Perspectives in Nursing Science
- 제8권2호
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- Pages.148-155
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- 2011
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- 2288-2898(pISSN)
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- 2288-7687(eISSN)
Heart Failure Self-management Interventions: Evidence from Korean Patients
- Kim, Jin-Shil (Department of Nursing, Sunchon National University) ;
- Yoo, Hye-Ra (College of Nursing, Ajou University)
- 투고 : 2011.05.06
- 심사 : 2011.09.30
- 발행 : 2011.12.31
초록
Purpose: The aims of this study were to (1) summarize the HF self-management interventions and (2) identify gaps and priorities for further investigation. Methods: A computer search of the literature over the past decade yielded 9 HF self-management studies. Six studies used non-experimental design; only 3 (33%) studies used quasi-experimental design which were included in this review. Results: The three pivotal HF self-management interventions studies were important because they highlight the positive effects of self-management compliance and other quality of life outcomes as well as discussing various issues. The informational booklet and telephone follow-up were the most common modalities in these interventions. The periodic telephone counseling offered in 2 studies effectively facilitated patient self-management compliance. There were some methodological flaws such as small sample sizes (range 8~21 in each group) and lack of experimental designs, long-term follow-up, and random group assignment. Additionally, the use of valid, reliable outcome measures is necessary to compare the effects of the interventions worldwide. Conclusion: More clinical evidence on HF self-management is needed using a larger sample size and the efficacy needs to be tested for various outcomes, including morbidity, mortality, and health care cost.