Nurse‐led self‐management group programme for patients with congestive heart failure: randomized controlled trial

Journal of Advanced Nursing - Tập 66 Số 7 - Trang 1487-1499 - 2010
Esther S.T.F. Smeulders1, Jolanda C. M. van Haastregt2, Ton Ambergen3, Nicole Uszko‐Lencer4, J. Janssen-Boyne5, Anton P.M. Gorgels6, Jelle Stoffers7, Cara L.B. Lodewijks‐van der Bolt8, J. Th. M. van Eijk9, Gertrudis I. J. M. Kempen10
1Esther S.T.F. Smeulders PhD Policy Maker Department of Health Care and Nursing Science, CAPHRI, Maastricht University, The Netherlands
2Jolanda C.M. van Haastregt PhD Researcher Department of Health Care and Nursing Science, CAPHRI, Maastricht University, The Netherlands
3Ton Ambergen PhD Researcher Department of Methodology and Statistics, CAPHRI, Maastricht University, The Netherlands
4Nicole H.K.M. Uszko‐Lencer MD Cardiologist Department of Cardiology, University Hospital Maastricht, The Netherlands
5Josiane J.J. Janssen‐Boyne MA RN Research Nurse, PhD Student Department of Cardiology, Integrated Care, University Hospital Maastricht, The Netherlands
6Anton P.M. Gorgels MD PhD Cardiologist, Professor of Integrated Care Department of Cardiology, University Hospital Maastricht, The Netherlands
7Henri E.J.H. Stoffers MD PhD General Practitioner, Researcher Department of General Practice, CAPHRI, Maastricht University, The Netherlands
8Cara L.B. Lodewijks‐van der Bolt MD Cardiologist Department of Cardiology, Atrium Medical Centre, Heerlen, The Netherlands
9Jacques Th.M. van Eijk PhD Professor of Social Medicine Department of Social Medicine, CAPHRI, Maastricht University, The Netherlands
10Gertrudis I.J.M. Kempen PhD Professor of Social Gerontology Department of Health Care and Nursing Science, CAPHRI, Maastricht University, The Netherlands

Tóm tắt

smeulders e.s.t.f., van haastregt j.c.m., ambergen t., uszko‐lencer n.h.k.m., janssen‐boyne j.j.j., gorgels a.p.m., stoffers h.e.j.h., lodewijks‐van der bolt c.l.b., van eijk j.th.m. & kempen g.i.j.m. (2010) Nurse‐led self‐management group programme for patients with congestive heart failure: randomized controlled trial. Journal of Advanced Nursing 66(7), 1487–1499.

Abstract

Title.  Nurse‐led self‐management group programme for patients with congestive heart failure: randomized controlled trial.

Aim.  This paper reports on of the effects of the Chronic Disease Self‐Management Programme on psychosocial attributes, self‐care behaviour and quality of life among congestive heart failure patients who experienced slight to marked limitation of physical activity.

Background.  Most self‐management programmes for congestive heart failure patients emphasize the medical aspects of this chronic condition, without incorporating psychosocial aspects of self‐management. The programme has been used with various patient groups, but its effectiveness with congestive heart failure patients when led by pairs of cardiac nurse specialists and peer leaders is unknown.

Method.  A randomized controlled trial with 12 months of follow‐up from start of the programme was conducted with 317 patients. Control group patients (n = 131) received usual care, consisting of regular outpatient checkups. Intervention group patients (n = 186) received usual care and participated in the six‐week self‐management programme. The programme teaches patients medical, social and emotional self‐management skills. Twenty‐one classes were conducted in six hospitals in the Netherlands, and data were collected between August 2004 and January 2007.

Results.  Directly after the programme, statistically significant effects were found for cognitive symptom management (P < 0·001), self‐care behaviour (P = 0·008) and cardiac‐specific quality of life (P = 0·005). No effects were found at 6‐ and 12‐month follow‐up.

Conclusion.  Further research is necessary to study how long‐term effectiveness of the programme with patients with congestive heart failure can be achieved, and how successful adaptations of the programme can be integrated into standard care.

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Journal of Advanced Nursing

Tập 66 Số 7

1487-1499

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