Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure

심부전 환자의 자가간호 증진을 위한 심장일지의 개발 및 효과

  • Received : 2016.08.09
  • Accepted : 2016.11.12
  • Published : 2016.12.31
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Abstract

Purpose: The purpose of this study was to develop a heart health diary to promote self-care ability among patients with heart failure (HF), and to identify the diary's effect on self-care adherence, self-efficacy, and physical activity. Methods: A randomized control-group pretest-posttest design was adopted using block randomization. A calender-typed health diary was developed and it included a self-care checklist and education information on HF management. The experimental group were given guided counseling and education for 8 weeks and wrote a daily health diary during that period. Data were collected from the outpatient department of a tertiary medical center from February to April 2016. To verify the hypotheses, data for the experimental group (n=28) and control group (n=33) were analysed using the independent t-test with SPSS/WIN 21.0. Results: At the end of 8 weeks the experimental group had significantly higher scores for self-care adherence (t=-2.48, p =.016) and exercise related self-efficacy (t=-3.44, p =.001) compared to the control group. Conclusion: The findings show that the application of a patient-directed heart health diary is an effective nursing intervention for improving HF patients' self-care adherence and exercise self-efficacy. Strategies to promote dietary self-efficacy are necessary along with further studies including repeated research with an increasing intervention period. Healthcare providers need to encourage the utilization of a health diary for HF patients as a tool for evaluation and for implementation that leads to self-care.

