Evaluation of a self-management patient education program for patients with chronic heart failure undergoing inpatient cardiac rehabilitation: study protocol of a cluster randomized controlled trial

Meng, K.; Musekamp, Gunda; Seekatz, Bettina; Glatz, Johannes; Karger, Gabriele; Kiwus, Ulrich; Knoglinger, Ernst; Schubmann, Rainer; Westphal, Ronja; Faller, Hermann

doi:10.1186/1471-2261-13-60

Cited by 15 publications

(15 citation statements)

References 32 publications

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“…Subsequently, all therapeutic regimens need careful awareness, interpretation and positive attitudes from patients. [25,28] This is goes in line with Rankin S., in 2002, who clarified that patient literacy, inner motivation and a positive attitude regarding self-care management of their own health and illness care is considered a foundation of health-care management. Nurses should focus on helping them to acquire all skills, attitudes or knowledge needed to manage health complaints accurately.…”

Section: Discussionsupporting

confidence: 59%

“…Consequently, self-care management is an essential part to be learned by this group of patients for successful treatment. [3,24,25] Patient health education is proposed to promote self-care management of patients with CHF. There are specific educational techniques which help patients in attaining their wishes through well planned self-care management educational programs.…”

Section: Discussionmentioning

confidence: 99%

“…CHF patients should participate in the dynamic and continuous process of self-regulation by integrating health literacy about the disease including definition, etiology, symptoms and signs, pharmacological treatment, risk factor modification, diet and exercise recommendations, sexual activity limitations, immunizations, sleep and breathing disorders, treatment adherence, and finally with psychosocial aspects and prognosis, each associated with certain skills or self-care management behaviors. [25,30] An observed survey group perception which gained a low mean in self-care management items was "assurance that the remedy helped". Although remedies are popular self-care approaches in Egypt, CHF patients still have low awareness and inadequate perception as regards to these valuable health management components.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, Meng K, et al, in 2013, emphasized that the majority of patients with chronic conditions lacked self-care efficacy and self-care confidence in monitoring and managing illness complaints. [25] Contradictory to this, Riegel B, et al, in 2009, reported that inner motivation and appreciation of one's own abilities to monitor, perform and evaluate self care, plays an important role in CHF management. On the other hand, patients must be alert to use astuteness, thought, and perception in response to directions from an external source for strengthening self efficacy or self confidence to enhance their ability to accomplish self-care goals.…”

Section: Discussionmentioning

confidence: 99%

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Using a self-care management tool to improve self-care and quality of life in patients with congestive heart failure

Ibrahim

Tawfik

Abudari³

2016

Clinical Nursing Studies

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Self-management is a primary goal for multiple chronic diseases and particularly for Congestive Heart Failure (CHF). Currently, treatment for CHF emphasizes relieving symptoms through teaching patients how to better care for themselves. Patients who take an active role in self-care are more independent; feel more able to manage their disease and experience better psychological outcomes. However, the research focused on self care-management intervention in heart failure patients in Egypt is very inadequate. Thus, this study aims to first explore the self-care management learning needs among patients with CHF, then secondly assess the effects of a self-care-management tool on self-care adequacy and quality of life (QOL) among this group of patients and thirdly identify patient opinions regarding the instructional developed tool. The research design encompasses the two designs of descriptive and quasi-experimental pretest-posttest study. A convenient sample of 256 patients with congestive heart disease was employed for the survey group in the assessment phase of the study. From this sample, 30% were then randomly assigned to use the developed instructional tool as the experimental group. Two tools were used for data collection. The first was the Heart Failure Self-Care Management Questionnaire (HFSCMQ) which included two parts: the Self-Care Heart Failure Index which was developed by Riegel et al., in 2009, and the Minnesota Living with Heart Failure Questionnaire (MLHFQ) that was developed by Rector T, in 1986. The second tool was a patient feedback opinionnaire which was developed by the researchers to determine patient's feedback after using the developed tool. Results for the survey group revealed observed inadequate self-care management as perceived by patients with CHF involving self-care maintenance, self-care management and self-care confidence elements, as well as poor QOL detection. Results for the experimental group showed that the CHF patient's perceptions about self-care management with its components were improved before and after use of the developed instructional tool in the second and third assessments. As well, the QOL was slightly improved as perceived by them. This proves that the self-care management tool may be effective as a self-learning reference among Egyptian CHF patients. In conclusion, instructional health education materials, particularly for patients with chronic illnesses such as CHF, are essential nursing interventions to improve patient self-care management literacy and the QOL. Furthermore, the planning, developing, and implementing of different health instructional materials for patient teaching has become a necessary scheme for nurses to improve their practice in exploring innovative roles in the health education field and activate these roles in different health specialties.

