The effect of self-care education on knowledge and function of patients with heart failure hospitalized in Kerman city hospitals in (2017)
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PhD Nursing, Assistant Professor Bam Medical Science University Bam Iran
MD. Cardiovascular Surgeon Shahid Beheshti Medical Science University, Tehran, Iran
Online publish date: 2018-04-05
Publish date: 2018-04-05
Submission date: 2018-02-01
Final revision date: 2018-02-21
Acceptance date: 2018-02-23
Electron J Gen Med 2018;15(4):em47
In patients with heart failure, increasing awareness and performance (function) should be the primary focus of care and treatment. The most common intra-hospital death for patients with heart problems is heart failure. Recent research has shown that improving the quality of treatment can reduce the risk of mortality due to heart failure. However, the knowledge and function of patients with heart failure are often lower than normal.

Materials and Methods:
This research is an experimental study that was carried out in pre-test and post-test form in two groups of control and case in hospitalized patients in Kerman city hospitals. To this end, 150 patients with heart failure were selected according to the characteristics of the studied units and were randomly assigned into control and case groups. The units were examined in two stages, one month before and after education, using questionnaires to determine the educational needs and the performance evaluation checklist by the use of SPSSS. Then, the data were analyzed using statistical methods.

The findings of this study showed that self-care education, regarding p=0.000 was effective on cardiac patients’ awareness and function and a significant difference was seen before and after education. Among demographic variables, only patients with a history of admission and exercise had better care than others.

Education for patients with heart failure increases their awareness and function, and as a result, they would have a better care of themselves, and the recurrence of illness and re-admission, and the cost of treatments and the absence of work and the emergence of economic and social problems will be prevented.

1. Vander Wal MH, Jaarsma T, Van Veldhuisen DJ. Non-compliance in patients with heart failure. How can we manage it? Eur Heart Fail. 2005; 7(1):5-17. https://doi.org/10.1016/j.ejhe... PMid:15642526.
2. Carlson B. Rile B. Self-care abilities of patients with heart failure. Heart & Lung. 2001; 30(5):35-359. https://doi.org/10.1067/mhl.20....
3. Kerman H, Baron-Epel O, Toren O. What do discharge patients know about their medication? Patient Educ Couns. 2005; 56(3):276-82. https://doi.org/10.1016/j.pec.... PMid:15721969.
4. Leslie W, Miller MD. Epidemiology of heart failure. Cardiology clicics. 2001; 194: 547-555.
5. Smeltzer SC, Bare BG. Brunner and Sudarths text book of medical-surgical-nursing. Philadelphia: J.B. Lippiincott Co; 2004.
6. Echer lC. Elaboracao de manuais de orienta ao para o cuidado em Sade. Rev. Latino-am Enfermagem setembro-outubro. 2005; 13(5):754-7,.
7. Rev LA. Enfermagem What to teach to patients with heart failure and why: The role of nurses in heart failure clinics. Ribeirao. 2007; 15(1):153-162.
8. Albert NM, Collier S, Sumodi VW. Sandet al-nurses knowledge of heart failure education principles. Heart&Lung. 2002; 31(2):102-1. https://doi.org/10.1067/mhl.20... PMid:11910385.
9. Dariabegi R. The effect of self-care education on knowledge of patients with heart failure hospitalized in Isfahan state hospital [master’s thesis]. Kerman: Kerman University of Medical Sciences; 1995.
10. Ekman. I. Heart related quality of live and sense of coherence among elderly patients with severe chronic heart failure in comparison with healthy controls. Heart&Lung. 2002; 31(2):94-101. https://doi.org/10.1067/mhl.20... PMid:11910384.
11. Mohammadzadeh Sh. Study of the needs of self-care education in heart failure patients admitted to hospitals affiliated to Tehran University of Medical Sciences [master’s thesis]. Tehran: Tehran University of Medical Sciences; 1999.
12. Ghandiyan, R. Health Belief Assessment in Patients with Heart Failure Referring to Rasht Medical Education Centers on Observing Therapeutic Diet. Hamadan Nursing Journal. 2000; 17(9): 1-8.
13. Habibullahzadeh H. The causes of heart failure and knowledge and function of patients in self-care. Scientific Journal of Medical Education Organization. 2001; 19(2):9-85.
14. El-Kader SM. Role of aerobic exercise training in changing exercise tolerance and quality of life in Alzheimer’s. European Journal of General Medicine. 2011; 8(1).
15. Noy R. Diabetic control in the patient with acute myocardial infarction. Diabetic Medicine. 1998; 7(3):126-134. https://doi.org/10.12968/bjon.....
16. Artinian N, Magnan M. Self-care behaviors among patients with heart failure. Heart & lung. 2002; 31(3):161-172. https://doi.org/10.1067/mhl.20....
17. Rockwell JM, Riegle B. Predictor of self-care in persons with heart failure. Heart & Lung. 2000; 30(1):18-25. https://doi.org/10.1067/mhl.20... PMid:11174364.
18. Evanglista LS, Berg J. Gender differences in health perception and meaning in persons living with heart failure. Heart & Lung. 2001; 30(3):167-175. https://doi.org/10.1067/mhl.20... PMid:11343002.