Journal
HOLISTIC NURSING PRACTICE
Volume 33, Issue 6, Pages 354-359Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/HNP.0000000000000353
Keywords
congestive heart failure; holistic approach; self-management; shared medical appointment
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Congestive heart failure is a costly chronic disease within the United States. The purpose of this study was to examine the effect of a holistic shared medical appointment (SMA) approach to congestive heart failure. Findings suggest the SMA approach improves depression, quality of life (QOL), and health-promoting behaviors. This study implemented congestive heart failure self-management education in primary care using a holistic multidisciplinary approach with SMA to provide evidence-based interventions to improve depression, QOL, and health promotion outcomes. Patients participating in the holistic multidisciplinary SMA experienced improvement in depression, QOL, and health promotion behaviors. A comparison of the means between preintervention and postintervention showed an overall reduction in systolic blood pressure, weight, depression scores, QOL scores, and several indicators of health promotion lifestyle.
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