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Using a self-care management tool to improve self-care and quality of life in patients with congestive heart failure

Ibrahim

Tawfik

Abudari³

2016

Clinical Nursing Studies

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“…6,24 Specialist CHF outpatient programmes have yet to demonstrate an improvement in patient adherence compared to rates achieved in primary care. 25 A small number of studies have observed benefits of group self-management interventions in other chronic disease settings, such as diabetes; 26,27 however, the active component/s driving success of these programmes is unknown.…”

Section: Recommendations To Promote Patient Self-management: a Socialmentioning

confidence: 99%

Patient Self-Management In Chronic Heart Failure — Establishing Concordance Between Guidelines And Practice

Toukhsati¹,

Driscoll²,

Hare³

2015

Cardiac Failure Review

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The gold-standard of patient self-management in chronic heart failure (CHF) can be defined as "daily activities that maintain clinical stability". 1 This requires that patients monitor their symptoms, adhere to their medication, diet and exercise regimens and manage symptoms by recognising changes and responding by either adapting behaviours or by seeking appropriate assistance.2 Patient self-management is linked to reduced mortality risk and fewer hospital admissions; however, there is less certainty with regard to the benefits of some aspects of self-care, such as lifestyle choices and fluid restriction.2 According to the European Society of Cardiology Guidelines for the diagnosis and treatment of acute and chronic heart failure, 3 self-management is integral to achieving best patient outcomes: to reduce mortality and improve quality of life.Self-management in CHF usually involves behavioural adaptation.Patients may need to learn new behaviours, such as learning how to monitor and manage symptoms and complex medical regimens.Patients may also need to abstain (e.g. cease smoking), adapt (e.g. AbstractChronic heart failure (CHF) is a progressive and debilitating disease with a broad symptom profile, intermittently marked by periods of acute decompensation. CHF patients are encouraged to self-manage their illness, such as adhering to medical regimens and monitoring symptoms, to optimise health outcomes and quality of life. In so doing, patients are asked to collaborate with their health service providers with regard to their care. However, patients generally do not self-manage well, even with specialist support. Moreover, selfmanagement interventions are yet to demonstrate morbidity or mortality benefits. Social network approaches to self-management consider the availability and mobilisation of all resources, beyond those of only the patient and healthcare providers. Used in conjunction with e-health platforms, social network approaches may offer a means by which to optimise self-management programmes of the future.

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Implementing Guideline Based Heart Failure Care in the Northern Territory: Challenges and Solutions

Iyngkaran

Harris

Ilton

et al. 2014

Heart, Lung and Circulation

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Evaluation of a self-management patient education program for patients with chronic heart failure undergoing inpatient cardiac rehabilitation: study protocol of a cluster randomized controlled trial

Cited by 15 publications

References 32 publications

Using a self-care management tool to improve self-care and quality of life in patients with congestive heart failure

Using a self-care management tool to improve self-care and quality of life in patients with congestive heart failure

Patient Self-Management In Chronic Heart Failure — Establishing Concordance Between Guidelines And Practice

Implementing Guideline Based Heart Failure Care in the Northern Territory: Challenges and Solutions

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