PMID- 26190378
OWN - NLM
STAT- MEDLINE
DCOM- 20160609
LR  - 20190117
IS  - 1728-7731 (Electronic)
IS  - 1726-4901 (Linking)
VI  - 78
IP  - 11
DP  - 2015 Nov
TI  - The effects of a self-care program on patients with heart failure.
PG  - 648-56
LID - S1726-4901(15)00149-5 [pii]
LID - 10.1016/j.jcma.2015.06.004 [doi]
AB  - BACKGROUND: A lack of adequate knowledge and misconceptions by heart failure (HF) 
      patients can lead to the improper use of self-care skills, as well as a lack of 
      confidence in those same self-care skills. The existing literature suggests that 
      care providers using a video-tape or a teaching booklet to educate HF patients, 
      combined with telephone or telemonitoring counseling can effectively promote 
      self-care and reduce readmission rates, and in turn promote overall patient 
      health. The aim of the present study was to investigate the effects of self-care 
      programs in patients with HF. METHODS: A quasi-experimental design was used to 
      investigate the effectiveness of a self-care program in HF patients. The patients 
      were allocated into either the control group (usual care, n = 75) or the 
      experimental group (self-care program, n = 56). The extent of patient knowledge 
      about congestive HF (CHF) was tested at both the pre- and posteducation stages. 
      We measured the self-care of HF index (SCHFI) and the New York Heart Association 
      (NYHA) functional class a total of four times for each participant. Furthermore, 
      hospital readmissions and mortality rates were also collected. RESULTS: The 
      experimental group showed a significantly higher mean score in the knowledge of 
      CHF during posteducation testing than the control group. The results of the 
      self-care evaluation also revealed significant differences between the two groups 
      by repeated general linear model measurement analysis. Self-care maintenance, 
      self-care management, and self-care confidence significantly improved after the 
      self-care program was completed. The NYHA functional class in the experimental 
      group showed a significant improvement after hospital discharge when compared 
      with those in the control group. However there was no significant difference in 
      hospital readmission or mortality rate between the two groups. CONCLUSION: Our 
      study reveals that self-care programs administered by HF patients can reinforce 
      educational objectives and improve patient ability to effectively perform 
      self-care.
CI  - Copyright (c) 2015. Published by Elsevier Taiwan.
FAU - Liou, Huey-Ling
AU  - Liou HL
AD  - Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC. 
      Electronic address: hlliou@vghtpe.gov.tw.
FAU - Chen, Hsing-I
AU  - Chen HI
AD  - Institute of Integrative Physiology and Clinical Sciences, Tzu Chi University, 
      Hualien, Taiwan, ROC.
FAU - Hsu, Shu-Chuan
AU  - Hsu SC
AD  - Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
FAU - Lee, Shu-Chin
AU  - Lee SC
AD  - Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
FAU - Chang, Chun-Ju
AU  - Chang CJ
AD  - Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
FAU - Wu, Meei-Ju
AU  - Wu MJ
AD  - Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150716
PL  - Netherlands
TA  - J Chin Med Assoc
JT  - Journal of the Chinese Medical Association : JCMA
JID - 101174817
SB  - IM
MH  - Female
MH  - Heart Failure/mortality/*therapy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Readmission/statistics & numerical data
MH  - Prospective Studies
MH  - Self Care/methods
OTO - NOTNLM
OT  - heart failure
OT  - self-care of heart failure index
OT  - self-care program
EDAT- 2015/07/21 06:00
MHDA- 2016/06/10 06:00
CRDT- 2015/07/21 06:00
PHST- 2015/01/13 00:00 [received]
PHST- 2015/03/28 00:00 [revised]
PHST- 2015/04/07 00:00 [accepted]
PHST- 2015/07/21 06:00 [entrez]
PHST- 2015/07/21 06:00 [pubmed]
PHST- 2016/06/10 06:00 [medline]
AID - S1726-4901(15)00149-5 [pii]
AID - 10.1016/j.jcma.2015.06.004 [doi]
PST - ppublish
SO  - J Chin Med Assoc. 2015 Nov;78(11):648-56. doi: 10.1016/j.jcma.2015.06.004. Epub 
      2015 Jul 16.