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Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled Trial
| Content Provider | MDPI |
|---|---|
| Author | Sousa, Joana Pereira Neves, Hugo Pais-Vieira, Miguel |
| Copyright Year | 2021 |
| Description | Patients with heart failure have difficulty in self-care management, as daily monitoring and recognition of symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate the longitudinal effect of a nursing-led complex intervention on self-care management and quality-of-life changes in patients with heart failure and assessed by a pilot study performed on sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p < 0.001) and emergency admission (IRR 4.24; p < 0.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (βSlope. Assignment_group = −0.881; p < 0.001) and in the quality of life (βSlope. Assignment_group = 1.739; p < 0.001). This study supports that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure. This randomised controlled trial was retrospectively registered (NCT04892004). |
| Ending Page | 429 |
| Page Count | 12 |
| Starting Page | 418 |
| e-ISSN | 20394403 |
| DOI | 10.3390/nursrep11020040 |
| Journal | Nursing Reports |
| Issue Number | 2 |
| Volume Number | 11 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2021-06-01 |
| Access Restriction | Open |
| Subject Keyword | Nursing Reports Ergonomics Heart Failure Self-care Behaviours Symptom Recognition Nurse-led Programme |
| Content Type | Text |
| Resource Type | Article |