Uncertainty in illness among patients with chronic heart failure is less in person-centred care than in usual care

Purpose: For cardiovascular patients, family caregivers play a vital role in daily nursing and cardiac emergencies. This study aimed to evaluate the effect of patient-centered CPR education (PCE) for family caregivers of patients with cardiovascular diseases. Methods: Fifty-four participants were randomly assigned to the PCE or control group. The PCE group received tailored counseling on overall cardiovascular disease information and CPR followed by interactive instructor-guided CPR training and re-education follow-up by telephone 2 weeks later. The control group received only video-based CPR self-education and booklets. Cardiovascular disease and CPR knowledge and self-efficacy were measured before (pre-test), immediately after (post-test 1), and 4 weeks after the PCE (post-test 2). CPR skills and performance were measured pre-test and at post-test1. Results: The PCE group demonstrated significant improvements in knowledge (F=91.09, p <.001), self-efficacy (F=15.19, p <.001) and CPR skills and performance (F=8.10, p =.008), as well as significant differences over time (knowledge: F=364.25, p <.001; self-efficacy: F=1162.28, p <.001; CPR skills and performance: F=1798.81, p <.001). There were significant group-by-time interactions for knowledge (F=8.10, p =.001), self-efficacy (F=4.30, p =.019) and CPR skills and performance (F=4.81, p =.036) by repeated measures ANO-VA. Conclusion: This is the first study to demonstrate the effects of a patient-centered intervention with CPR education tailored for patients' and family caregivers' preferences, needs, and lifestyles. The results of this study encourage the use of tailored, patient-centered interventions in cardiovascular nursing practice. Address reprint requests to : Suh, Eunyoung E. Therefore, we incorporated the "patient-centered intervention" concept with CPR training. The recently developed concept of patient-centered intervention emphasizes: 1) the individual patient's preferences, needs, and values; 2) the interaction between patients, family caregivers, and healthcare providers; and 3) patient-participation in treatment plan and lifestyle modification [11,12]. Recently, patient-and family-centered intervention studies have been conducted, demonstrating the effects of improving things such as patients' and family caregivers' quality of life, efficiency, knowledge, and satisfaction [13,14].Combining CPR training and patient-centered intervention, family caregivers would learn how to manage the patient's cardiovascular disease in daily life and how to respond to a cardiovascular emergency. This would increase the knowledge, motivation, and confidence of family caregivers.This study was conducted to investigate the effects of patientcentered CPR education (PCE) on knowledge, self-efficacy, and performance in a cardiac emergency of family caregivers of cardiovascular patients. The concept of patient-centered intervention was applied via counseling and interactive CPR education provided by a nurse. We hypothesized that participants in PCE would demonstrate 1) i...

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“…This knowledge lasted 12 months after the education in the patients with acute myocardial infarction. Dudas et al [24] applied a person-centered…”

Section: Participant Characteristicsmentioning

confidence: 99%

The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases

Kim

Suh

2016

J Korean Acad Nurs

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“…A similar concern was described in past studies among other patients, such as those with HIV [30], chronic heart failure [31], prostate cancer [32], and amyotrophic lateral sclerosis [33]. These examples are also involved in the specific context of palliative care.…”

Section: Discussionmentioning

confidence: 92%

Confronting the Forthcoming Death: A Classic Grounded Theory

Harstäde¹,

Sandgren²

2016

J Palliat Care Med

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Objective: The aim of this study was to develop a classic grounded theory of patients in palliative care. Methods:A classic Grounded Theory methodology was used to conceptualize patterns of human behavior. Twenty-seven interviews with patients in palliative care and two autobiographies written by persons receiving palliative care were analyzed.Result: "Confronting the forthcoming death" emerged as the pattern of behavior through which patients deal with their main concern, living in uncertainty of a death foretold. The theory involves four strategies; Seeking concrete knowledge, Shielding off, Seeing things through, and Embracing life. Holding on to hope and Suffering are also ever present. Conclusion:The theory shows that there is no easy way straight ahead; patients strive to confront the situation as well as they can, both wanting and not wanting to know what lies ahead. For health professionals, knowledge about how patients use different strategies, which can be used in tandem or succession, or shifted back and forth between over time, to confront their imminent deaths, can create an awareness of how to encounter patients in this uncertainty.

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“…В протоколе PCC-HF (Ekman, et al) изучалось, как повлияет оказание пациент-центрированной помощи на качество жизни, быто-вую активность, длительность госпитализации, частоту повторных госпитализаций. Показано, что в группе исследования, в сравнении с контролем (стандартное ведение больных), была меньше дли-тельность госпитализации и улучшилась активность; два других показателя не отличались между груп-пами [19][20][21][22].…”

Section: российскийunclassified

Patient-Centered Medicine. A New Reality

Таратухин¹

2016

Russ J Cardiol

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Uncertainty in illness among patients with chronic heart failure is less in person-centred care than in usual care

Cited by 82 publications

References 39 publications

The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases

The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases

Confronting the Forthcoming Death: A Classic Grounded Theory

Patient-Centered Medicine. A New Reality

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