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Persistent effect of nurse-led education on self-care behavior and disease knowledge in heart failure patients

International Journal of Nursing Sciences 2021年第2期8卷 161-167,I0002页

作者： astrid huesken Rainer Hoffmann Sofien Ayed Department of Cardiology Angiology and Sleep MedicineBonifatius Hospital LingenLingenGermany

Purpose:The guidelines on the management of patients with heart failure support intensive patient education on *** present study aimed to evaluate the short-term and long-term impacts of a structured education provided by a qualified heart failure nurse on patients'self-care behavior and disease ***:One hundred fifty patients(66±12 years)hospitalized for heart failure participated in a structured one-hour educational session by a heart failure *** completed a questionnaire comprising 15 questions(nine questions from the European Heart Failure Self-Care Behavior Scale[EHFScB-9]and six on the patients'disease knowledge)one day before and one day and six months after the educational *** responses for each question ranged from 1(complete agreement)to 5(complete disagreement).Results:After the educational session,the total EHFScB-9 score improved from 24.31±6.98 to 14.94±6.22,and the disease knowledge score improved from 18.03±5.44 to 10.74±4.30(both P<0.001).Scores for individual questions ranged from 1.26±0.81(adherence to the medication protocol)to 3.66±1.58(everyday weighing habits)before the *** greatest improvement after education was observed on response to weight gain(-2.00±1.57),daily weight control(—1.77±1.64),and knowledge on the cause of patients'heart failure(-1.53±1.43).At 6-month follow-up,EHFScB-9 score was 17.33±7.23 and knowledge score was 12.34±5.30(both P<0.001 compared with baseline).No factor was predictive of an insufficient teaching ***:The educational program led by a qualified nurse improves patients'self-care behavior and disease knowledge with a persistent effect at 6-month *** are no patient characteristics which preclude the implementation of an educational session.

关键词： Heart failure Knowledge Patient education Self care

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