Effects of a hospital‐based education programme on self‐care behaviour, care dependency and quality of life in patients with heart failure – a randomised controlled trial
Abstract:The easy to implement and short educational intervention has a positive effect on self-care behaviour for patients with heart failure. However, there was no effect on quality of life and care dependency. To improve quality of life and to influence care dependency, different measures have to be applied.
“…This study demonstrated that the HETF improved the self‐efficacy of RA patients, even when considering the time cumulative effect and the patients who were lost to follow‐up. Our results were similar to the results of Koberich and Wu (Koberich, Lohrmann, Mittag, & Dassen, ; Wu, Liang, Lee, Yu, & Kao, ). Health education has been widely applied to the learning of knowledge and skills about self‐management.…”
Aims and objectives
To explore the effectiveness of a health education programme by telephone follow‐up on the self‐efficacy of patients with rheumatoid arthritis (RA).
Background
Self‐efficacy is increasingly perceived to be a cornerstone in improving the capacity of self‐management. However, a paucity of research has demonstrated the effectiveness of health education by the use of a telephone follow‐up for RA patients in China.
Design
This study was a randomised control trial.
Methods
Recruited patients were randomly divided into control and intervention groups. The intervention group accepted health education by telephone follow‐up four times after the patients were discharged. The patients in the control group only accepted telephone follow‐up once after they were discharged. Self‐efficacy was measured by the use of the Rheumatoid Arthritis Self‐Efficacy Questionnaire (RASE), and data were collected at the day before the discharge, the 12th week and the 24th week after patients were discharged. The CONSORT checklist was used to check the procedure.
Results
A total of 92 discharged patients with rheumatoid arthritis were enrolled. The sociodemographic indexes of the control and intervention groups had no significant differences at baseline (p > .05). The RASE score of the intervention group was higher than that of the control group (p < .05) at the 12th week and the 24th week.
Conclusion
The HET improved the self‐efficacy of the discharged patients with RA in the 12th week and the 24th week after discharge. This study demonstrated that our HET can improve the short‐term and long‐term effects of self‐efficacy, which implies that the clinical nursing staff should increase the frequency of HET to improve the patients’ knowledge and abilities of self‐management.
Relevance to clinical practice
Patients with RA will benefit from a health education programme by telephone follow‐up; thus, it is necessary for nursing managers to implement this programme.
“…This study demonstrated that the HETF improved the self‐efficacy of RA patients, even when considering the time cumulative effect and the patients who were lost to follow‐up. Our results were similar to the results of Koberich and Wu (Koberich, Lohrmann, Mittag, & Dassen, ; Wu, Liang, Lee, Yu, & Kao, ). Health education has been widely applied to the learning of knowledge and skills about self‐management.…”
Aims and objectives
To explore the effectiveness of a health education programme by telephone follow‐up on the self‐efficacy of patients with rheumatoid arthritis (RA).
Background
Self‐efficacy is increasingly perceived to be a cornerstone in improving the capacity of self‐management. However, a paucity of research has demonstrated the effectiveness of health education by the use of a telephone follow‐up for RA patients in China.
Design
This study was a randomised control trial.
Methods
Recruited patients were randomly divided into control and intervention groups. The intervention group accepted health education by telephone follow‐up four times after the patients were discharged. The patients in the control group only accepted telephone follow‐up once after they were discharged. Self‐efficacy was measured by the use of the Rheumatoid Arthritis Self‐Efficacy Questionnaire (RASE), and data were collected at the day before the discharge, the 12th week and the 24th week after patients were discharged. The CONSORT checklist was used to check the procedure.
Results
A total of 92 discharged patients with rheumatoid arthritis were enrolled. The sociodemographic indexes of the control and intervention groups had no significant differences at baseline (p > .05). The RASE score of the intervention group was higher than that of the control group (p < .05) at the 12th week and the 24th week.
Conclusion
The HET improved the self‐efficacy of the discharged patients with RA in the 12th week and the 24th week after discharge. This study demonstrated that our HET can improve the short‐term and long‐term effects of self‐efficacy, which implies that the clinical nursing staff should increase the frequency of HET to improve the patients’ knowledge and abilities of self‐management.
Relevance to clinical practice
Patients with RA will benefit from a health education programme by telephone follow‐up; thus, it is necessary for nursing managers to implement this programme.
“…Aligning with the results from our study, many authors have established the relationship between knowledge deficit and compliance issues (Boyde et al., ; Padilla‐Zárate & Padilla‐Aguirre, ; Piñeiro et al., ; Sánchez‐Gavira et al., ). For example, Koberich, Lohrmann, Mittag, and Dassen () demonstrated that a single educational session preceded by a telephone follow‐up was able to improve the overall self‐care behaviors.…”
“…Patients with noncommunicable diseases, known as chronic diseases, need continual medical monitoring and nursing care. No significant differences in the degrees of care dependency 3 months after hospital admission were found in the population of interest [24].…”
Section: Care Dependencymentioning
confidence: 73%
“…The CDS was used to measure the levels of care dependency in cases of heart failure [24], which is similar to stroke as a noncommunicable diseases. Patients with noncommunicable diseases, known as chronic diseases, need continual medical monitoring and nursing care.…”
Based on the findings of this study, we recommend that hospital-based and community-based services should include continual care dependence monitoring using this comprehensive instrument. Care dependency is subject to change over time, therefore nurses have to plan and tailor adequate nursing care measures to patient needs in the different stages, especially with respect to the aspect of mobility.
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