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http://dx.doi.org/10.4040/jkan.2016.46.6.881

Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure  

Shim, Jae Lan (School of Nursing, Hanyang University)
Hwang, Seon Young (School of Nursing, Hanyang University)
Publication Information
Journal of Korean Academy of Nursing / v.46, no.6, 2016 , pp. 881-893 More about this Journal
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.
Keywords
Heart Failure; Health Diary; Self-Care; Self-Efficacy; Nursing Care;
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Times Cited By KSCI : 2  (Citation Analysis)
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