Effect of Educational Program for Patient's With Congestive Heart Failure on Their Health Status

Author

Medical Surgical Nursing - Faculty of Nursing - Port Said University

Abstract

Background : The aim of this study is to assess the patients knowledge and evaluate the effect of an educational program on patient outcome as an indicator of health status.Subject and Methods: A quasi-experimental design was used to assess the patient knowledge regarding congestive heart failure and evaluate the effect of implementing an educational program on patient outcomes .The setting of the study was conducted in the cardiac care units in three selected governmental hospitals in Port Said city  , El-Nasr Hospital, General Port Said Hospital and Al-Tadamon Health Insurance Hospital (The total sample size was 108 patients).Two tools was developed and used by the researcher for data collection. Tool: Congestive heart failure patients Questionnaire is divided into two parts. Part (1): This part included knowledge assessment regarding congestive heart failure and clinical data questionnaire as socio-demographic data and patient history and clinical data. Part (2): This part included educational program for patients with congestive heart failure. Results: The results revealed that there was a significant improvement in the patient's knowledge about definition, types, incidence, signs and symptom, patient belief about congestive  heart failure, psych statues, in the first evaluation (after 1 month) and second evaluation (after 3 months).Conclusion: Educational program has a significant improvement on the patient’s knowledge regarding congestive heart failure.

