The Effectiveness of a Patient Education Program on Promoting Self-Care in Patients With Heart Failure

2.50
Hdl Handle:
http://hdl.handle.net/10755/335537
Category:
Abstract
Type:
Presentation
Title:
The Effectiveness of a Patient Education Program on Promoting Self-Care in Patients With Heart Failure
Author(s):
Chen, Hsing-Mei; Lee, Chee-Siong; Yen, Hsueh-Wei; Wu, Shyh-Jong; Tsai, Liang-Miin
Lead Author STTI Affiliation:
Epsilon Theta
Author Details:
Hsing-Mei Chen, PhD, RN, hsingmei@ntu.edu.tw; Chee-Siong Lee, MD; Hsueh-Wei Yen, MD; Shyh-Jong Wu, PhD; Liang-Miin Tsai, MD
Abstract:
Session presented on Sunday, July 27, 2014: Purpose: Self-care is fundamental to effective management of heart failure. However, patients with heart failure (HF) report poor self-care behaviors. Patient education is the best way to promote self-care. However, healthcare providers do not provide sufficient self-care information to the patients due to heavy working routines and poor quality of teaching materials. In considering many patients with HF are elderly or have vision or cognition impairments, a HF home self-care brochure with 8 topics was developed. The purpose of this study was to examine the effectiveness of a nurse-led self-care intervention on self-care behaviors, health-related quality of life, depression, sleep disturbances, and readmission in patients with HF from hospitalization to one month after discharge from hospital. Methods: A quasi research design with a non-probability sampling was used. Participants were recruited from two medical centers located in southern Taiwan. Inclusion criteria were as follows: 1) a diagnosis of HF with NYHA functional class II and above; 2) age 20 or older; 3) able to communicate either by speaking or writing Mandarin; and 4) willing to participate in this study. Instruments included demographic questionnaire, heart failure characteristics questionnaire, Patient Outcome Questionnaire-9, Pittsburgher Sleep Quality Index, Kansas Cardiomyopathy City Questionnaire, and revised HF Self-Care Behavior Scale. After completing the questionnaires at baseline, participants in the experimental group were asked to receive a pre-discharge education session and a telephone follow-up or an outpatient follow-up. Control group received usual hospital discharge teaching. The posttest was done in one month after their discharges. T-tests were used to examine the differences between two groups. Results: The results showed that 34 participants were assigned in the experimental group and 32 were in the control group. No statistical differences were found in demographic data, HF characteristics, sleep quality, depression, self-care, and quality of life between the experimental and control groups at the baseline. Among the three self-care variables, self-care maintenance was the lowest and the only one had score lower than the cut-off point of 70 in both groups (57.13 for experimental group vs. 64.84 for control group, p= .080). At the posttest, the experimental group had significantly higher score in self-care maintenance (76.64 vs 66.09, p= .003). However, there were no differences in the other major variables between the two groups. For the readmission, there was one readmission for the experimental group and three readmissions for the control group. Conclusion: The study supports the effectiveness of the patient education program on promoting self-care maintenance in patients with HF one month after discharge from hospital. The study findings can be served as a reference for healthcare providers and researchers to promote self-care and conduct research studies in people with heart failure.
Keywords:
patient education; heart failure; self-care
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Effectiveness of a Patient Education Program on Promoting Self-Care in Patients With Heart Failureen_GB
dc.contributor.authorChen, Hsing-Meien_GB
dc.contributor.authorLee, Chee-Siongen_GB
dc.contributor.authorYen, Hsueh-Weien_GB
dc.contributor.authorWu, Shyh-Jongen_GB
dc.contributor.authorTsai, Liang-Miinen_GB
dc.contributor.departmentEpsilon Thetaen_GB
dc.author.detailsHsing-Mei Chen, PhD, RN, hsingmei@ntu.edu.tw; Chee-Siong Lee, MD; Hsueh-Wei Yen, MD; Shyh-Jong Wu, PhD; Liang-Miin Tsai, MDen_GB
dc.identifier.urihttp://hdl.handle.net/10755/335537-
dc.description.abstractSession presented on Sunday, July 27, 2014: Purpose: Self-care is fundamental to effective management of heart failure. However, patients with heart failure (HF) report poor self-care behaviors. Patient education is the best way to promote self-care. However, healthcare providers do not provide sufficient self-care information to the patients due to heavy working routines and poor quality of teaching materials. In considering many patients with HF are elderly or have vision or cognition impairments, a HF home self-care brochure with 8 topics was developed. The purpose of this study was to examine the effectiveness of a nurse-led self-care intervention on self-care behaviors, health-related quality of life, depression, sleep disturbances, and readmission in patients with HF from hospitalization to one month after discharge from hospital. Methods: A quasi research design with a non-probability sampling was used. Participants were recruited from two medical centers located in southern Taiwan. Inclusion criteria were as follows: 1) a diagnosis of HF with NYHA functional class II and above; 2) age 20 or older; 3) able to communicate either by speaking or writing Mandarin; and 4) willing to participate in this study. Instruments included demographic questionnaire, heart failure characteristics questionnaire, Patient Outcome Questionnaire-9, Pittsburgher Sleep Quality Index, Kansas Cardiomyopathy City Questionnaire, and revised HF Self-Care Behavior Scale. After completing the questionnaires at baseline, participants in the experimental group were asked to receive a pre-discharge education session and a telephone follow-up or an outpatient follow-up. Control group received usual hospital discharge teaching. The posttest was done in one month after their discharges. T-tests were used to examine the differences between two groups. Results: The results showed that 34 participants were assigned in the experimental group and 32 were in the control group. No statistical differences were found in demographic data, HF characteristics, sleep quality, depression, self-care, and quality of life between the experimental and control groups at the baseline. Among the three self-care variables, self-care maintenance was the lowest and the only one had score lower than the cut-off point of 70 in both groups (57.13 for experimental group vs. 64.84 for control group, p= .080). At the posttest, the experimental group had significantly higher score in self-care maintenance (76.64 vs 66.09, p= .003). However, there were no differences in the other major variables between the two groups. For the readmission, there was one readmission for the experimental group and three readmissions for the control group. Conclusion: The study supports the effectiveness of the patient education program on promoting self-care maintenance in patients with HF one month after discharge from hospital. The study findings can be served as a reference for healthcare providers and researchers to promote self-care and conduct research studies in people with heart failure.en_GB
dc.subjectpatient educationen_GB
dc.subjectheart failureen_GB
dc.subjectself-careen_GB
dc.date.available2014-11-17T13:54:33Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:54:33Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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