Browse > Article
http://dx.doi.org/10.7475/kjan.2013.25.1.62

Effects of Tailored Supportive Education on Physical, Emotional Status and Quality of Life in Patients with Congestive Heart Failure  

Lee, Eun-Sook (College of Nursing, Chonnam National University)
Shin, Eun-Suk (Department of Infection Control, Chonnam National University Hospital)
Hwang, Seon-Young (Department of Nursing, Hanyang University)
Chae, Myeong Jeong (Department of Nursing, Kwangju Women's University)
Jeong, Myoung-Ho (Department of Cardiovascular Medicine, Chonnam National University Hospital)
Publication Information
Korean Journal of Adult Nursing / v.25, no.1, 2013 , pp. 62-73 More about this Journal
Abstract
Purpose: This study was conducted to examine the effects of tailored supportive education on physical, psychological status and quality of life in the patients with congestive heart failure (CHF) who had not participated previously in cardiac rehabilitation program. Methods: This study was used a non-equivalent control pre-post design, conducted on 64 CHF patients under medical treatment in a hospital. The experimental group (n=31) received the tailored supportive educational program (once 1~2 days before discharge and 6 times after discharge through outpatient visits or telephone contact: once every week for the first 4 weeks after discharge and once every 2 weeks for the remaining 4 weeks). The control group (n=33) received a traditional discharge education. Data were analyzed using descriptive statistics, ${\chi}^2$-test, Fisher's exact test, t-test and repeated measure ANOVA using the SPSS/ WIN 18.0 program. Results: Participants in the experimental group showed the significantly increased scores of the quality of life (F=16.01, p<.001), and the significantly decreased scores of physical function (F=7.27, p=.009), depression (F=8.25, p=.006) and anxiety (F=4.11, p=.047), when compared to those of the control group. Conclusion: The findings indicated tailored supportive education was an effective intervention care in physical, emotional status and quality of life for CHF patients.
Keywords
Heart failure; Quality of life; Patient education;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Austin, J., Williams, R., Ross, L., Moseley, L., & Hutchison, S. (2005). Randomised controlled trial of cardiac rehabilitation in elderly patients with heart failure. The European Journal of Heart Failure, 7, 411-417.   DOI   ScienceOn
2 Delaney, C., & Apostolidis, B. (2010). Pilot testing of a multicomponent home care intervention for older adults with heart failure: An academic clinical partnership. Journal of Cardiovascular Nursing, 25(5), 27-40. http://dx.doi.org/10.1097/JCN.0b013e3181da2f79.   DOI
3 Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191.   DOI   ScienceOn
4 Gary, R. A., Dunbar, S. B., Higgins, M. K., Musselman, D. L., & Smith, A. L. (2010). Combined exercise and cognitive behavioral therapy improves outcomes in patients with heart failure. Journal of Psychosomatics Research, 69, 119- 131. http://dx.doi.org/10.1016/j.jpsychores.2010.01.013   DOI   ScienceOn
5 Heart Failure Society of America (2006). Educational modules on heart failure. Retrieved February 15, 2002, from HFSA Web site: http://www.hfsa.org/heart_failure_education_modules. asp
6 Jessup, M., Abraham, W. T., Casey, D. E., Feldman, A. M., Francis, G. S., Ganiats, T. G., et al. (2009). Focused update: ACCF/AHA guidelines for the diagnosis and management of heart failure in adults. Circulation, 119, 1977-2016. http://dx.doi.org/10.1161/CIRCULATIONAHA.109.192064. Epub 2009 Mar 26.   DOI   ScienceOn
7 Juenger, J., Schellberg, D., Kraemer, S., Haunstetter, A., Zugck, C., Herzog, W., et al. (2002). Health related quality of life in patients with congestive heart failure: Comparison with other chronic diseases and relation to functional variables. Heart, 87, 235-241.   DOI
8 Kim, C. J., Kim G, Y., Noh, Y. S., Song, E. K., Kang, S. M., Yoo, M. S., et al. (2006). Relationship between psychosocial factors and symptom experience in patients with cardiovascular disease: Over a six-month follow-up period. The Korean Journal of Fundamentals of Nursing, 13 (1), 76-85.   과학기술학회마을
9 Kim, Y. S. (2007). A path analysis model of health-related quality of life in patients with heart failure. Korean Journal of Adult Nursing, 19, 547-555.
10 Koelling, T. M., Johnson, M. L., Cody, R. J., & Aaronson, K. D. (2005). Discharge education improves clinical outcomes in patients with chronic heart failure. Circulation, 111, 179-185.   DOI   ScienceOn
11 Kulcu, D. G., Kurtais, Y., Tur, B. S., Gülec, S., & Seckin, B. (2007). The effect of cardiac rehabilitation on quality of life, anxiety and depression in patients with congestive heart failure: A randomized controlled trial, short-term results. Europa Medicophysica, 43, 489-497.