Keywords


Abu Donia SH. (1977): Educational program for patients with heart failure. Thesis for the degree of PHD, Medical Surgical Nursing, Faculty of Nursing, Alexandria University.
Albert N. (2013): Parallel paths to improve heart failure outcomes. American Journal of Critical Care. Vol. 22, No. 4; P.p. 289-297.
American Heart Society (2012): Heart failure, risk factors, Http:// www.failure.org / doctorate / CRI / content / CRI – 2 – 4 – 3 – what – is – risk factors.
Amorim A., Miriam M. and Ribeiro T. (2013): Nursing diagnose andinterventions for patients with congestive heart failure, Journal of the American College of Cardiology, 47(2); P.p. 7-380.
Andrietta M., Moreira R. and Barros A. (2011): Hospital discharge plan for patients with congestive heart failure. Rev. Latino-Am. Enfermagem, Vol 19, No. 6; P.p. 52-1445.
Australian Institute of Health and Welfare. (2016): information and statistics to promote better health and wellbeing. http//www.aihw.gov.au/mal-health/health-status.
Blecker S., Agarwal S. and Chang P. (2014): Quality of Care for Heart Failure Patients Hospitalized for Any Cause. Journal of the American College of Cardiology, Vol. 63, No.; P.p. 132-130.
Butler J. (2012): An overview of chronic heart failure management. Nursing Practice, Vol. 108, No 14/15; P.p. 16-20.
Cardiology Channel (2012): Heart failure, clinical manifestation, Http:// www.cardiology channel.com / heart failure / clinical manifestation. html.
Clark A., Savard L. and Thompson D. (2009):Evidence for Heart Failure Disease-Management Programs, Journal of the American College of Cardiology. Vol. 54, No. 5; P.p. 397-401 .
Colet J., Rotellar J. and Vela E. (2014): Primary Care Program for Heart Failure. Rev Esp Cardiol. Vol .67, no 4; P.p. 283–293.
Coyle D. and Berger R. (2013): Cost-utility analysis of NT-pro BNP-guided multidisciplinary care in chronic heart failure. International Journal of Technology Assessment in Health Care, VOL. 3, NO 11; P.p1-29.
Damjanov I. (2012): Pathology for the heart professions. 4th edition. Elsevier-Saunders.
Delaney C., Apostolidis B. and Lachapelle L. (2011): Home care nurses’ knowledge of evidence-based education topics for management of heart failure. Heart & Lung journal, vol. 40; P.p. 285-292.
Elsayed ES. (2004): Orientation guideline for patient undergoing cardiothoracic surgery. Thesis for degree of Msc., Medical Surgical Nursing, Faculty of Nursing, Ain Shams University; p.p. 60-83.
Eltahry SH. (2008): Assessment of Informational Needs of Patients with Congestive Heart Failure . Unpublished Master Degree.  Faculty of Nursing – Suez Canal University (Medical Surgical Nursing).
Gerdes P. and Lorenz R. (2013): The Effect of an Outpatient Interdisciplinary. Heart Failure Education Program. The Journal for Nurse Practitioners- JNP, Vol .9, no7; P.p. 422- 427.
Goldberg L. (2010): Heart Failure in the clinic. American College of Physicians, Annals of Internal Medicine; Vol, 44 P.p. 1-16.
Henein M. (2010): Heart Failure in Clinical Practices. Springer-Verlag London; P.p. 255-276.
Jenner R., Strodl E. and Schweitzer R. (2009): Anger and Depression Predict Hospital Use among Chronic Heart Failure Patients, Australian Health Review, Vol .33, No 4; P.p. 541-548.
Jensen SH. (2015): Nursing health assessment a best practice approach. 2nd  edition. Wolters Kluwer. P.p., 413-437.
Karen Y. (2009): The effect of shared medical visits on knowledge and self-care in patients with heart failure, Heart and Lung, (38): one; P.p. 25-33.
Karlsson R., Edner M. and Fvenmark C. (2011): professional education program for family members of patients with chronic heart failure. Patient Education and Counseling, vol, 85; P.p. 162–168.
Katz D., Friedman R. and Lucan S. (2015): Nutrition in clinical practice. 3rd edition . Wolters  Kluwer . P.p. 204-214.
Khan G. (2006):Approach practical: heart disease diagnosis and therapy. 3rd ed., MCG Grow-hill Book company USA; p.p. 340-352.
Knopp A. (2009): Nurses Knowledge of Heart Failure Guidelines in A Western Montana Hospital. Master thesis, faculty of nursing, Montana State University; P.p.20-35.
Lakdizaji S., Hassankhni H. and Agdam A. (2013):Effect of Educational Program on Quality of Life of Patients with Heart Failure: A Randomized Clinical Trial. Journal of Caring Sciences, VOL. 2, NO 1; P.p 11-18.
Lefteriotis CH. (2013): Depression in Heart Failure patients, Health science Journal, vol. 7, No 4; P.p. 349-355.
Mark H., Paris L. and Taylor L. (2014): A nurse-guided patient-centered heart-centered heart failure education program. Journal of Nursing Education and Practice, Vol. 4, No. 3; P.p. 49-57.
McGee S. (2012):-Evidence-based physical diagnosis .Philadelphia-Elsevier
McMurray, JJ., Adamopoulos S., Anker SD. And Bohm M. (2012):   ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur J Heart Fail, 14(8), 803-69.
Moore L., Dalley F. and Agur A. (2014): Clinically oriented anatomy, 7th edition, Lippincott Williams and Wilkins.
Morgan J. and Naka Y. (2013): Surgical Treatment for Advanced Heart Failure. Springer New York Heidelberg Dordrecht London; P.p.1-24.
Moser, DK., Dickson, Jaarsma T. and Lee C. (2012): Role of self-care in the patient with heart failure .Curr Cardiol Rep, 14(3), 265-75.
Pang P. (2011): Acute Heart Failure Syndromes Initial Management. Emerg Med Clin N Am 29; P.p.  675–688
Perez A., Jhund P. and Macdonald M. (2014): Fatigue as a Predictor of Outcome in Patients with Heart Failure. American College of Cardiology Foundation, Vol. 2, No. 2; P.p.  188- 197.
Pinkerman C., Sander P., Breeding JE., Brink D., Curtis R. and Hayes R. (2013): Heart Failure in Adults. Institute for Clinical Systems Improvement, 13th Edition; P.p. 9-15
Polling G. (2013): Nurses rated highest in honesty and ethical standards. Retrieved from http//www.Gallup.com. Heart failure. British Columbia in Ministry of Health Services. Website: www.health.gov.bc.ca/msp
Reddy S., Bahl A. and Talwar K. (2010): How do we improve diagnosis & management? Indian J Med Res. Vol .132, P.p. 549-560.
Richman H. (2010): Heart failure touching deep with music, emotional and physical; Http://www.sounfeetings.com/products/alternative-medicine / music – therapy / heart failure.
Thompson J. (2012): Cardiovascular problems. Philadelphia-Elsevier.
Thompson T. (2010): A Public Health Action Plan to Prevent Heart Disease and Stroke, American Heart Association; P.p.14-15.
Urden l., Stacy K. and Lough M. (2014): Critical care nursing ,diagnosis and management. 7th  edition, Elsevier Mosby. P.p. 366-374.
Walker B., Colledge N., Ralston S. and Penman I. (2014): Davidson's principles & practice of medicine. 22th edition, Churchill Livingstone Elsevier. P.p. 546-553.
Weber R. and Kelley H. (2014): Health assessment in nursing. 5th edition, Lippincott Williams and Wilkins. P.p. 416-446.
Williams I. and Hopper P. (2015): Understanding medical surgical nursing; 5th  edition .Davis Company ,Philadelphia. P.p. 522-544.
Zile M., Gottdiener J. and  Hetzel S. (2011):Prevalence and significance of alterations in cardiac structure and function in patients with failure and a preserved ejection fraction . Circulation; vol , 124; P.p. 2491–501.