The impact of a self-management patient education program for patients with chronic heart failure undergoing inpatient cardiac rehabilitation.
Patient Educ Couns
; 99(7): 1190-1197, 2016 07.
Article
em En
| MEDLINE
| ID: mdl-26898600
ABSTRACT
OBJECTIVE:
To evaluate a patient-centred self-management educational group program for patients with chronic systolic heart failure as compared to usual care education during inpatient cardiac rehabilitation.METHODS:
A multicentre cluster randomized controlled trial of 475 patients was conducted. In the intervention condition, patients received the new self-management educational group program whereas in the control condition, patients received a short lecture-based educational program (usual care). The primary outcome was patients' self-reported self-management competence. Secondary outcomes included self-management health behaviour, health-related quality of life, and treatment satisfaction. Patients completed self-reported outcome measures at admission, discharge, and after 6 and 12 months.RESULTS:
There was a significant small between-group intervention effect on certain dimension of patients' self-management competence (self-monitoring and insight) in short term (p<0.05). Furthermore, significant small effects were observed for treatment satisfaction at discharge as well as symptom monitoring after 6 months (p<0.05) and by trend on symptom monitoring and physical activity after 12 months.CONCLUSIONS:
The patient-centred self-management program might be more effective in certain self-management outcomes than a usual care education in both short-term and long-term periods. PRACTICE IMPLICATIONS Therefore, such programs may be considered for dissemination within cardiac rehabilitation.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Autocuidado
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Educação de Pacientes como Assunto
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Reabilitação Cardíaca
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Insuficiência Cardíaca
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Pacientes Internados
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article