Extent of heart failure self-care as an endpoint to patient education: a literature review

Cameron, Jan, Worrall-Carter, Linda, Driscoll, Andrea, New, Gishel and Stewart, Simon 2007, Extent of heart failure self-care as an endpoint to patient education: a literature review, British journal of cardiac nursing, vol. 2, no. 4, pp. 188-197.

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Title Extent of heart failure self-care as an endpoint to patient education: a literature review
Author(s) Cameron, Jan
Worrall-Carter, Linda
Driscoll, AndreaORCID iD for Driscoll, Andrea orcid.org/0000-0002-6837-0249
New, Gishel
Stewart, Simon
Journal name British journal of cardiac nursing
Volume number 2
Issue number 4
Start page 188
End page 197
Publisher MA Healthcare
Place of publication London, England
Publication date 2007-04-04
ISSN 1749-6403
Summary Background: In western countries the number of chronic heart failure (CHF) management programs has escalated in recent times. One key component of them is to teach self-care behaviours that enable affected individuals to monitor themselves and engage in lifestyles that improve their health status.
Aim: The aim of this article is to describe CHF self-care management and to review the literature which examines the effectiveness of patient education on patients’ performance of self-care behaviours.
Design/method: bibliographical databases were searched for papers published in English between 1982 to 2006. The search used the key words: heart failure, education, self-care and measures. Only randomized controlled trials (RCTs) were selected.
Results: Ten randomized controlled trials were selected that used education as an intervention and, in total, 1064 patients with CHF participated in these studies. The studies were heterogenous as to the sample population, the health outcomes measured, the education interventions, the expertise of the educator, and the length of time that was spent on teaching patients. No consistent patterns of implementation and specific evaluation of its impact were found, although three respective groups of investigators reported signifi cant differences in recurrent hospitalisation rates and mortality rates which were relative to usual care.
Conclusions: Teaching patients appropriate CHF self-care behaviours can significantly improve their health outcomes. Improvements in self-care were demonstrated in seven studies but only three had used validated instruments to measure such changes. This suggests that no firm conclusions can be drawn about changes in self-care practices.
Language eng
Field of Research 111002 Clinical Nursing: Primary (Preventative)
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2007, MA Healthcare
Persistent URL http://hdl.handle.net/10536/DRO/DU:30007741

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