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Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 418-429 |
| Number of pages | 12 |
| Journal | Nursing Reports |
| Volume | 11 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 1 Jun 2021 |
Keywords
- Heart failure
- Self-care behaviours
- Symptom recognition
- Nurse-led programme
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CIIS: Center for Interdisciplinary Research in Health
Barros, M., Rosa, N., Correia, M. J., Caldas, A. C., Amado, J. C., Figueiredo, A. S., Esteves, A. C., Mineiro, A., Abreu, A. M., Duarte, A. S., Almeida, S. F., Correia, A., Moura, A., Almeida, A., Araújo, B., Moura-Netto, C., Ferrito, C. R. D. A. C., Pais-Vieira, C., Festas, C., Marques-Vieira, C., Catré, D., Nunes, E., Jesus, É., Ribeiro, F., Rosário, F., Fernandes, G., Rato, J. R., Salgado, J. R., Neves-Amado, J., Amendoeira, J., Sá, L., Capelas, M. L., Vieira, M. M., Silva Nunes, M. V., Cardoso, M., Veiga, N. J., Fonseca, P., Correia, P. N., Couto, P., Sousa, P. P., Ravasco, P., Carvalho, P. V. D., Alves, P., Melo, P., Silva, R., Canaipa, R., Noites, R., Rio, R., Almeida, S., Deodato, S., Caldeira, S., Silva, S., Borges, T., Silva, V., Charepe, Z., Rodrigues-Pires, F., Veludo, F., Carmo, H., Romeiro, J., Melo, M., Braga, M., Amaral, T., Moreira, M. A., Guerra, N., Santos, P., Paço, S., Lynce, S., Miguel, S., Costa, T., Silva-Neves, V., Silva, A., Carvalho, A. R., Almeida, B., Figueiredo, C., Esteves, E., Araújo, F. M., Garcia, J. G., Santos, L., Santos, N. M. D., Lopes, P., Bornes, R., Silva, R., Costa, S., Silva, S. M., Marques, T., Almeida, A., Santos, M., Santos, P., Miguel, S., Mendes, A. K. D. S., Gomes, A. T. P. D. C., Henriques, J. M. P., Costa, H. A. F. P. & Ribeiro, P. A. D. O. C.
Fundação para a Ciência e a Tecnologia
1/01/20 → 31/12/23
Project: Research