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.

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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®
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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

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