Volume 2, Issue 1 (Winter 2016 -- 2016)                   JCCNC 2016, 2(1): 53-62 | Back to browse issues page

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Najafi Ghezeljeh T, Abbasi A, Oshgholi Farahani M, Naderi N. The Effect of Self-Management Training Using CD on the Quality of Life in Patients with Chronic Heart Failure. JCCNC 2016; 2 (1) :53-62
URL: http://jccnc.iums.ac.ir/article-1-85-en.html
1- Department of Intensive Care Nursing and Cardiovascular Perfusion Technology, Faculty of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Medical-Surgical Nursing, Faculty of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran. , abbasi.isf@gmail.com
3- Department of Medical-Surgical Nursing, Faculty of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran.
4- Shahid Rajaei Cardiovascular Research Center, Shahid Rajaei Hospital, Tehran, Iran.
Abstract:   (3343 Views)

Background: Chronic heart failure (CHF) can have negative effects on the quality of life (QoL). Self-management education is one of the approaches that can be adopted to increase the QoL of these patients. This study aimed to determine the effect of self-management training using compact disc (CD) on the QoL in patients with CHF.
Methods: This study was a non-randomized controlled clinical trial which was conducted on 74 patients with CHF hospitalized in Shahid Rajaie Cardiovascular medical and research center in 2015. Research samples were selected with convenience sampling method and randomly assigned to intervention (training with CD) and control (conventional training) groups. To collect data, Iranian questionnaire to assess QoL in patients with heart failure (IHF-QoL) was completed in both groups before and 3 months after the intervention. Data analysis was done using statistical tests of the Independent t test and paired t-test using SPSS version 21.
Results: According to the findings, there was no significant difference between two groups before the intervention with regard to QoL scores (P=0.58). Statistical tests showed that 3 months after the intervention, self-management education promoted QoL subscales including psychological status (t=-2.578, P=0.012), self-care (t=-3.633, P=0.001), as well as total QoL (t=-2.01, P=0.048) in patients in the intervention group as compared with the control group. Also in CD method group, themean scores of total QOL and its subscales before the intervention were significantly different from that mean scores 3 months after the intervention., i.e. their total QOL and its all subscales improved after intervention. (P<0.0001).
Conclusion: As self-management training with CD can improve QoL in patients with CHF compared with conventional training method, it is suggested that this training method be considered as a part of patients’ self-management education by nurses with the aim of improving QoL.

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Type of Study: Research | Subject: General
Received: 2015/08/6 | Accepted: 2015/11/2 | Published: 2016/02/1

