Telephone Follow-Up of Self-Care Behaviour after a Single Session Education of Patients with Heart Failure in Primary Health Care

Holst, Marie; Willenheimer, Ronnie; Mårtensson, Jan; Lindholm, Maud; Strömberg, Anna

doi:10.1016/j.ejcnurse.2006.06.006

Cited by 53 publications

(82 citation statements)

References 35 publications

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“…In contrast to our findings, Holst et al [26] found no significant changes in self-care behavior or quality of life during 1 year of monthly telephone follow-up conducted for patients with heart failure. They suggested more extensive interventions to enhance self-care behavior considering patients' cognitive function, personality, and environment.…”

Section: Wwwkanorkrcontrasting

confidence: 99%

The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases

Kim

Suh

2016

J Korean Acad Nurs

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Purpose: For cardiovascular patients, family caregivers play a vital role in daily nursing and cardiac emergencies. This study aimed to evaluate the effect of patient-centered CPR education (PCE) for family caregivers of patients with cardiovascular diseases. Methods: Fifty-four participants were randomly assigned to the PCE or control group. The PCE group received tailored counseling on overall cardiovascular disease information and CPR followed by interactive instructor-guided CPR training and re-education follow-up by telephone 2 weeks later. The control group received only video-based CPR self-education and booklets. Cardiovascular disease and CPR knowledge and self-efficacy were measured before (pre-test), immediately after (post-test 1), and 4 weeks after the PCE (post-test 2). CPR skills and performance were measured pre-test and at post-test1. Results: The PCE group demonstrated significant improvements in knowledge (F=91.09, p <.001), self-efficacy (F=15.19, p <.001) and CPR skills and performance (F=8.10, p =.008), as well as significant differences over time (knowledge: F=364.25, p <.001; self-efficacy: F=1162.28, p <.001; CPR skills and performance: F=1798.81, p <.001). There were significant group-by-time interactions for knowledge (F=8.10, p =.001), self-efficacy (F=4.30, p =.019) and CPR skills and performance (F=4.81, p =.036) by repeated measures ANO-VA. Conclusion: This is the first study to demonstrate the effects of a patient-centered intervention with CPR education tailored for patients' and family caregivers' preferences, needs, and lifestyles. The results of this study encourage the use of tailored, patient-centered interventions in cardiovascular nursing practice. Address reprint requests to : Suh, Eunyoung E. Therefore, we incorporated the "patient-centered intervention" concept with CPR training. The recently developed concept of patient-centered intervention emphasizes: 1) the individual patient's preferences, needs, and values; 2) the interaction between patients, family caregivers, and healthcare providers; and 3) patient-participation in treatment plan and lifestyle modification [11,12]. Recently, patient-and family-centered intervention studies have been conducted, demonstrating the effects of improving things such as patients' and family caregivers' quality of life, efficiency, knowledge, and satisfaction [13,14].Combining CPR training and patient-centered intervention, family caregivers would learn how to manage the patient's cardiovascular disease in daily life and how to respond to a cardiovascular emergency. This would increase the knowledge, motivation, and confidence of family caregivers.This study was conducted to investigate the effects of patientcentered CPR education (PCE) on knowledge, self-efficacy, and performance in a cardiac emergency of family caregivers of cardiovascular patients. The concept of patient-centered intervention was applied via counseling and interactive CPR education provided by a nurse. We hypothesized that participants in PCE would demonstrate 1) i...

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Section: Wwwkanorkrcontrasting

confidence: 99%

The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases

Kim

Suh

2016

J Korean Acad Nurs

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“…A large proportion of patients (77%) did not report their weight gain to their doctors and 50% did not consider a sudden weight gain to be important (15) . One study showed that only 46% of patients received instructions about the importance of daily weight control (16) .…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, the motivation and lack of knowledge about the need for weight control are also mentioned as causes of poor adherence (12,(15)(16) .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with beliefs about adherence to non-pharmacological treatment of patients with heart failure

