Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial

Abstract

Unblinded randomized controlled clinical trial to evaluate the effectiveness of an educational program in nursing (educational meetings, home visits, telenursing and a printed book) in the improvement of self-care behaviors in patients with heart failure was evaluated. Thirty-three people participated in the intervention group and thirty in the control group. At the beginning and at the end of the study (ninth month), Nancy Artinian's Heart Failure Self-care Behaviors Scale was applied to assess the level of self-care. 66.0% of the intervention group versus 26.6% of the control group improved the self-care score by at least 20% (p<0.001). The Number Needed to Treat was 2.5. The findings suggest that the educational intervention has beneficial effects on the self-care behaviors of people with heart failure.

Understanding the process of living as signified by myocardial revascularization surgery patients

“…The spouses normally understand their partner's fragility after the cardiac event and act with more delicacy or respect, but nevertheless it is confirmed that after the cardiac surgery, the frequency of sexual relations is reduced (21) . It is necessary to discuss the cardiac patient's sexuality, using the appropriate language and creating suitable settings for the discussion.…”

Competências do enfermeiro na promoção da saúde de indivíduos com cardiopatias crônicas

“…Important tools for the development of autonomy and empowerment of individuals and communities were found in some included studies (13)(14)(15)(19)(20)26,28,30) . The actions in this area are inserted in the domain "catalyze change", characterized by enabling transformation through individual and collective training to improve health (31) .…”

“…Catalyzing change -Promote health education (14)(15)(16)(18)(19)21,26,(29)(30) -Promote empowerment (13)(14)(15)(19)(20)26,28,30) -Develop activities to promote healthy habits (17)(18)(19)23) Leadership -Encourage communication between nurse and patient (15)(16)28) Evaluation -Evaluate the psychosocial context (perception of quality of life and social support) (11,24) -Evaluate social support (11) -Identify cardiovascular risk factors (13,18,20,27,29) -Evaluate lifestyle (17,23) -Identify barriers for the treatment (19,21) To be continued …”

“…Plannning -Plan workable strategies for health promotion (12)(13)(14)(15)(16)(17)(18)(19)(20)23,26,28,30) -Use systematic process in care planning (3,14,22,25) -Develop action plans and coping (21) Implementation -Monitor telehealth (12,16,(18)(19)26) -Develop empowerment actions (12)(13)16,20,26,28,30) -Promote strategies to access health services (13)(14)20) -Implement cardiac rehabilitation program (home visits) (15)(16)28) -Cope with obstacles (17,21) -Implement behavioral intervention program (promotion of physical activity) (17) -Analyze health data (29) Assessment -Assess the use of hard technologies for health promotion (12,19,26,29) -Assess the use of light technologies for health promotion and disease prevention (13)(14)…”

“…The nurse demonstrates competence in the domain "partnership" when they create an environment of mutual trust and establishes partnerships with patients; conveying a sense of being present with the patient and providing comfort and emotional support, reflecting upon this process and using this knowledge to additional therapeutic interaction (13,16,19) .…”