Effect of the self-management education program on the quality of life in people with chronic heart failure: a randomized controlled trial

Abbasi, Alireza; Ghezeljeh, Tahereh Najafi; Farahani, Mansoureh Ashghali

doi:10.19082/7028

Cited by 28 publications

(22 citation statements)

References 39 publications

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“…As shown by the SF-36 scores, FCIHE significantly improved the quality of life of our patients, which might be explained by the fact that patients in the intervention group gradually changed from passive nursing to active self-care after implementation of FCIHE, which accurately covered the patients’ daily drug use, diet, and exercise behavior and played an active role in regulating body status and controlling disease conditions[25-27]. In addition, Segan et al[28] reported that FCIHE established a progressive closed-loop nursing mode of self-care – guided care – self-care, which helped patients to optimize continuously their care measures during self-care and thus markedly improved their quality of life[28,29].…”

Section: Discussionmentioning

confidence: 99%

Application of self-care based on full-course individualized health education in patients with chronic heart failure and its influencing factors

Sun¹,

Zhang²,

Ma³

et al. 2019

WJCC

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BACKGROUND The treatment of heart failure not only needs to relieve the clinical symptoms and improve the quality of life for patients but also needs to select scientific and reasonable ways to prevent or delay the progression of the disease, thus reducing the mortality and hospitalization rate. Although the previous regimen can effectively relieve symptoms in the early stage of treatment, long-term use may cause adverse events, such as arrhythmia, and even increase mortality. Therefore, conventional treatment cannot meet the actual health needs of patients, and scientific nursing intervention is very necessary. AIM To investigate the application of self-care based on full-course individualized health education (FCIHE) and its influencing factors in patients with chronic heart failure (CHF). METHODS We enrolled CHF patients who were admitted to our center between September 2015 and June 2016 and divided them into an intervention group ( n = 50) and control group ( n = 50) using a random number table. Routine nursing care was applied to the control group, and FCIHE was offered to the intervention group. The self-care behavior, 6-min walking distance (6MWD), and 36-item short form health survey (SF-36) scores were compared between the two groups. The influencing factors of the self-care were also analyzed. RESULTS The 6MWD was not significantly different between the two groups at admission ( P > 0.05); however, at 3 and 6 mo after discharge, 6MWD was significantly increased, and it was significantly longer in the intervention group ( P < 0.05). The scores for self-care behavior showed no significant difference at admission between the two groups ( P > 0.05); however, at 3 and 6 mo after discharge, the total scores for self-care maintenance, management, confidence, and behavior of the intervention group were significantly higher than those of the control group ( P < 0.05). There were no significant differences in the SF-36 scores at admission ( P > 0.05); however, at 3 mo and 6 mo after discharge, the scores for all eight subscales, including physical functioning, role limitations due to physical problems, bodily pain, general health perceptions, vitality, social functioning, role-limitations due to emotional problems, and mental health, were significantly higher in the intervention group ( P < 0.05). As shown by logistic regression analysis, the influencing factors of self-care mainly included age, cardiac function class, and education background (odds ratio > 1; all P < 0.05). CONCLUSION FCIHE improved self-care behavior and cardiac function in CHF patients. Age, cardiac function, and education level affected the implementation of self-care amon...

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Section: Discussionmentioning

confidence: 99%

Application of self-care based on full-course individualized health education in patients with chronic heart failure and its influencing factors

Sun¹,

Zhang²,

Ma³

et al. 2019

WJCC

View full text Add to dashboard Cite

show abstract

“…Studies in diabetic patients and those with chronic heart failure have reported improved not only patient self-reported health, satisfaction, and quality of life but also better patient survival. [2][3][4][5] There have been few studies investigating self-care during hemodialysis and shared the responsibility of care. However, these limited studies have suggested that self-care during hemodialysis improved physical functioning, and greater knowledge of kidney disease and treatment improved quality of life.…”

Section: Introductionmentioning

confidence: 99%

“…Most ICHD patients take little if any, control of their hemodialysis treatment relying on the dialysis center health care professionals. Studies in diabetic patients and those with chronic heart failure have reported improved not only patient self‐reported health, satisfaction, and quality of life but also better patient survival 2‐5 . There have been few studies investigating self‐care during hemodialysis and shared the responsibility of care.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting uptake of home hemodialysis among self‐care dialysis unit patients

