Effects of a supportive educational nursing care programme on fatigue and quality of life in patients with heart failure: a randomised controlled trial

Wang, Tzu-Chieh; Huang, Jin‐Long; Ho, Wen‐Chao; Chiou, Ai-Fu

doi:10.1177/1474515115618567

Cited by 39 publications

(51 citation statements)

References 39 publications

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“…These results indicate that targeting these factors may improve patient outcomes. Previous family or nursing support programs have been shown to improve self-care behaviors and quality of life in patients with heart failure [ 29 , 30 ]. Our results confirmed these findings and revealed the possibility that the education intervention based on the PRECEDE model focuses on multiple factors and is effective in understanding and adhering to disease management strategies, thereby enhancing self-care behaviors.…”

Section: Discussionmentioning

confidence: 99%

“…Other health education strategies have been reported to benefit patients with CHF. For example, the self-management education programs are effective in increasing quality of life and treatment satisfaction [ 32 ], and the supportive educational nursing care programs can alleviate fatigue and improve quality of life [ 30 ]. Self-care programs can ameliorate heart function and reinforce the patient’s ability and efficiency to perform self-care [ 33 ], and home-based disease management programs can improve psychological status, including depression and anxiety [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of a PRECEDE-based education intervention on quality of life in elderly patients with chronic heart failure

Wang

Dong

Jian

et al. 2017

BMC Cardiovasc Disord

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BackgroundOne of the most important challenges in public health is to improve the quality of life in patients with chronic heart failure (CHF). Depression, self-care capacity, and quality of life interact each other in these patients. It’s difficult to treat with general education programs and conventional therapy. PRECEDE model is a comprehensive and exclusive theory-based education programs. Its effectiveness for reducing depression and increasing quality of life has been demonstrated in patients with coronary artery bypass grafting, type 2 diabetes, and the elderly. It has not been used in elderly patients with CHF. Thus, this study aims to investigate the effects of this model on self-care behaviors, depression, and quality of life in these patients.MethodsPatients who met the inclusion criteria were randomly assigned to the intervention or control group. All the patients received conventional medical care. The patients in the intervention group also received 9 sessions of education intervention based on the PRECEDE model and then followed up for 3 months after the intervention. Data were collected before and 3 months after the intervention using 4 questionnaires, namely a PRECEDE-based questionnaire to evaluate predisposing, reinforcing, and enabling factors; the 9-item European Heart Failure Self-care Behavior Scale (EHFScBS-9); the 9-item Personal Health Questionnaire (PHQ-9); and the Minnesota Living with Heart Failure Questionnaire (MLHFQ).ResultsNo significant differences were found in the mean scores for the predisposing, enabling, and reinforcing factors, and the mean total scores in EHFScBS-9, PHQ-9, and MLHFQ before the intervention between the intervention and control groups. After the intervention, the scores for the predisposing, reinforcing, and enabling factors increased significantly, and the mean total scores in EHFScBS-9, PHQ-9, and MLHFQ decreased significantly in the intervention group. In addition, these scores significantly differed from those of the control group. Furthermore, the MLHFQ score significantly correlated with the EHFScBS-9 and PHQ-9 scores.ConclusionThis study demonstrates a trend that PRECEDE model of health education promotion is effective in relieving depression symptoms, enhancing self-monitoring, and improving the quality of life of elderly patients with CHF.Trial registrationTrial registration number: ChiCTR-IOR-17012779; Trial registry: Chinese Clinical Trial Registry; Date registered: 22 Sep 2017; Retrospectively registered.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effectiveness of a PRECEDE-based education intervention on quality of life in elderly patients with chronic heart failure

Wang

Dong

Jian

et al. 2017

BMC Cardiovasc Disord

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“… 9 , 10 However, limited research has focused on symptom relief, and patients’ self-reported symptoms have rarely been selected as primary outcomes. 11 – 13 Meanwhile little is known about the underlying pathogenesis of why stable patients with CHF experience fatigue and breathlessness. 14 Currently available symptom relief is insufficient and health care providers’ knowledge of the management, control and palliation of symptoms is limited.…”

Section: Introductionmentioning

confidence: 99%

Effects of a mindfulness-based intervention on symptoms and signs in chronic heart failure: A feasibility study