1. Aghvamy, M, Mohammadzadeh, S, Gallalmanesh, M & Zare, R 2011, '[Assessment the education compariment to two ways: groupe education and com-puter education on qol in the children 8-12 years suffering from asthma in the Valiasr Hospital of Zanjan (Persian)]'. Zanjan University of Medical Sciences Journal, vol. 19, no. 74, pp. 78-85.
2. Baljani, E, Rahimi, Zh, Heidari, Sh & Azimpour, A 2012, '[The effect of self-management interventions on medication adherence and life style in cardio-vascular patients (Persian)]'. Scientific Journal of Hamadan Nursing & Midwifery Faculty, vol. 20, no. 3, pp. 58-68.
3. Bourbeau, J, Collet, JP, Schwartzman, K, Ducruet, T, Nault, D & Bradley, C 2006, 'Economic benefits of self-management education in COPD', Chest, vol. 130, no. 6, pp. 1704-711. doi: 10.1378/chest.130.6.1704 [DOI:10.1378/chest.130.6.1704]
4. de Walt, DA, Pignone, M, Malone, R, Rawls, C, Kosnar, MC, George, G et al. 2004, 'Development and pilot testing of a disease management program for low literacy patients with heart failure', Patient education and counseling, vol. 55, no. 1, pp. 78-86. doi: 10.1016/j.pec.2003.06.002 [DOI:10.1016/j.pec.2003.06.002]
5. Dickestein, K, Cohen-Solal, A, Filippatos, G, Mcmurray, JJ, Ponikowski, P, Poole-Wilson, PA et al. 2008, 'ESC guidelines for diagnosis and treatment of acute and CHF', European Heart Journal, vol. 29, no. 19, pp. 388-442.
6. Dilles, A, Heymans, V, Martin, S, Droogné, W, Denhaerynck, K & de Geest, S 2011, 'Comparison of a computer assisted learning program to standard education tools in hospitalized heart failure patients', European Journal of Cardiovascular Nursing, vol. 10, no. 3, pp. 187-93. doi: 10.1016/j.ejcnurse.2010.07.001 [DOI:10.1016/j.ejcnurse.2010.07.001]
7. Ditewig, JB, Blok, H, Havers, J & van Veenendaal, H 2010, 'Effectiveness of self-management interventions on mortality, hospital readmissions, CHF hos-pitalization rate and QoL in patients with CHF: a systematic review', Patient Education & Counseling, vol. 78, no. 3, pp. 297-315. doi: 10.1016/j.pec.2010.01.016 [DOI:10.1016/j.pec.2010.01.016]
8. Dontje, ML, van der Wal, MH, Stolk, RP, Brügemann, J, Jaarsma, T, Wijtvliet, PE et al. 2014, 'Daily physical activity in stable heart failure patients', Journal of Cardiovascular Nursing, vol. 29, no. 3, pp. 218-26. doi: 10.1097/JCN.0b013e318283ba14 [DOI:10.1097/JCN.0b013e318283ba14]
9. Dorn, S, Palsson, O, Woldeghebriel, M, Fowler, B, Mccoy, R, Weinberger, M et al. 2014, 'Development and pilot testing of an integrated, web-based self-management program for irritable bowel syndrome (IBS)', Neurogastroenterology & Motility, vol. 27, no. 1, pp. 128-34. doi: 10.1111/nmo.12487 [DOI:10.1111/nmo.12487]
10. Heidarzadeh, M, Hasani, P, Rahimzadeh, A, Ghahramanian, A, Kolahdouzipour, J & Yousef, I 2012, '[QoL and social support in congestive heart failure patients and healthy people (Persian)]', Holistic Nursing & Midwifery Journal, vol. 23, no. 69, pp. 13-21.
11. Heo, S, Lennie, TA, Okoli, C & Moser, DK 2009, 'Quality of life in patients with heart failure: ask the patients', Heart & Lung: The Journal of Acute and Critical Care, vol. 38, no. 2, pp. 100-108. doi: doi: 10.1016/j.hrtlng.2008.04.002 [DOI:10.1016/j.hrtlng.2008.04.002]
12. Hoffman, AJ 2013, 'Enhancing self-efficacy for optimized patient outcomes through the theory of symptom self-management', Cancer Nursing, vol. 36, no. 1, pp. 16-26. doi: 10.1097/NCC.0b013e31824a730a [DOI:10.1097/NCC.0b013e31824a730a]
13. Jonkman, NH, Westland, H, Trappenburg, JC, Groenwold, RH, Effing-Tijdhof, TW, Troosters, T et al. 2014, 'Towards tailoring of self-management for pa-tients with CHF or chronic obstructive pulmonary disease: a protocol for an individual patient data meta-analysis', BMJ Open, vol. 4, no. 5, p. e005220. doi: 10.1136/bmjopen-2014-005220 [DOI:10.1136/bmjopen-2014-005220]
