MacInnes, Julie, Walton, Anita (2016) Self-care and improved outcomes: An intervention by heart failure nurses specialists. British Journal of Cardiac Nursing, 11 (2). pp. 82-88. ISSN 1749-6403. (doi:10.12968/bjca.2016.11.2.82) (KAR id:62951)
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Official URL: https://dx.doi.org/10.12968/bjca.2016.11.2.82 |
Abstract
Background:
Heart failure is a prevalent, debilitating condition. Patients need to develop and maintain effective strategies and behaviours to care for themselves and manage their illness.
Aim:
The aim of this study was to evaluate whether or not an educational intervention carried out by a team of heart failure nurse specialists (HFNS), as part of usual care, enhanced self-care behaviour in patients with chronic heart failure.
Methods:
A quantitative survey was carried out using the ‘Looking After Yourself with Heart Failure Questionnaire (LAYHFQ)’, to determine levels of self-care behaviour pre- and post-HFNS intervention. All new patients registered to a community heart failure nursing service completed the questionnaire at initial assessment and 6 weeks later, following the nurse-led intervention (N=36). Paired t-tests (2-tailed) were carried out to determine if there were significant differences between total self-care scores before and after the intervention, and for each individual self-care behaviour.
Results:
Selfcare was improved overall (p=0.011), with five behaviours demonstrating a statistically significant improvement: namely, the uptake of flu and pneumonia vaccination (p=0.009), regular weighing (p=0.001), recognising changes in sleep patterns (p=0.014), recognising signs of fluid retention (p=0.001), and the wellbeing dimension of going out as much as possible (p=0.019).
Conclusion:
An educational intervention by an HFNS leads to enhanced self-care and may result in improved physical and psychological outcomes for patients with heart failure.
Item Type: | Article |
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DOI/Identification number: | 10.12968/bjca.2016.11.2.82 |
Uncontrolled keywords: | Heart failure, Self-care, Nurse Specialist Intervention, Questionnaire |
Subjects: | R Medicine > RT Nursing |
Divisions: | Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies |
Depositing User: | Julie Macinnes |
Date Deposited: | 25 Aug 2017 13:43 UTC |
Last Modified: | 09 Dec 2022 03:33 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/62951 (The current URI for this page, for reference purposes) |
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