A randomized controlled trial of self-management programme improves health-related outcomes of older people with heart failure

Shao, Jung-Hua, Chang, Anne M., Edwards, Helen, Shyu, Yea-Ing Lotus, & Chen, Su-Hui (2013) A randomized controlled trial of self-management programme improves health-related outcomes of older people with heart failure. Journal of Advanced Nursing, 69(11), pp. 2458-2469.

View at publisher

Abstract

Aims This paper is a report on the effectiveness of a self-management programme based on the self-efficacy construct, in older people with heart failure.

Background Heart failure is a major health problem worldwide, with high mortality and morbidity, making it a leading cause of hospitalization. Heart failure is associated with a complex set of symptoms that arise from problems in fluid and sodium retention. Hence, managing salt and fluid intake is important and can be enhanced by improving patients' self-efficacy in changing their behaviour.

Design Randomized controlled trial.

Methods Heart failure patients attending cardiac clinics in northern Taiwan from October 2006–May 2007 were randomly assigned to two groups: control (n = 46) and intervention (n = 47). The intervention group received a 12-week self-management programme that emphasized self-monitoring of salt/fluid intake and heart failure-related symptoms. Data were collected at baseline as well as 4 and 12 weeks later. Data analysis to test the hypotheses used repeated-measures anova models.

Results Participants who received the intervention programme had significantly better self-efficacy for salt and fluid control, self-management behaviour and their heart failure-related symptoms were significantly lower than participants in the control group. However, the two groups did not differ significantly in health service use.

Conclusion The self-management programme improved self-efficacy for salt and fluid control, self-management behaviours, and decreased heart failure-related symptoms in older Taiwanese outpatients with heart failure. Nursing interventions to improve health-related outcomes for patients with heart failure should emphasize self-efficacy in the self-management of their disease.

Impact and interest:

10 citations in Scopus
9 citations in Web of Science®
Search Google Scholar™

Citation counts are sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

ID Code: 67902
Item Type: Journal Article
Refereed: Yes
Keywords: heart failure, nurse, nursing, older adult, randomized control trial, self-efficacy, self-management
DOI: 10.1111/jan.12121
ISSN: 0309-2402
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
Copyright Owner: Copyright 2013 Blackwell Publishing Ltd
Deposited On: 28 Feb 2014 00:06
Last Modified: 02 Mar 2014 21:59

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page