Efficacy of a self-monitoring traffic light diary on outcomes of patients with heart failure: A randomized controlled trial.
Int J Nurs Stud
; 152: 104704, 2024 Apr.
Article
in En
| MEDLINE
| ID: mdl-38368847
ABSTRACT
BACKGROUND AND OBJECTIVE:
Patients with heart failure experience high hospitalization. However, patients cannot recognize symptoms according to current approaches, which needs to be improved by new self-monitoring instruments and strategies. Thus, we aimed to assess a self-monitoring traffic light diary on outcomes of patients with heart failure.METHODS:
This was a single-blind, two-arm parallel group randomized controlled trial at the heart failure clinic of Tehran Heart Center (Tehran, Iran). Adult patients with a definitive diagnosis of heart failure with reduced ejection fraction (i.e., ejection fraction of less than 40â¯%), and New York Heart Association functional classes II-IV were included. A block-balanced randomization method was used to assign eligible subjects to the intervention or control group. Baseline data were collected before random allocation. Participants in the intervention group received a comprehensive intervention consisting of (1) self-care education by an Australian Heart Foundation booklet on heart failure, (2) regular self-monitoring of weight and shortness of breath at home, and (3) scheduled call follow-ups for three months. Patients in the control group received usual care. The primary outcome was heart failure self-care; the secondary outcomes were heart failure quality of life, knowledge, and all-cause hospitalization.RESULTS:
From June to August 2017, 68 patients were included in the study. The overall age of participants was 55 (13.6) years old, and 71â¯% of patients were male. A significant association between the intervention and self-care maintenance (ß 5.1; 95â¯% CI 2.50 to 7.70, Pâ¯<â¯0.001), self-care management (ß 10.6; 95â¯% CI 6.50 to 14.8, Pâ¯<â¯0.001), self-care confidence (ß 8.0; 95â¯% CI 5.0 to 11.0, Pâ¯<â¯0.001) and heart failure knowledge (ß 1.7; 95â¯% CI 1.30, 2.04; Pâ¯<â¯0.001) was found. However, there was no association between the intervention and quality of life (ß 2.5; 95â¯% CI -0.79, 5.88, P 0.135) and hospitalization-free survival of the two groups (Log-Rank P 0.540).CONCLUSION:
A self-monitoring traffic light diary can improve self-care behaviors and heart failure knowledge in patients with heart failure with reduced ejection fraction. RCT APPROVAL ID Iranian Registry of Clinical Trials IRCT2017021032476N1. STUDY PROTOCOL PMCID PMC6262204.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Quality of Life
/
Heart Failure
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Asia
/
Oceania
Language:
En
Journal:
Int J Nurs Stud
Year:
2024
Document type:
Article