Key result
Nurse-led education improves self-care behaviors and quality of life in heart failure.
Why the study?
Patients with heart failure struggle with self-care management because daily monitoring and symptom recognition often fail to trigger actions that prevent hospital admissions.
Does a nurse-led intervention on symptom recognition and fluid restriction improve self-care behaviors and quality of life in patients with heart failure?
RCT (n=63)
Computerized random allocation generator (1:1)
No
Does a nurse-led intervention on symptom recognition and fluid restriction improve self-care behaviors and quality of life in patients with heart failure?
A structured, nurse-led educational intervention focusing on symptom recognition and fluid restriction significantly improves self-care behaviors and quality of life, and may reduce hospital readmissions in patients with heart failure.
Supports nurse-led symptom education in heart failure management; extends self-care intervention evidence from this pilot RCT.
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).
No takes yet. Share an insight, caveat, or question.
Sousa et al. (2021) conducted an RCT in Heart Failure (NYHA class II-III) (n=63). Nurse-led complex intervention on symptom recognition and fluid restriction vs. Usual care was evaluated on Longitudinal change in self-care behaviours (EHFScBS score) (βSlope = -0.881, p=<0.001). A nurse-led intervention on symptom recognition and fluid restriction significantly improved self-care behaviors (βSlope = -0.881, p<0.001) and quality of life in patients with heart failure.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: