Effects of education and support on self-care and resource utilization in patients with heart failure.
Aims To test the effect of education and support by a nurse on self-care and resource utilization in patients with heart failure.
Methods A total of 179 patients (mean age 73,58% male, NYHA III-IV) hospitalized with heart failure were evaluated prospectively.
Patients were randomized to the study intervention or to'care as usual'The supportive educative intervention consisted of intensive, systematic and planned education by a study nurse about the consequences of heart failure in daily life, using a standard nursing care plan developed by the researchers for older patients with heart failure.
Education and support took place during the hospital stay and at a home visit within a week of discharge.
Data were collected on self-care abilities, self-care behaviour, readmissions, visits to the emergency heart centre and use of other health care resources.
Results Education and support from a nurse in a hospital setting and at home significantly increases self-care behaviour in patients with heart failure.
Patients from both the intervention and the control group increased their self-care behaviour within 1 month of discharge, but the increase in the intervention group was significantly more after I month.
Although self-care behaviour in both groups decreased during the following 8 months, the increase from baseline remained statistically significant in the intervention group, but not in the control group.
No significant effects on resource utilization were found. (...)
Mots-clés Pascal : Insuffisance cardiaque, Education santé, Infirmier, Soin, Santé, Autonome, Etude longitudinale, Traitement, Homme, Appareil circulatoire pathologie, Cardiopathie
Mots-clés Pascal anglais : Heart failure, Health education, Nurse, Care, Health, Autonomous, Follow up study, Treatment, Human, Cardiovascular disease, Heart disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0264420
Code Inist : 002B12A01. Création : 16/11/1999.