Haroon

Griva

Davenport

2020

Hemodialysis International

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Introduction: Superior outcomes have been reported among hemodialysis (HD) patients who take active control over their dialysis treatment either at self-care satellite dialysis units or home compared to the regular in-center hemodialysis patient. Although the differences between the home hemodialysis (HHD) and self-care in-center HD (SCHD) are not well described, the growing literature on the superior outcomes of HHD suggests that HHD is the better option. Methods: We performed a cross-sectional study in a stand-alone self-care unit to examine the differences in patients that are keen to consider HHD and those who are not. Findings: A cross-sectional sample of 44 patients completed a structured interview and the distress thermometer score used to assess psychological stress. Only 68% of patients reported to have heard about the benefits of HHD despite the long-established history and availability of the modality in the unit. One of the more critical findings in our study was that the cohort of patients who were keen to consider HHD believed that self-care and HHD would improve their quality of life (P < 0.05). Specifically, the perceived benefits stated by those willing to consider HHD were the lack of need to travel, association with better outcomes and the possibility of having the treatment in the comfort of home (P < 0.05). Discussion: We surmise that the answers expressed in this survey likely reflect a difference in perceptions of self-care and beliefs about HHD; hence, the importance of introducing HHD education earlier in the course of their chronic kidney disease journey.

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“…As only a minority of patients are suitable for transplantation, then for many patients HD is for life. 8 Indeed, studies in other chronic healthcare conditions, diabetes mellitus and congestive heart failure have reported that patients who take greater control of their own medical care 9-12 reported a reduction in emotional burden, 9 short-term improvement in glycaemic control, 10 over-all quality of life, 11 and shortterm changes in self-reported self-management skills predicted intermediate-term changes in improved mental quality of life and long-term changes in better physical quality of life. 1,2 Although the absolute rates of clinically diagnosed depression are much lower, 3 self-reported depression is associated with increased over-all mortality.…”

Section: Introductionmentioning

confidence: 99%

“…4 A number of psychological theories, including human becoming theory, Bandura's self-efficacy theory, and Orem's self-care model, [5][6][7] have suggested that patients who take greater care of their own medical care have less depression and are more motivated to perform and promote activities designed to maintain or improve health care. 8 Indeed, studies in other chronic healthcare conditions, diabetes mellitus and congestive heart failure have reported that patients who take greater control of their own medical care [9][10][11][12] reported a reduction in emotional burden, 9 short-term improvement in glycaemic control, 10 over-all quality of life, 11 and shortterm changes in self-reported self-management skills predicted intermediate-term changes in improved mental quality of life and long-term changes in better physical quality of life. 12 Self-help in HD is typically associated with home dialysis therapies, and as such the improvement in patient outcomes reported, 13 may be biased by patient selection.…”

Section: Introductionmentioning

confidence: 99%

The effects of supported shared‐care and hemodialysis self‐care on patient psychological well‐being, interdialytic weight gain, and blood pressure control

Maharjan

Davenport

2019

Hemodialysis International

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Introduction: Traditionally hemodialysis (HD) treatments are undertaken by dialysis staff. Self-care has been reported to improve psychological well-being and treatment compliance for patients with chronic diseases. We evaluated our shared-care HD program to determine whether shared-care benefits patients.Methods: We reviewed the electronic health care and HD sessional records and psychological distress thermometer (DT) scores of patients in our HD centers. HD shared care was classified as grade 0-none, grade 1 patients weighing themselves and measuring blood pressure (BP), grade 2 performs HD, and grade 3 additionally troubleshoots problems.Findings: We reviewed 675 HD patients; mean age 64.1 AE 16.3 years, 62.3% male, 45.9% diabetic, Stoke-Davies co-morbidity grade 1 (1-1), frailty score 4 (3-5), DT 3 (0-5). 60.3% performed no shared care, 19% grade 1, 14.8% grade 2, and 6% grade 3. Patients performing more shared care were younger, less frail, less co-morbid, and physically stronger. We then propensity matched 113 patients with grade ≥ 2 shared care for age and frailty with 113 no shared-care patients. Fewer shared-care patients were prescribed antihypertensives (50.7 vs. 70.7%, P < 0.01), and had lower serum N terminal probrain natriuretic peptide 3033 (1083-8502) vs. 4814(1514-135821) pg/mL), phosphate (1.62 AE 0.49 vs. 1.78 AE 0.62 mmol/L), and higher albumin (40.7 AE 4.3 vs. 38.0 AE 4.3 g/ L), all P < 0.05 but no differences in psychological DT scores.Discussion: Although there was no significant benefit in psychological well-being, as measured by the self-reported DT, patients performing more shared care demonstrated other benefits in terms of blood pressure and volume control.

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Effect of the self-management education program on the quality of life in people with chronic heart failure: a randomized controlled trial

Cited by 28 publications

References 39 publications

Application of self-care based on full-course individualized health education in patients with chronic heart failure and its influencing factors

Application of self-care based on full-course individualized health education in patients with chronic heart failure and its influencing factors

Factors affecting uptake of home hemodialysis among self‐care dialysis unit patients

The effects of supported shared‐care and hemodialysis self‐care on patient psychological well‐being, interdialytic weight gain, and blood pressure control

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