Self‐Management Intervention to Improve Self‐Care and Quality of Life in Heart Failure Patients

Abstract

Self-management intervention is a good method to improve self-care ability, as such, to promote quality of life. However, the research focused on self-management intervention in heart failure patients in Taiwan is very limited. Therefore, the purposes of this study were to test the effectiveness of self-management intervention in patients with heart failure in Taiwan and examine the relationship between self-care ability and quality of life. A quasi-experimental design was used in this study with convenience sampling. Of the 82 subjects participating in this study, 40 of them chose to join the experimental (self-management intervention plus usual care) and 42 of them chose to join control (usual care) group. Three questionnaires were used to collect the data, which were the demographic questionnaire, the self-care questionnaire (Self-Care of HF Index V 6), and the quality of life questionnaire (Minnesota Living with Heart Failure Questionnaire). To examine the effectiveness of the intervention, self-care ability and quality of life were measured, using a pretest, 1- and 2-month follow-up assessment. Generalized estimation equations (GEE) were used to compare changes over time among groups for outcomes to ensure the effectiveness of the intervention. This study confirmed the effectiveness of the self-management intervention. The clinical provider should increase the awareness of the importance of self-management skills and self-care ability especially for heart failure patients. The designated disease-specific self-management patient book and individualize intervention should be dispensing and implementing.

Effect of Clinical Nurses Specialists intervention on rehabilitation outcomes in patients with heart failure

“…Evidence to support a link between self-care in patients with HF and health outcomes is limited. [19,54] The results from our study are in line with the results from the study by Tung, et al [19] Furthermore we found a correlation between self-care behavior and reduced anxiety/depression. It has previously been asserted that there is a clear relationship between depression and poor Health Status, a relationship which seems to be associated with poor self-care.…”

“…In general, there is little evidence for the effect of rehabilitation interventions after discharge from outpatient clinics. [19] Worldwide there is a need for developing effective educational interventions [20] as only 20 to 60% of patients with HF [21,22] adhere to advice from health care professionals. No single intervention seems to be effective in increasing adherence and to support patients in making adequate behavioral changes during rehabilitation.…”

Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

“…90 Researchers found that improvement in a patient's selfmanagement could be achieved in a shorter period of time than improvement in adherence to activities to maintain physiological stability (ie, self-care maintenance). 67,92 For example, in the study by Caldwell et al, 67 self-care maintenance behaviors (eg, daily weight monitoring) were enhanced at 3 months in the intervention group compared with usual care, but not self-care management behaviors (eg, calling providers when HF symptoms worsened). In 2 studies in which symptom occurrence was measured, patients in the intervention group experienced fewer symptoms than with usual care.…”

“…88 Other TPE interventions provided approaches that included feedback on dietary intake patterns and enhancing medication adherence. 63,73,74,87,92,94,95 The activation of selfmanagement resources (eg, environmental restructuring, eliciting support from family, cognitive restructuring, and relaxation response) 82 and the use of family-focused interventions were other strategies used in other self-management trials 60,73 to enhance mutual support, communication, and problem-solving skills…”

Impact of 'Adl Self-Management Module' on Health Related Quality of Life Among Road Traffic Accidents’ Patients: A Quasi-Experimental Research Approach

“…Participation of patients in management of self-care enables independency and improves health status outcomes (Ryan & Sawin, 2009). In addition rehabilitation interventions that focus on self-management and self-care are good choice to promote HRQOL (Tung et al, 2013). RTAs survivors with functional disabilities need to learn new strategy of self-management in order to return to normal life and re-assume their social and family roles.…”