Volume 23, Number 1 (spring 2017)                   Back to this Issue | Back to browse issues page


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Heidari M, Sarvandian S, Moradbeigi K, Akbari Nassaji N, Vafaizadeh M. Comparing the effect of telenursing and education without follow-up in the caregivers of heart failure patients on the self-care behavior and clinical status of heart failure patients . Hayat. 2017; 23 (1) :44-58
URL: http://hayat.tums.ac.ir/article-1-1722-en.html

1- Instructor, Dept. of Medical Surgical Nursing, Abadan School of Medical Sciences, Abadan, Iran , heidari.maryam84@yahoo.com
2- Instructor, Dept. of Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3- Instructor, Dept. of Pediatrics Nursing, Abadan School of Medical Sciences, Abadan, Iran
4- Instructor, Dept. of Medical Surgical Nursing, Abadan School of Medical Sciences, Abadan, Iran
5- B.Sc Student in Laboratory Sciences, Abadan School of Medical Sciences, Abadan, Iran
Abstract:   (1080 Views)

Background & Aim: Besides medical treatment, self-care education is necessary for patients with heart failure. The aim of this study is to compare the effect of telenursing and education without follow-up in the caregivers of heart failure patients on the self-care behavior and clinical status of heart failure patients.

Methods & Materials: This clinical trial (IRCT2016080829184N2) was performed on 66 heart failure patients referred to the clinic of Taleghani hospital in Abadan in 2015-2016. The patients were randomly divided into three groups: control, intervention-1 and intervention-2 groups. Control group did not receive any intervention. Patients and caregivers in the intervention-1 group received verbal education, and caregivers in the intervention-2 group received continuous phone follow-up plus verbal education. Self-care behavior, fatigue severity and exercise tolerance were assessed in the patients by the self-care behavior questionnaire, fatigue severity scale and six minutes walking test at baseline and the end of 3 months. Descriptive statistics, chi-square, paired t-test, ANOVA, ANCOVA and Scheffe post hoc test were used to analyze the data using the SPSS software v.18.

Results: At baseline, three groups were consistent in terms of demographic variables and three variables. At the post-test, there was a significant difference between the intervention-2 group with the control group and intervention-1 group in self-care behavior (P<0.001) and the patients’ fatigue score mean (P<0.004). But, no significant difference was observed between three groups in the patients’ exercise tolerance score mean.

Conclusion: Telenursing for the caregivers of heart failure patients can lead to the improvement of self-care behavior and decrease in fatigue among the patients.

Full-Text [PDF 205 kb]   (385 Downloads)    
Type of Study: Research | Subject: Nursing Care
Published: 2017/04/17 | ePublished: 2017/04/17

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