Journal
PATIENT EDUCATION AND COUNSELING
Volume 102, Issue 7, Pages 1324-1330Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2019.02.010
Keywords
Patient education; Heart failure; Self care
Funding
- Grossmont Hospital Foundation
- Sharp HealthCare Center of Nursing Excellence
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Objective: We evaluated the effectiveness of a newly designed patient education booklet, the Health Heart Tracker (HHT), in promoting Heart Failure Self-Care (HFSC) behaviors compared to usual patient discharge handouts. Methods: We conducted a quasi-experimental, comparative two-group study using patients admitted for HF to four intermediate care units. The HHT was instituted on two units; patients on the other units served as control. We analyzed HFSC measured prior to HF discharge education and at two and six weeks post discharge using repeated measures ANOVA. Results: Eighty-four 84 patients completed the study. The sample was 72.6 (+/- 12.9) years old, white (75%), educated, and retired (85.8%). All HFSC behaviors improved significantly over time, but there were no significant time by group interactions in HFSC maintenance, symptom perception, and confidence. A notable increase in HFSC management in the HHT group between baseline and 2 weeks was evident, but not sustained to 6 weeks. Conclusions: A focused, singular intervention in the form of a patient education booklet designed specifically to improve HFSC did not significantly improve self-care behaviors over time compared to a control group. Practice Implications: More work is needed to determine optimal written resources for patients with HF. (C) 2019 Elsevier B.V. All rights reserved.
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