Pilot testing of the effectiveness of nurse-guided, patient-centered heart failure education for older adults

Mathew, Shiny; Thukha, Henry

doi:10.1016/j.gerinurse.2017.11.006

Cited by 17 publications

(14 citation statements)

References 24 publications

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“…These patients informally reported them to be generally helpful and easy to understand. These results support previous studies where educational programmes provided by nurses for HF patients have increased their knowledge about the disease and self-care behaviours after a week, a month, and even after three months [ 15 , 30 ]. In our study, this improvement was clear between baseline and the first-week follow-up, and between the first-month and the third-month follow-ups, with stabilisation in self-care behaviour improvement between first-week and first-month follow-ups.…”

Section: Discussionsupporting

confidence: 90%

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

2021

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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).

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Section: Discussionsupporting

confidence: 90%

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

2021

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“…When symptom interpretation and recognition are integrated on a nurse-led program, with education reinforcements at all follow-up moments, patients with HF significantly improve their self-care [15]. These results support previous studies where educational programmes provided by nurses for patients with HF have increased their knowledge about the disease and self-care behaviors after a week, a month, and even after three months [15,31]. In our study this improvement was clear between baseline and the first-…”

Section: Hospital and Er Admissionsupporting

confidence: 89%

Does Symptom Recognition Improve Self-Care in Patients With Heart Failure? A Growth Latent Model

Sousa¹,

Neves²,

Pais-Vieira³

2021

Preprint

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Patients with heart failure have difficulty in self-care management, as daily monitoring and recognizing 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 self-care management and quality of life changes on patients with heart failure and assessed by a pilot study, for three months, to sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p<.001) and emergency admission (IRR 4.24; p<.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. Assign-ment_group=-.881; p<.001) and in the quality of life (βSlope. Assignment_group=1.739; p<.001). This study supports that a nurse-led program on symptom recognition and fluid restriction can have a positive impact on self-care behaviours and quality of life in patients with heart failure.

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Section: Self-care Behaviours Improvementsupporting

confidence: 80%

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

Sousa¹,

Neves²,

Pais-Vieira³

2021

Preprint

View full text Add to dashboard Cite

Patients with heart failure have difficulty in self-care management, as daily monitoring and recognizing symptoms do not readily triggers 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 self-care management and quality of life changes on patients with heart failure and assessed by a pilot study, for three months, to sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p<.001) and emergency admission (IRR 4.24; p<.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=-.881; p<.001) and in the quality of life (βSlope. Assignment_group=1.739; p<.001). This study supports that a nurse-led program on symptom recognition and fluid restriction can have a positive impact on self-care behaviours and quality of life in patients with heart failure.

show abstract

Pilot testing of the effectiveness of nurse-guided, patient-centered heart failure education for older adults

Cited by 17 publications

References 24 publications

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

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

Does Symptom Recognition Improve Self-Care in Patients With Heart Failure? A Growth Latent Model

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

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