Key result
Self-management education using a multi-method approach or multimedia significantly improved quality of life in patients with chronic heart failure compared to control (p<0.001 and p=0.002).
Why the study?
Does a self-management education program using multi-method or multimedia approaches improve quality of life in patients with chronic heart failure?
Does a self-management education program using multi-method or multimedia approaches improve quality of life in patients with chronic heart failure?
p-value: p=<0.001 and 0.002
Self-management education programs, particularly those using a multi-method approach, significantly improve quality of life, self-efficacy, and knowledge in patients with chronic heart failure.
May support multi-method education for HF QoL; hypothesis-generating and requires RCTs before practice change.
BACKGROUND: Self-management behaviors help patients deal issues related to the treatment process and lead to appropriate health outcomes. OBJECTIVE: To compare the effects of the self-management education program using the multi-method approach and multimedia on the quality of life among patients with chronic heart failure. METHODS: This non-randomized controlled clinical trial was conducted on 111 patients suffering from chronic heart failure. They were assigned into the multi-method approach (n = 36), multimedia (n = 37), and control (n = 38) groups. The Iranian heart failure quality of life questionnaire was used for data collection before and three months after the education program. Data was analyzed using descriptive and inferential statistics via the SPSS software. RESULTS: Statistically significant differences were reported between the multi-method approach and multimedia groups in terms of the quality of life after the intervention compared with the control group (p < 0.001 and p = 0.002, respectively). Also, statistically significant differences were found between the two intervention groups in terms of the dimension of self-efficacy and knowledge (p = 0.047). No statistically significant differences were seen between the intervention groups in other domains of the quality of life. CONCLUSION: The education program improved the quality of life in patients with chronic heart failure. However, the multi-method approach was more effective compared to other methods in patients with chronic heart failure. Healthcare providers especially nurses should consider different educational approaches for patient education. Also, they need to consider patient's preferences during education to improve their quality of life.
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Abbasi et al. (2018) studied chronic heart failure (n=111). Self-management education program (multi-method approach or multimedia) vs. Control was evaluated on Quality of life (p=<0.001 and 0.002). Self-management education using a multi-method approach or multimedia significantly improved quality of life in patients with chronic heart failure compared to control (p<0.001 and p=0.002).
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