Saccomann

Cintra²,

Gallani³

2014

Rev. esc. enferm. USP

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This study aimed at assessing beliefs about the benefits and barriers to adherence to daily self-monitoring of weight/edema in patients with heart failure, and the influence of demographic and clinical variables on those beliefs. 105 patients were interviewed. The mean of the subscales Benefits and Barriers were 20.2 (± 5.7) and 30.1 (±7.1), respectively. Patients perceived that adherence to daily self-monitoring of weight/edema could keep them healthy, improve their quality of life and decrease the chances of readmission. Approximately half of patients (46.7%) reported forgetting this measure. Those who controlled weight once a month were more likely to have barriers to adherence (OR= 6.6; IC 95% 1.9-13.8; p=0.01), showing this measure to be the main factor related to perceived barriers. Education in health can contribute with the development of strategies aimed at lowering barriers and increasing benefits of this control.

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“…Females also display better weight control at 3-12 months. 62 Although indicated in both sexes, 63 women obtain less defibrillator and pacemaker implantations than men; 64 some authors have questioned the degree of ICD benefit in women considering that they display lower mortality on placebo. 65 Lower rates of heart transplantation in women have been attributed to higher refusal rates, a factor also influenced by lower socioeconomic status.…”

Section: Managementmentioning

confidence: 99%

Sex and Gender Differences in Myocardial Hypertrophy and Heart Failure

Regitz‐Zagrosek

Oertelt‐Prigione

Seeland

et al. 2010

Circ J

166

103

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EpidemiologyHeart failure (HF) is one of the leading hospital discharge diagnoses in the modern world and has enormous implications with respect to cardiovascular mortality and morbidity, to individual quality of life experiences and societal resource utilization. The number of patients with HF is continuously increasing. Approximately 10% of 70-year-olds are affected, with an increasing prevalence after that age. HF patients have a life expectancy of approximately 5 years, similar to patients with malignant disease. Women with HF are older than their male counterparts and more likely to exhibit a non-ischemic cause of the disease. 1 The population-based Framingham study suggests that the prognosis in women is significantly better than in men after the onset of HF. 2 However, despite the higher mortality in men, given the overall longer lifespan of women, total numbers of HF deaths are higher in women. The incidence of HF increases dramatically in the female population over 55 years, further compensating the sex differences in mortality. This also appears to account for the stronger correlation between age and mortality observed in women. In fact, in men the NYHA class at baseline is the strongest predictor of mortality, whereas in women it is age. African-Americans might have a higher incidence of HF than Caucasians, with men affected more frequently than females.Major risk factors in both sexes are: age, presence of diabetes, anemia, elevated blood pressure, presence of AF, myocardial hypertrophy (MH) and prior myocardial infarction. Distribution of risk factors differs between the sexes. Women more frequently exhibit hypertension 1,3 and diabetes mellitus. 1,3 Hypertension contributes to the population attributable risk for HF in women to a greater extent than in men. 4 Obesity, diabetes, and impaired glucose carry a greater risk in women and inhibit or impair myocardial metabolism more severely in women than in men. 5-7 Men are more likely to suffer from preexisting coronary heart disease 1,8 and dilated cardiomyopathy (DCM). In the Euro HF survey, systolic HF was found predominantly in men whereas women presented with HF with preserved ejection fraction (EF) or diastolic HF. 9-11 Both systolic and diastolic HF carry a poor prognosis, with astonishingly small differences. 12 MH is a major risk factor for HF and is a negative prognostic sign in itself. Interestingly, women are better protected against the development of MH than men. However, even though MH appears later in women than it does in men at a given hemodynamic load, once established, it is more malign in women. 13 Left ventricular (LV) mass has been presented as the strongest independent mortality predictor in females. Sex and Gender Differences in Myocardial Hypertrophyand Heart Failure Vera Regitz-Zagrosek, MD; Sabine Oertelt-Prigione, MD; Ute Seeland, MD; Roland Hetzer, MDHeart failure (HF) is a leading cause of cardiovascular mortality and morbidity in the Western world. It affects men at younger age than women. Women have more frequently diast...

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Telephone Follow-Up of Self-Care Behaviour after a Single Session Education of Patients with Heart Failure in Primary Health Care

Cited by 53 publications

References 35 publications

The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases

The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases

Factors associated with beliefs about adherence to non-pharmacological treatment of patients with heart failure

Sex and Gender Differences in Myocardial Hypertrophy and Heart Failure

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