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References

  1. Ambrosy AP, Fonarow GC, Butler J, Chioncel O, Greene SJ, Vaduganathan M, et al. The global health and economic burden of hospitalizations for heart failure: Lessons learned from hospitalized heart failure registries. Journal of the American College of Cardiology. 2014;63(12):1123-1133. http://dx.doi.org/10.1016/j.jacc.2013.11.053
  2. Health Insurance Review & Assessment Service. Disease statistics [Internet]. Wonju: Author; 2016 [cited 2016 March 2]. Available from: https://www.hira.or.kr/rd/dissdic/infoSickList.do?pgmid= HI-RAA020044020100.
  3. Dharmarajan K, Hsieh AF, Lin Z, Bueno H, Ross JS, Horwitz LI, et al. Diagnoses and timing of 30-day readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia. Journal of the American Medical Association. 2013;309(4):355-363. http://dx.doi.org/10.1001/jama.2012.216476
  4. Farmakis D, Parissis J, Lekakis J, Filippatos G. Acute heart failure: Epidemiology, risk factors, and prevention. Revista Espanola de Cardiología. 2015;68(3):245-248. http://dx.doi.org/10.1016/j.rec.2014.11.004
  5. Delaney C, Bartos S, Morrison H, Smith L, Fortinsky R. A randomized trial of telemonitoring and self-care education in heart failure patients following home care discharge. Home Health Care Management. 2013;25(5):187-195. http://dx.doi.org/10.1177/1084822312475137
  6. Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JG, Coats AJ, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. European Heart Journal. 2016;37(27):2129-2200. http://dx.doi.org/10.1093/eurheartj/ehw128
  7. Dracup K, Moser DK, Pelter MM, Nesbitt TS, Southard J, Paul SM, et al. Randomized, controlled trial to improve self-care in patients with heart failure living in rural areas. Circulation. 2014;130(3): 256-264. http://dx.doi.org/10.1161/circulationaha.113.003542
  8. Lee ES, Shin ES, Hwang SY, Chae MJ, Jeong MH. Effects of tailored supportive education on physical, emotional status and quality of life in patients with congestive heart failure. Korean Journal of Adult Nursing. 2013;25(1):62-73. http://dx.doi.org/10.7475/kjan.2013.25.1.62
  9. Lee KS, Lennie TA, Warden S, Jacobs-Lawson JM, Moser DK. A comprehensive symptom diary intervention to improve outcomes in patients with HF: a pilot study. Journal of Cardiac Failure. 2013;19 (9):547-654. http://dx.doi.10.1016/j.cardfail.2013.07.001
  10. White MM, Howie-Esquivel J, Caldwell MA. Improving heart failure symptom recognition: a diary analysis. Journal of Cardiovascular Nursing. 2010;25(1):7-12. http://dx.doi.org/10.1097/jcn.0b013e3181b7af9e
  11. Wright SP, Walsh H, Ingley KM, Muncaster SA, Gamble GD, Pearl A, et al. Uptake of self-management strategies in a heart failure management programme. European Journal of Heart Failure. 2003;5(3):371-380. http://dx.doi.org/10.1016/S1388-9842(03)00039-4
  12. Jones CD, Holmes GM, Dewalt DA, Erman B, Broucksou K, Hawk V, et al. Is adherence to weight monitoring or weight-based diuretic self-adjustment associated with fewer heart failure-related emergency department visits or hospitalizations? Journal of Cardiac Failure. 2012;18(7):576-584. http://dx.doi.org/10.1016/j.cardfail.2012.05.004
  13. Fisher JD, Fisher WA. Changing AIDS-risk behavior. Psychological Bulletin. 1992;111(3):455-474. http://dx.doi.org/10.1037/0033-2909.111.3.455
  14. The Korean Society of Heart Failure. KSHF guideline for the management of Chronic heart failure 2016. Seoul: Author; 2016. p. 1-132.
  15. Mohammadi E, Khoshab H, Kazemnejad A. Activities of daily living for patients with chronic heart failure: A partnership care model evaluation. Applied Nursing Research. 2016;30:261-267. http://dx.doi.org/10.1016/j.apnr.2015.01.008
  16. Jaarsma T, Stromberg A, MArtensson J, Dracup K. Development and testing of the European heart failure self-care behaviour scale. European Journal of Heart Failure. 2003;5(3):363-370. http://dx.doi.org/10.1016/S1388-9842(02)00253-2
  17. Hickey ML, Owen SV, Froman RD. Instrument development: cardiac diet and exercise self-efficacy. Nursing Research. 1992;41(6):347-351. http://dx.doi.org/10.1097/00006199-199211000-00006
  18. Sung J, On YK, Kim HS, Chae IH, Sohn DW, Oh BH, et al. Development of Korean activity scale/index (KASI). Korean Circulation Journal. 2000;30(8):1004-1009. http://dx.doi.org/10.4070/kcj.2000.30.8.1004
  19. Aroian KJ, Vander Wal JS. Measuring elders' symptoms with daily diaries and retrospective reports. Western Journal of Nursing Research. 2007;29(3):322-337, discussion 338-343. http://dx.doi.org/10.1177/0193945906293814
  20. Garber MC, Nau DP, Erickson SR, Aikens JE, Lawrence JB. The concordance of self-report with other measures of medication adherence: A summary of the literature. Medical Care. 2004;42(7): 649-652. http://dx.doi.org/10.1097/01.mlr.0000129496.05898.02
  21. Vuorinen AL, Leppanen J, Kaijanranta H, Kulju M, Helio T, van Gils M, et al. Use of home telemonitoring to support multidisciplinary care of heart failure patients in Finland: Randomized controlled trial. Journal of Medical Internet Research. 2014;16(12) :e282. http://dx.doi.org/10.2196/jmir.3651
  22. Kato N, Kinugawa K, Ito N, Yao A, Watanabe M, Imai Y, et al. Adherence to self-care behavior and factors related to this behavior among patients with heart failure in Japan. Heart and Lung. 2009; 38(5):398-409. http://dx.doi.org/10.1016/j.hrtlng.2008.11.002
  23. Wolf A, Fors A, Ulin K, Thorn J, Swedberg K, Ekman I. An ehealth diary and symptom-tracking tool combined with personcentered care for improving self-efficacy after a diagnosis of acute coronary syndrome: A substudy of a randomized controlled trial. Journal of Medical Internet Research. 2016;18(2):e40. http://dx.doi.org/10.2196/jmir.4890
  24. Brooman S, Darwent S. A positive view of first-year undergraduate reflective diaries: Focusing on what students can do. Reflective Practice. 2012;13(4):517-531. http://dx.doi.org/10.1080/14623943.2012.670618
  25. Messier SP, Mihalko SL, Legault C, Miller GD, Nicklas BJ, De Vita P, et al. Effects of intensive diet and exercise on knee joint loads, inflammation, and clinical outcomes among overweight and obese adults with knee osteoarthritis: the IDEA randomized clinical trial. Journal of the American Medical Association. 2013;310(12) :1263-1273. http://dx.doi.org/10.1001/jama.2013.277669
  26. Bos C, Van der Lans IA, Van Rijnsoever FJ, Van Trijp HC. Understanding consumer acceptance of intervention strategies for healthy food choices: A qualitative study. BMC Public Health. 2013;13: 1073. http://dx.doi.org/10.1186/1471-2458-13-1073
  27. Riegel B, Driscoll A, Suwanno J, Moser DK, Lennie TA, Chung ML, et al. Heart failure self-care in developed and developing countries. Journal of Cardiac Failure. 2009;15(6):508-516. http://dx.doi.org/10.1016/j.cardfail.2009.01.009
  28. Shin ES, Hwang SY, Jeong MH, Lee ES. Relationships of factors affecting self-care compliance in acute coronary syndrome patients following percutaneous coronary intervention. Asian Nursing Research. 2013;7(4):205-211. http://dx.doi.org/10.1016/j.anr.2013.10.003
  29. Devi R, Powell J, Singh S. A web-based program improves physical activity outcomes in a primary care angina population: Randomized controlled trial. Journal of Medical Internet Research. 2014;16(9):e186. http://dx.doi.org/10.2196/jmir.3340
  30. Feltner C, Jones CD, Cene CW, Zheng ZJ, Sueta CA, Coker- Schwimmer EJ, et al. Transitional care interventions to prevent readmissions for persons with heart failure: A systematic review and meta-analysis. Annals of Internal Medicine. 2014;160(11): 774-784. http://dx.doi.org/10.7326/m14-0083

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