14. Malhotra, C, Wong, GC, Tan, BC, Ng, CS, Lee, NC, Lau, CS et al. 2016, 'Living with heart failure: Perspectives of patients from Singapore', Proceedings of Singapore Healthcare, vol. 25, no. 2, pp. 92-97. doi: 10.1177/2010105815624121 [DOI:10.1177/2010105815624121]
15. McCorkle, R, Ercolano, E, Lazenby, M, Schulman-Green, D, Schilling, LS, Lorig, K et al. 2011, 'Self-management: Enabling and empowering patients liv-ing with cancer as a chronic illness', CA: A Cancer Journal for Clinicians, vol. 61, no. 1, pp. 50-62. doi: 10.3322/caac.20093 [DOI:10.3322/caac.20093]
16. Mozaffarian, D, Benjamin, EJ, Go, AS, Grnett, DK, Blaha, MJ, Bushman, M et al. 2015, 'Heart disease and stroke statistics--2015 update: a report from the American Heart Association', Circulation, vol. 131, no. 4, pp. 299-322. doi: 10.1161/CIR.0000000000000152 [DOI:10.1161/CIR.0000000000000152]
17. Reihani, T, Pourghaznein, T, Ajam, M & Hasanzadeh, F 2012, '[A comparative study of lecturing and providing booklet on nursing students' learning and satisfaction (Persian)]', Modern Care Journal, 2012, vol. 9, no. 4, pp. 285-91.
18. Rezasefat Balesbaneh, A, Mirhaghjou, N, Jafsri Asl, M, Kohmanaee, S, Kazemnejad Leili, E & Monfared A 2014, '[Correlation between self-care and self-efficacy in adolescents with type 1 diabetes (Persian)]', Holistic Nursing and Midwifery Journal, vol. 24, no. 2, pp. 18-24.
19. Smeulders, ES, van Haastregt, J, Ambergen, T, Uszko-Lencer, NH, Janssen-Boyne, JJ & Gorgels, AP et al. 2010, 'Nurse-led self-management group pro-gramme for patients with congestive heart failure: randomized controlled trial', Journal of Advanced Nursing, vol. 66, no. 7, pp. 1487-499. doi: 10.1111/j.1365-2648.2010.05318.x [DOI:10.1111/j.1365-2648.2010.05318.x]
20. Sol, BG, van der Bijl, JJ, Banga, JD & Visseren, FL 2005, 'Vascular risk management through nurse-led self-management programs', Journal of Vascular Nurs-ing, vol. 23, no. 1, pp. 20-24. doi: 0.1016/j.jvn.2004.12.003
21. Speck, A, Hess, M & Baptist, AP 2016, 'An electronic asthma self-management intervention for young African American adults', Immunology in Practice, vol. 4, no. 1, pp. 89-95. doi: 10.1016/j.jaip.2015.08.007 [DOI:10.1016/j.jaip.2015.08.007]
22. Strömberg, A, Ahlén, H, Fridlund, B, Dahlström, U 2002, 'Interactive education on CD-ROM-a new tool in the education of heart failure patients', Patient Education & Counseling, vol. 46, no. 1, pp. 75-81. PMID: 11804773 [DOI:10.1016/S0738-3991(01)00151-3]
23. Strömberg, A, Dahlström, U & Fridlund, B 2006, 'Computer-based education for patients with CHF: a randomised, controlled, multicentre trial of the ef-fects on knowledge, compliance and QoL', Patient Education & Counseling, vol. 64, no. 1, pp. 128-135. doi: 10.1016/j.pec.2005.12.007 [DOI:10.1016/j.pec.2005.12.007]
24. Tissot, C, da Cruz, EM & Miyamoto, SD 2014, 'Congestive heart failure', in E da Cruz, D ivy, J Jaggers (eds.), Pediatric and congenital cardiology, cardiac surgery and intensive care, Springer-Verlag, London. doi: 10.1007/978-1-4471-4619-3_229 [DOI:10.1007/978-1-4471-4619-3_229]
25. Tung, HH, Lin, CY, Chen, KY, Chang, CJ, Lin, YP & Chou, CH 2013, 'Self-management intervention to improve self-care and quality of life in heart fail-ure patients', Congestive Heart Failure, vol. 19, no. 4, pp. 9-16. doi: 10.1111/chf.12014 [DOI:10.1111/chf.12014]
26. Wilson, PM, Kendall, S & Brooks, F 2006, 'Nurses' responses to expert patients: the rhetoric and reality of self-management in long-term conditions: a grounded theory study', International Journal of Nursing Studies, vol. 43, no. 7, pp. 803–818. doi: 803-18. 10.1016/j.ijnurstu.2005.10.011
27. Yu, S, Guo, A & Zhang, X 2014, Effects of self-management education on QoL of patients with chronic obstructive pulmonary disease', International Journal of Nursing Sciences, vol. 1, no. 1, pp. 53-57. doi: 10.1016/j.ijnss.2014.02.014 [DOI:10.1016/j.ijnss.2014.02.014]

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