The Effect of Mental Health Education on the Resilience and Psychosocial Adjustment in Patients with Heart Failure under the Care of Home Counseling and Nursing Services: A Randomized Controlled Trial.

Background: Heart failure is a clinical syndrome that has a large financial burden on the health care system and communities. One of the types of care provided to these patients is home care. The present study aimed to determine the effect of mental health education on resilience and psychosocial adjustment among patients with heart failure under the care of Home Counseling and Nursing Services. Methods: This randomized controlled clinical trial was conducted on 24 patients with heart failure referred to Shahid Rajaei Heart Center, Tehran, Iran in April to June 2020. Patients eligible to enter the study were divided into two intervention and control groups by permuted block randomization. The demographic form, resilience and psychosocial adjustment to illness scale were completed. The intervention group received mental health education in the patients' houses for 6 weeks (one session each week). Each session lasted 60 minutes. The post-test was done two weeks after the end of the study. The control group received routine care. Data analysis was performed using through SPSS software version 19 using Chi-square test, paired sample t-test, and independent samples t-test. P<0.05 was statistically significant. Results: Comparison of the mean of psychosocial adjustment total score between the intervention and control groups after the intervention showed statistically significant differences (P=0.02). Also, there was a significant difference between the two groups in the mean of resilience total score after the intervention (P=0.001). Conclusion: IRCT20200215046493N.