12 Lee, L. Y., Lee, D. T., & Woo, J. (2009). Tai chi and health-related quality of life in nursing home residents. Journal of Nursing Scholarship, 41(1), 35-43.   DOI   ScienceOn
13 Lee, S. H., & Ahn, S. H. (2005). Self care compliance, family support, and depression in patients with congestive heart failure. The Korean Journal of Fundamentals of Nursing, 12, 186-194.   과학기술학회마을
14 Lenz, E. R., Pugh, L. C., Milligan, R. A., Gift, A., & Suppe, F. (1997). The middle-range theory of unpleasant symptoms: An update. Advanced Nursing Science, 19(3), 14-27.   DOI
15 Oh, S. M., Min, K. J., & Park, D. B. (1999). A study on the standardization of the hospital anxiety and depressed scale for Koreans. Journal of the Korean Neuropsychiatric Association, 38, 289-296.
16 Lewis, S. M., Heitkemper, M. M., Dirksen, S. R., O'brien, P. G., Giddens, J. F., & Bucher, L. (2004). Medical-surgical nursing: Assessment and management of clinical problems (6th ed.), St. Louis, Missouri: Mosby.
17 Moser, D. K., & Watkins, J. F. (2008). Conceptualizing self-care in heart failure: A life course model of patient characteristics. Journal of Cardiovascular Nursing, 23, 205-218. http://dx. doi.org/10.1097/01.JCN.0000305097.09710.a5   DOI   ScienceOn
18 O'Connor, C. M., Whellan, D. J., Lee, K. L., Keteyian, S. J., Cooper, L. S., Ellis, S. J., et al. (2009). Efficacy and safety of exercise training in patients with chronic heart failure. Journal of American Medical Association, 301, 1439-1450. http://dx.doi.org/10.1001/jama.2009.454.   DOI   ScienceOn
19 Palmer, N. D., Appleton, B., & Rodregues, E. A. (2003). Specialist nurse-led intervention in outpatients with congestive heart failure: Impact on clinical and economic outcomes. Disease Management & Health Outcomes, 11, 693-698.   DOI   ScienceOn
20 Park, K. S. (2007). A study on the difference in perception on educational needs in patients with heart failure and nurses. Unpublished master's thesis, Hanyang University, Seoul.
21 Rector, T. S., Kubo, S. H., & Cohn, J. N. (1987). Patient's self-assessment of their congestive heart failure. Part 2: Content, reliability and validity of a new measure, the minnesota living with heart failure questionnaire. Heart Failure, 3, 198-207.
22 Riegel, B., Carlson, B., & Glaser, D. (2000). Development and testing of a clinical tool measuring self-management of heart failure. Heart & Lung, 29 (1), 4-15.   DOI   ScienceOn
23 Sung, J. D., On, Y. K., Kim, H. S., Chae, I. H., Sohn, D. W., Oh, B. H., et al. (2000). Development of Korean activity scale/ index (KASI). Korean Circulation Journal, 30, 1004-1009.   DOI
24 Song, E. K. (2005). Effect of a telephone monitoring on self-management & symptom experiences in patients with heart failure. Korean Journal of Adult Nursing, 17(1), 56-67.
25 Song, E. K., Kim, C. J., Yoo, I. Y., Kim, G. Y., Kim, J. H., & Ha, J. W. (2006). Factors influencing functional status in patients with heart failure. Journal of Korean Academy Nursing, 36, 853-862.   과학기술학회마을   DOI
26 Statistics Korea. (2010). Cause of death statistics table. Retrieved July 15, 2012, from Web site: http://kostat.go.kr/portal/ korea/kor_nw/2/6/2/index.board?bmode=read&bSeq=& aSeq=250282&pageNo=1&rowNum=10&navCount= 10&currPg=&sTarget=title&sTxt=
27 Tahylor-Piliae, R. E., Haskell, W. L., Waters, C. M., & Froelicher, E. S. (2006). Change in perceived psychosocial status following a 12-week tai chi exercise programme. Journal of Advanced Nursing, 54, 313-329.   DOI   ScienceOn
28 Yeh, G. Y., Wayne, P. M., & Phillips, R. S. (2008). Tai chi exercise in patients with chronic heart failure. Medical Sport Science, Basel, Karger, 52, 195-208. http://dx.doi.org/10.1159/000134300.   DOI   ScienceOn
29 Yu, D. S., Lee, D. T., & Woo, J. (2010). Improving health-related quality of life patients with chronic heart failure: Effects of relaxation therapy. Journal of Advanced Nursing, 66, 392-403. http://dx.doi.org/10.1111/j.1365-2648.2009.05198.x.   DOI   ScienceOn
30 Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361-370.   DOI   ScienceOn