Effect of A Designed Nursing Teach Back Strategy and Individualized Patient’s Self-Care Nutrition on Daily Livings Activity of Heart Failure Patients

Background: - Heart failure consider a major healthcare burden and there is a growing need to develop strategies to maintain health and sustain quality of life in persons with heart failure. Aim: - determine the effectiveness of a designed nursing teach back strategy and patient’s self-care nutrition on daily livings activity of heart failure patients. Subject and methods: - Randomized controlled trial design was utilized. A simple random sample of sixty adult Patients with heart failure seeking treatment at cardiology department at Tanta University were chosen, allocated, and split into two equal groups randomly. Group I: control group were given regular nursing care by hospital nurses and under prescribed treatment by physician. Whereas a designed nursing teach back strategy and individualized patient’s self-care nutrition as calculated and implemented by researcher and under prescribed nutrition by physician was provided to group II (study group). Tools: Three tools were used to gather relevant data for the investigation, Tool (I) included Assessment questionnaire, Tool (II) included Nutritional assessment sheet and Tool (III) was clinical outcomes assessment sheet. Result: The main result revealed that slightly more than half of the control group I and the minority of the study group II still had moderate functional impairment two one month after implementing individualized teaching nursing strategy about nutrition. Conclusion: Individualized patient’s self-care nutrition to maintain healthy and safe food intake based on patients’ needs had positive effect on improvement of activity of daily livings of study group II. Recommendations: It is recommended that teach back strategy and individualized patient’s self-care nutrition should be given to patients upon admission and followed after patient discharge by cardiology nurse.