A telephone-delivered empowerment intervention with patients diagnosed with heart failure

被引:64
作者
Shearer, Nelma B. C.
Cisar, Nancy
Greenberg, Edward A.
机构
[1] Arizona State Univ, Coll Nursing & Healthcare Innovat, Phoenix, AZ 85004 USA
[2] Mayo Clin Hosp, Phoenix, AZ USA
来源
HEART & LUNG | 2007年 / 36卷 / 03期
关键词
QUALITY-OF-LIFE; KNOWING PARTICIPATION; CASE-MANAGEMENT; HOSPITALIZATION; TRENDS; POWER; TOOL;
D O I
10.1016/j.hrtlng.2006.08.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND: Heart failure (HF) is a major public health problem. Case management by nurses using telephone follow-up has been suggested as a convenient and effective mechanism to promote the self-management of HF. Similarly, a patient empowerment approach to the management of chronic disease has been suggested as one that may nurture self-management in individuals with chronic illness. OBJECTIVE: The purpose of this study was to examine the effects of a telephone-delivered empowerment intervention (EI) on clinically and theoretically relevant outcomes in patients with HF, including purposeful participation in goal attainment, self-management of HF, and perception of functional health. The EI was guided by Rogers' Science of Unitary Human Beings person-environment process. METHODS: A convenience sample of men and women aged 21 years and older with a clinical diagnosis of HF was obtained from a metropolitan hospital located in the southwestern United States. The participants were randomly assigned to the control group (n = 45) or El group (n = 45). All participants received standardized HF patient education; the intervention group also received an El delivered through telephone follow-up calls from a registered nurse. Repeated-measures analysis of variance was used to evaluate intervention effects. RESULTS: The telephone - delivered El facilitated self-management of HF through self-care activities in El group members. CONCLUSION: The knowledge gained from this study provides a beginning understanding of strategies to enhance health care providers' ability to facilitate self-management of HF among patients diagnosed with HF.
引用
收藏
页码:159 / 169
页数:11
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