Integrated Nursing Program Improves Symptom Distress, Depression, and Heart Rate Variability in Patients with Heart Failure

2.50
Hdl Handle:
http://hdl.handle.net/10755/602859
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Integrated Nursing Program Improves Symptom Distress, Depression, and Heart Rate Variability in Patients with Heart Failure
Author(s):
Hsieh, Hui Ling; Kao, Chi-Wen; Kao, Chi-Wen
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Hui Ling Hsieh, RN, feline824115@gmail.com; Chi-Wen Kao, PhD, RN
Abstract:
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background: Physical symptoms of heart failure impair patients’ functional capacity and affect their psychosocial well-being. A common comorbidity in heart failure patients is depression. Depression may contribute to a poor prognosis for patients with heart failure. In fact, depression is related to increased morbidity and mortality in patients with heart failure. Purpose: The aim of this study was to examine the effect of a "Integrated Nursing Program" on symptom distress, depression and heart rate variability (HRV) in patients with heart failure. Methods: Total of 78 heart failure patients participated in this longitudinal experimental study. The subjects in experimental group (n= 36) received the "Integrated Nursing Program", and subjects in control group (n= 42) received routine care. Data were collected at four times: baseline, and one time per month for three months. The Beck Depression Inventory-II was used to measure the depressive symptoms. The Generalized Estimating Equation (GEE) was used to analyze the effect of the "Integrated Nursing Program" on symptom distress, depression, and heart rate variability. Results: The majority of subjects were male (58.5%), with New York Heart Association class II (75.6%), a mean age 71.04 ± 11.01 years, and left ventricular ejection fraction 51.80 ± 11.13%. The patients receiving the "Integrated Nursing Program" have a significant decrease in the symptom distress ( x 2= 4.792, p= .029), and depressive symptom ( x 2= 3.668, p= .05), compared to the patients without obtaining this program. Even though the heart rate variability was not significantly increased in experimental group patients when compared with the control group patients, there was an improvement trend in heart rate variability. Conclude: The"Integrated Nursing Program" is able to decrease the symptom distress and depression, and improve the heart rate variability in patients with heart failure. The clinicians may use this program to instruct heart failure patients how to deal with their symptoms and self-care.
Keywords:
integrated nursing program; depression; symptom distress
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15CL2.32
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleIntegrated Nursing Program Improves Symptom Distress, Depression, and Heart Rate Variability in Patients with Heart Failureen
dc.contributor.authorHsieh, Hui Lingen
dc.contributor.authorKao, Chi-Wenen
dc.contributor.authorKao, Chi-Wenen
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsHui Ling Hsieh, RN, feline824115@gmail.com; Chi-Wen Kao, PhD, RNen
dc.identifier.urihttp://hdl.handle.net/10755/602859en
dc.description.abstractSession presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background: Physical symptoms of heart failure impair patients’ functional capacity and affect their psychosocial well-being. A common comorbidity in heart failure patients is depression. Depression may contribute to a poor prognosis for patients with heart failure. In fact, depression is related to increased morbidity and mortality in patients with heart failure. Purpose: The aim of this study was to examine the effect of a "Integrated Nursing Program" on symptom distress, depression and heart rate variability (HRV) in patients with heart failure. Methods: Total of 78 heart failure patients participated in this longitudinal experimental study. The subjects in experimental group (n= 36) received the "Integrated Nursing Program", and subjects in control group (n= 42) received routine care. Data were collected at four times: baseline, and one time per month for three months. The Beck Depression Inventory-II was used to measure the depressive symptoms. The Generalized Estimating Equation (GEE) was used to analyze the effect of the "Integrated Nursing Program" on symptom distress, depression, and heart rate variability. Results: The majority of subjects were male (58.5%), with New York Heart Association class II (75.6%), a mean age 71.04 ± 11.01 years, and left ventricular ejection fraction 51.80 ± 11.13%. The patients receiving the "Integrated Nursing Program" have a significant decrease in the symptom distress ( x 2= 4.792, p= .029), and depressive symptom ( x 2= 3.668, p= .05), compared to the patients without obtaining this program. Even though the heart rate variability was not significantly increased in experimental group patients when compared with the control group patients, there was an improvement trend in heart rate variability. Conclude: The"Integrated Nursing Program" is able to decrease the symptom distress and depression, and improve the heart rate variability in patients with heart failure. The clinicians may use this program to instruct heart failure patients how to deal with their symptoms and self-care.en
dc.subjectintegrated nursing programen
dc.subjectdepressionen
dc.subjectsymptom distressen
dc.date.available2016-03-21T16:38:14Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:38:14Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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