):  
Heart Failure ◽  
Latent Variable ◽  
Self Care ◽  
Middle Range Theory ◽  
Conditioning Factors ◽  
Middle Range ◽  
Patients With Heart Failure ◽  
Range Theory ◽  
Care Deficit

A middle-range theory of heart failure self-care, derived from the self-care deficit theory of nursing, was tested among 175 Arab American older adults with heart failure. The middle-range theory achieved good statistical fit, but not all hypothesized relationships were supported. Specifically, conceptualizing basic conditioning factors as a single latent variable was not supported. However, individual factors of depression, social support, and time living with heart failure had a direct effect on both self-care agency and quality of life. Understanding predictors and outcomes of self-care within a theoretical framework is essential in caring for patients with heart failure.

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