PMID- 38333861 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240210 IS - 2405-8440 (Print) IS - 2405-8440 (Electronic) IS - 2405-8440 (Linking) VI - 10 IP - 3 DP - 2024 Feb 15 TI - Effects of an explain-simulate-practice-communicate-support intervention on quality of life for patients with chronic heart failure: A randomized control trial. PG - e25313 LID - 10.1016/j.heliyon.2024.e25313 [doi] LID - e25313 AB - BACKGROUND: Patients with New York Heart Association (NYHA) grade III chronic heart failure (CHF) present with low capacity for daily activities, severe self-perceived burden, and poor quality of life. Effective nursing interventions may reduce patients' self-perceived burden and improve their quality of life. OBJECTIVES: To explore the effects of an explain-simulate-practice-communicate-support intervention on the self-perceived burden, cardiac function, and activities of daily living (ADL) ability in patients with New York Heart Association grade III chronic heart failure. METHODS: Of the 100 patients with New York Heart Association grade III chronic heart failure who were electronically randomized and equally divided into control and intervention groups, data from 88 patients who completed our study were analyzed. The primary outcome was quality of life; secondary outcomes were self-perceived burden, 6-min walking test distances, serum N-terminal pro-brain natriuretic peptide levels, New York Heart Association cardiac function classification, and ability to perform activities of daily living. RESULTS: After 12 weeks' intervention, the intervention group had significantly lower self-perceived burden, Minnesota Living with Heart Failure Questionnaire scores, N-terminal pro-brain natriuretic peptide levels, and New York Heart Association grades compared with the control group, while 6-min walking test distances, left ventricular ejection fraction, and modified Barthel Index scale scores were significantly higher than those in the control group (P > 0.05). CONCLUSIONS: The explain-simulate-practice-communicate-support intervention improved patients' quality of life through reducing the level of self-perceived burden, and improving cardiac function and activities of daily living ability. This intervention was found to be effective for patients with New York Heart Association grade III chronic heart failure. CI - (c) 2024 The Authors. Published by Elsevier Ltd. FAU - Sun, Cai-Xia AU - Sun CX AD - The First Affiliated Hospital, School of Nursing, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China. AD - Joint Training Base for Nursing Postgraduates By University of South China and TD Care, Intelligent Nursing Research Center of Hunan Province, Hengyang, Hunan, 421001, China. FAU - Ni, Xiao-Yan AU - Ni XY AD - The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China. FAU - Gui, Si-Jie AU - Gui SJ AD - The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China. FAU - Wu, Fei AU - Wu F AD - The First Affiliated Hospital, School of Nursing, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China. AD - Joint Training Base for Nursing Postgraduates By University of South China and TD Care, Intelligent Nursing Research Center of Hunan Province, Hengyang, Hunan, 421001, China. FAU - Pan, Rong-Jia AU - Pan RJ AD - The First Affiliated Hospital, School of Nursing, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China. FAU - Gui, Min AU - Gui M AD - The First Affiliated Hospital, School of Nursing, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China. FAU - Lei, Xiu-Hong AU - Lei XH AD - The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China. FAU - Wang, Man-Yi AU - Wang MY AD - The First Affiliated Hospital, School of Nursing, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China. FAU - Li, Xiao-Shan AU - Li XS AD - The First Affiliated Hospital, School of Nursing, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China. FAU - Zeng, Gu-Qing AU - Zeng GQ AD - The First Affiliated Hospital, School of Nursing, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China. AD - Joint Training Base for Nursing Postgraduates By University of South China and TD Care, Intelligent Nursing Research Center of Hunan Province, Hengyang, Hunan, 421001, China. LA - eng PT - Journal Article DEP - 20240201 PL - England TA - Heliyon JT - Heliyon JID - 101672560 PMC - PMC10850896 OTO - NOTNLM OT - Cardiac function OT - Chronic heart failure OT - ESPCS intervention OT - Quality of life OT - Self-perceived burden COIS- The authors declare the following financial interests/personal relationships which may be considered as potential competing interests:Gu-Qing ZENG reports financial support was provided by Hunan Provincial Department of Science and Technology. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2024/02/09 06:43 MHDA- 2024/02/09 06:44 PMCR- 2024/02/01 CRDT- 2024/02/09 04:11 PHST- 2022/12/14 00:00 [received] PHST- 2023/12/18 00:00 [revised] PHST- 2024/01/24 00:00 [accepted] PHST- 2024/02/09 06:44 [medline] PHST- 2024/02/09 06:43 [pubmed] PHST- 2024/02/09 04:11 [entrez] PHST- 2024/02/01 00:00 [pmc-release] AID - S2405-8440(24)01344-6 [pii] AID - e25313 [pii] AID - 10.1016/j.heliyon.2024.e25313 [doi] PST - epublish SO - Heliyon. 2024 Feb 1;10(3):e25313. doi: 10.1016/j.heliyon.2024.e25313. eCollection 2024 Feb 15.