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Volume 4, Issue 3 (Summer 2018)
JCCNC 2018, 4(3): 165-172 |
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Seyedoshohadaee M, Babaeeyan Kshtelee F, Seyyed Fatemi N, Saravi M, Haghani H. The Effect of Self-Care Education on the Resilience of the Patients With Heart Failure. JCCNC 2018; 4 (3) :165-172
URL: http://jccnc.iums.ac.ir/article-1-169-en.html
URL: http://jccnc.iums.ac.ir/article-1-169-en.html
Mahnaz Seyedoshohadaee1 
, Fatemeh Babaeeyan Kshtelee * 2, Na`imeh Seyyed Fatemi3 , Mehrdad Saravi4 , Hamid Haghani5
, Fatemeh Babaeeyan Kshtelee * 2, Na`imeh Seyyed Fatemi3 , Mehrdad Saravi4 , Hamid Haghani5
1- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. ,babaefateme@yahoo.com
3- Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran.
4- Department of Cardiology, School of Medicine, Babol University of Medical Sciences, Babol, Iran.
5- Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. ,
3- Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran.
4- Department of Cardiology, School of Medicine, Babol University of Medical Sciences, Babol, Iran.
5- Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (3674 Views)
Background: Heart Failure (HF) as one of the severe consequences of cardiovascular diseases leads to high mortality in Iran and around the world. This study aims to investigate the effect of self-care education on the resilience of patients with Heart Failure.
Methods: This is a quasi-experimental study with a control group. The study population consisted of all patients with HF referring to the educational hospitals affiliated to Babol University of Medical Sciences in 2017. The obtained data were collected by the Connor-Davidson Resilience Scale (CD-RISC). A total of 88 patients were selected by convenience sampling method and randomly assigned into intervention and control groups (44 in each group). The intervention group received intervention program for 60-45 minutes in 6 sessions, per week in addition to routine care. The control group just received routine care. After one month, CD-RISC was completed again by both groups. The collected data were analyzed by descriptive and inferential statistics (Chi-square, independent t-test, ANCOVA) in SPSS-PC V. 22.
Results: Before self-care education, the mean score of resilience was not significantly different between the groups (P=0.69), but after intervention the difference was significant (P<0.001). After the intervention, the mean score of resilience increased in the control group by 2.95 unit which was significant (P=0.02). In the intervention group, the mean score of resilience increased by 20.55 unit, which was statistically significant (P<0.001).
Conclusion: Considering the effectiveness of self-care education on the resilience of patients with Heart Failure and its feasibility, implementation of this program by nurses is recommended.
Methods: This is a quasi-experimental study with a control group. The study population consisted of all patients with HF referring to the educational hospitals affiliated to Babol University of Medical Sciences in 2017. The obtained data were collected by the Connor-Davidson Resilience Scale (CD-RISC). A total of 88 patients were selected by convenience sampling method and randomly assigned into intervention and control groups (44 in each group). The intervention group received intervention program for 60-45 minutes in 6 sessions, per week in addition to routine care. The control group just received routine care. After one month, CD-RISC was completed again by both groups. The collected data were analyzed by descriptive and inferential statistics (Chi-square, independent t-test, ANCOVA) in SPSS-PC V. 22.
Results: Before self-care education, the mean score of resilience was not significantly different between the groups (P=0.69), but after intervention the difference was significant (P<0.001). After the intervention, the mean score of resilience increased in the control group by 2.95 unit which was significant (P=0.02). In the intervention group, the mean score of resilience increased by 20.55 unit, which was statistically significant (P<0.001).
Conclusion: Considering the effectiveness of self-care education on the resilience of patients with Heart Failure and its feasibility, implementation of this program by nurses is recommended.
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● The mean difference of resilience before and after the intervention in the Heart failure group and healthy groups was significantly different.
● Before the self-care education, the mean score of resilience was not significantly different between the healthy and heart failure groups, but after intervention, the difference between them significantly increased.
● Self-care education was able to increase resilience in the patients with heart failure.
● Health-care providers should increase the resilience of these patients in critical conditions by providing self-care education programs.
Plain Language Summary
The heart as a functional organ can be affected by a variety of disorders and diseases. Heart failure (HF) is known as one of the cardiovascular diseases, which causes severe physical and mental symptoms in the affected patients. In recent years, the focus is on using educational interventions combined with self-care technique for its treatment. In this regard, resilience skills can reduce the likelihood of having a heart failure and encourage people to follow the health care tips. This quasi-experimental study investigated the effect of self-care education on the resilience of patients with HF. They were examined using the Connor-Davidson Resilience Scale and the test group received self-care training program. The study results showed that the mean resilience score increased after the intervention in the test group, indicating the effectiveness of self-care education.
● Before the self-care education, the mean score of resilience was not significantly different between the healthy and heart failure groups, but after intervention, the difference between them significantly increased.
● Self-care education was able to increase resilience in the patients with heart failure.
● Health-care providers should increase the resilience of these patients in critical conditions by providing self-care education programs.
Plain Language Summary
The heart as a functional organ can be affected by a variety of disorders and diseases. Heart failure (HF) is known as one of the cardiovascular diseases, which causes severe physical and mental symptoms in the affected patients. In recent years, the focus is on using educational interventions combined with self-care technique for its treatment. In this regard, resilience skills can reduce the likelihood of having a heart failure and encourage people to follow the health care tips. This quasi-experimental study investigated the effect of self-care education on the resilience of patients with HF. They were examined using the Connor-Davidson Resilience Scale and the test group received self-care training program. The study results showed that the mean resilience score increased after the intervention in the test group, indicating the effectiveness of self-care education.
Type of Study: Research |
Subject:
Special
Received: 2018/06/4 | Accepted: 2019/02/6 | Published: 2019/02/6
Received: 2018/06/4 | Accepted: 2019/02/6 | Published: 2019/02/6
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