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Self-care and improved outcomes: An intervention by heart failure nurses specialists

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)



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.


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.


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.


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).


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
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: (The current URI for this page, for reference purposes)

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