Outcomes of Self-Care in Clients with Heart Failure before and after Treatment, using a Case Management Approach

Khankaew, Kanokporn; Ongsombat, Nalintip; Wonginchan, Atchariya; Senthong, Vichai; Thronsao, Chollada

doi:10.47985/dcidj.373

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…Evaluasi akhir bertujuan untuk mengetahui apakah keluarga dan pasien dengan penderita gagal jantung sudah memahami materi yang sudah disampaikan dan keterampilan sudah bertambah dengan melakukan re-demonstrasi. Keluarga dan pasien dengan gagal jantung dikatakan sudah memahami yaitu ketika mereka bisa melakukan tindakan manajemen diri secara mandiri tanpa dibimbing lagi (Khankaew et al, 2020)…”

Section: Evaluasi Dan Re-demonstrasiunclassified

Pelatihan Manajemen Perawatan Diri untuk Meningkatkan Pengetahuan Keluarga dan Pasien Gagal Jantung

Kristinawati

Rosyid

Rizkiawan

et al. 2023

PJPM

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Heart failure is the most common cardiovascular disease and has an uncontrolled prevalence of risk factors. Self-care management is the ability of heart failure patients to manage themselves and their illness. Based on the assessment data at the service site, there were as many as 30 heart failure patients and 30 families with heart failure patients. This service aims to improve the knowledge and skills of families and patients with heart failure in carrying out self-management. This service was carried out in one of the health cadre's houses which was attended by 30 people with heart disease. Powerpoint media is used as a medium for counseling activities delivered verbally by the speaker within 45 minutes after evaluation is carried out with redemostration. The results showed that 90% of respondents understood the material provided, this can be seen from the response to questions and the desire of the family and patients to practice again after the simulation at the evaluation time. Self-care management can be improved by education and training through simulations. Good self-management in people with heart failure is associated with a reduced risk of death and re-hospitalization events. Conducting supportive education and training to improve self-care behaviors in heart failure patients can improve knowledge, skills, reduce symptoms, and reduce patient complaints.

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Section: Evaluasi Dan Re-demonstrasiunclassified

Pelatihan Manajemen Perawatan Diri untuk Meningkatkan Pengetahuan Keluarga dan Pasien Gagal Jantung

Kristinawati

Rosyid

Rizkiawan

et al. 2023

PJPM

View full text Add to dashboard Cite

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Illness perceptions of people living with chronic heart failure and limited community disease management

Koontalay,

Botti,

Hutchinson

2024

Journal of Clinical Nursing

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AimTo explore the cognitive representations and emotional responses to living with chronic heart failure of people receiving limited community disease management.BackgroundIndividuals living with heart failure face self‐care and emotional challenges due to the overwhelming nature of adapting to lifestyle changes, particularly in subtropical areas.DesignQualitative descriptive. We applied Leventhal's Common Sense Model of Self‐Regulation as the framework for interviews and analyses.MethodsTwenty patients with chronic heart failure were interviewed during a hospital admission for exacerbation of their condition in a tertiary hospital in Thailand.ResultsAnalysis of the components of Leventhal's model of cognitive representations of illness revealed two themes relating to Illness Identity: (1) lack of knowledge of the diagnosis and how to recognise symptoms of the disease, and (2) recognition of symptoms of an exacerbation of CHF was based on past experience rather than education. These resulted in delays responding to cardiac instability and confusion about the intent of treatment. Participants recognised the chronicity of their disease but experienced it as an unrelenting cycle of relative stability and hospitalisations. Perceived Controllability was low. Two themes were: (1) Low perceived trust in the efficacy of medical treatment and lifestyle changes, and (2) Low perceived trust in their ability to comply with recommended lifestyle changes. The Consequences were significant emotional distress and high burden of disease. The two themes of emotional responses were (1) Frustration and hopelessness with the uncertainty and unpredictability of the disease, and (2) Sense of loss of independence, functional capacity and participation in life's activities.ConclusionChronically ill patients need support to understand their illness and make better treatment and lifestyle decisions. Improving patients' self‐efficacy to manage treatment and symptom fluctuations has the potential to improve their mental well‐being and minimise the impact of their condition on suffering and participation in employment and community.Implications for the Profession and/or Patient CareLeventhal's Common Sense Model of Self‐Regulation can be used to examine cognitive and emotional elements of illness perceptions, which link to individuals' ability to make informed decisions about disease management and influence health behaviours. Understanding illness perceptions underpins strategies for enhancing and sustaining self‐management behaviours.ImpactThe study findings accentuate the need to establish long‐term condition support programs in low‐middle income countries where the burden of heart failure is increasing exponentially.Reporting MethodThe Consolidated Criteria for Reporting Qualitative Research (COREQ) guideline was used to explicitly and comprehensively report our qualitative research.Patient or Public ContributionPatients contributed to the conduct of the study by participating in the data collection via face‐to‐face interviews.

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Outcomes of Self-Care in Clients with Heart Failure before and after Treatment, using a Case Management Approach

Cited by 2 publications

References 4 publications

Pelatihan Manajemen Perawatan Diri untuk Meningkatkan Pengetahuan Keluarga dan Pasien Gagal Jantung

Pelatihan Manajemen Perawatan Diri untuk Meningkatkan Pengetahuan Keluarga dan Pasien Gagal Jantung

Illness perceptions of people living with chronic heart failure and limited community disease management

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