Norman

Ekman

et al. 2017

European Journal of Cardiovascular Nursing

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Aims:Despite treatment recommended by guidelines, many patients with chronic heart failure remain symptomatic. Evidence is accumulating that mindfulness-based interventions (MBIs) have beneficial psychological and physiological effects. The aim of this study was to explore the feasibility of MBI on symptoms and signs in patients with chronic heart failure in outpatient clinical settings.Methods:A prospective feasibility study. Fifty stable but symptomatic patients with chronic heart failure, despite optimized guideline-recommended treatment, were enrolled at baseline. In total, 40 participants (median age 76 years; New York Heart Association (NYHA) classification II−III) adhered to the study. Most patients (n=17) were randomized into MBI, a structured eight-week mindfulness-based educational and training programme, or controls with usual care (n=16). Primary outcome was self-reported fatigue on the Fatigue severity scale. Secondary outcomes were self-reported sleep quality, unsteadiness/dizziness, NYHA functional classification, walking distance in the six-minute walk test, and heart and respiratory rates. The Mann–Whitney U test was used to analyse median sum changes from baseline to follow-up (week 10±1).Results:Compared with usual care (zero change), MBI significantly reduced the self-reported impact of fatigue (effect size −8.0; p=0.0165), symptoms of unsteadiness/dizziness (p=0.0390) and breathlessness/tiredness related to physical functioning (NYHA class) (p=0.0087). No adverse effects were found.Conclusions:In stable but symptomatic outpatients with chronic heart failure, MBI alleviated self-reported symptoms in addition to conventional treatment. The sample size is small and further studies are needed, but findings support the role of MBI as a feasible complementary option, both clinically and as home-based treatment, which might contribute to reduction of the symptom burden in patients diagnosed with chronic heart failure.

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“…Fatigue can be explained by clinical factors such as age, anemia, poor sleep quality, decreased exercise capacity, dyspnea and psychosocial distress (Kessing, Denollet, Widdershoven, & Kupper, 2016). Fatigue and dyspnea are therefore multifactorial and can restrict daily performance and self-care and ultimately reduce quality of life (QoL) in the HF patient (Wang, Huang, Ho, & Chiou, 2016).…”

Section: Introductionmentioning

confidence: 99%

The effect of inspiratory muscle training on fatigue and dyspnea in patients with heart failure: A randomized, controlled trial

Pour

Gholami

Saki

et al. 2019

Japan Journal Nursing Sci

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Aim Fatigue and dyspnea are debilitating symptoms in patients with heart failure (HF). The purpose of this study was to evaluate the effects of inspiratory muscle training (IMT) on dyspnea, fatigue and the New York Heart Association (NYHA) functional classification in patients with HF. Methods In this prospective, randomized, controlled trial, 84 patients with HF (NYHA classes II‐III/IV) with a mean age of 56.62 ± 9.56 years were randomly assigned to a 6‐week IMT (n = 42) or a sham IMT (n = 42) program. The IMT was performed at 40% of the maximal inspiratory pressure (MIP) in the IMT group and at 10% in the sham group. The main outcomes were assessed at baseline and after the intervention and included dyspnea severity scale (Modified Medical Research Council [MMRC], Fatigue Severity Scale [FSS] and the NYHA functional classification (based on the presenting symptoms). Results The between‐group analysis showed significant improvements in dyspnea, fatigue and the NYHA functional classification in the IMT group compared to the sham group (P < .05). The within‐group analysis showed significant improvements in dyspnea (from 2.63 ± 0.79 to 1.38 ± 0.66, P < .001), fatigue (from 43.36 ± 8.5 to 28.95 ± 9.11, P < .001) and the NYHA functional classification (from 2.73 ± 0.5 to 2.1 ± 0.6, P = .001) in the IMT group, while fatigue and dyspnea increased significantly in the sham group. Conclusions The 6‐week home‐based IMT was found to be an effective and safe tool for reducing dyspnea and fatigue and improving the NYHA functional classification.

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Effects of a supportive educational nursing care programme on fatigue and quality of life in patients with heart failure: a randomised controlled trial

Abstract: The supportive educational nursing care programme was recommended to alleviate fatigue and improve quality of life in patients with heart failure.

Cited by 39 publications

References 39 publications

Effectiveness of a PRECEDE-based education intervention on quality of life in elderly patients with chronic heart failure

Effectiveness of a PRECEDE-based education intervention on quality of life in elderly patients with chronic heart failure

Effects of a mindfulness-based intervention on symptoms and signs in chronic heart failure: A feasibility study

The effect of inspiratory muscle training on fatigue and dyspnea in patients with heart failure: A randomized, controlled trial

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