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- Title
Telephone follow-up of self-care behaviour after a single session education of patients with heart failure in primary health care.
- Authors
Holst M; Willenheimer R; Mårtensson J; Lindholm M; Strömberg A
- Abstract
BACKGROUND: Improved self-care behaviour is a goal in educational programmes for patients with heart failure, especially in regard to daily self-weighing and salt and fluid restriction. AIMS: The objectives of the present study were to: (1) describe self-care with special regard to daily self-weighing and salt and fluid restriction in patients with heart failure in primary health care, during one year of monthly telephone follow-up after a single session education, (2) to describe gender differences in regard to self-care and (3) to investigate if self-care was associated with health-related quality of life. METHODS: The present analysis is a subgroup analysis of a larger randomised trial. After one intensive educational session, a primary health care nurse evaluated 60 patients (mean age 79 years, 52% males, 60% in New York Heart Association class III-IV) by monthly telephone follow-up during 12 months. RESULTS: The intervention had no effect on quality of life measured by EuroQol 5D and no significant associations were found between quality of life and self-care behaviour. Self-care behaviour measured by The European Self-care Behaviour Scale remained unchanged throughout the study period. No significant gender differences were shown but women had a tendency to improve adherence to daily weight control between 3- and 12 months. CONCLUSION: The self-care behaviour and quality of life in patients with heart failure did not change during one year of monthly telephone follow-up after a single session education and this indicates a need for more extensive interventions to obtain improved self-care behaviour in these patients.
- Subjects
HEART failure; PRIMARY health care; PATIENT education; HEALTH self-care; SEX differences (Biology); CLINICAL trials
- Publication
European Journal of Cardiovascular Nursing, 2007, Vol 6, Issue 2, p153
- ISSN
1474-5151
- Publication type
Journal Article
- DOI
10.1016/j.ejcnurse.2006.06.006