Does symptom recognition improve self-care in patients with heart failure? A pilot study randomised controlled trial

Detalhes bibliográficos
Autor(a) principal: Sousa, Joana Pereira
Data de Publicação: 2021
Outros Autores: Neves, Hugo, Pais-Vieira, Miguel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.14/34144
Resumo: 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 (beta Slope. Assignment_group = -0.881; p < 0.001) and in the quality of life (beta Slope. 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.
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spelling Does symptom recognition improve self-care in patients with heart failure? A pilot study randomised controlled trialHeart failureSelf-care behavioursSymptom recognitionNurse-led programmePatients 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 (beta Slope. Assignment_group = -0.881; p < 0.001) and in the quality of life (beta Slope. 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.Veritati - Repositório Institucional da Universidade Católica PortuguesaSousa, Joana PereiraNeves, HugoPais-Vieira, Miguel2021-07-14T16:01:30Z2021-06-012021-06-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.14/34144eng2039-439X10.3390/nursrep1102004085125588373PMC860813634968218000668294700001info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-12-19T01:37:53Zoai:repositorio.ucp.pt:10400.14/34144Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:27:37.749825Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Does symptom recognition improve self-care in patients with heart failure? A pilot study randomised controlled trial
title Does symptom recognition improve self-care in patients with heart failure? A pilot study randomised controlled trial
spellingShingle Does symptom recognition improve self-care in patients with heart failure? A pilot study randomised controlled trial
Sousa, Joana Pereira
Heart failure
Self-care behaviours
Symptom recognition
Nurse-led programme
title_short Does symptom recognition improve self-care in patients with heart failure? A pilot study randomised controlled trial
title_full Does symptom recognition improve self-care in patients with heart failure? A pilot study randomised controlled trial
title_fullStr Does symptom recognition improve self-care in patients with heart failure? A pilot study randomised controlled trial
title_full_unstemmed Does symptom recognition improve self-care in patients with heart failure? A pilot study randomised controlled trial
title_sort Does symptom recognition improve self-care in patients with heart failure? A pilot study randomised controlled trial
author Sousa, Joana Pereira
author_facet Sousa, Joana Pereira
Neves, Hugo
Pais-Vieira, Miguel
author_role author
author2 Neves, Hugo
Pais-Vieira, Miguel
author2_role author
author
dc.contributor.none.fl_str_mv Veritati - Repositório Institucional da Universidade Católica Portuguesa
dc.contributor.author.fl_str_mv Sousa, Joana Pereira
Neves, Hugo
Pais-Vieira, Miguel
dc.subject.por.fl_str_mv Heart failure
Self-care behaviours
Symptom recognition
Nurse-led programme
topic Heart failure
Self-care behaviours
Symptom recognition
Nurse-led programme
description 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 (beta Slope. Assignment_group = -0.881; p < 0.001) and in the quality of life (beta Slope. 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.
publishDate 2021
dc.date.none.fl_str_mv 2021-07-14T16:01:30Z
2021-06-01
2021-06-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.14/34144
url http://hdl.handle.net/10400.14/34144
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2039-439X
10.3390/nursrep11020040
85125588373
PMC8608136
34968218
000668294700001
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eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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