The comparison of the effects of education provided by nurses on the quality of life in patients with congestive heart failure (CHF) in usual and home-visit cares in Iran.

Hossein Mehralian,Shahriar Salehi,Hossin Rafiei,Jafar Moghaddasi,Masoud Amiri

doi:10.5539/gjhs.v6n3p256

Hossein Mehralian, Shahriar Salehi + Show 3 more

Open Access

https://doi.org/10.5539/gjhs.v6n3p256

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Abstract

Aim:Quality of life (QOL) can be considered as a quality indicator of health care systems and nurses can play an important role to improve QOL in patients with congestive heart failure (CHF). The aim of this study was to determine the effects of education provided by nurses on the QOL in patients with CHF in home-visit care compared to usual care.Method:In a single-blind randomized controlled trial conducted from September 2011 to June 2012, 110 patients with CHF were randomly assigned into two groups. While patients in group I were received usual education at the time of hospital discharge, patients in Group II, in addition to usual education, were received special education regards to their illness by nurses who visited patients in their homes. The 36-item short-form (SF-36) questionnaire was used to evaluate the patient’s QOL at the time of discharge and also six months after hospital discharge.Results:At the time of hospital discharge, mean score of all 8 sub-score of SF-36 questionnaire was 63.4±7.8 in patients of group II and 61.1±6.4 in patients of group I, respectively (P> 0.05). QOL was decreased in group I and increased in group II compared to the time of hospital discharge. After six months, mean score of QOL was higher in group II than in group I.Conclusions:QOL of patients with CHF were decreased after hospital discharge. Education provided by nurses in home-visit care could improve the QOL in patients with CHF, based on the findings of this study.

Highlights

Incidence of heart diseases has increased from 5.8% to 16.8% from 1995 to 2001 in Iran (Iranian Ministry of Health and Medical Education, 2010) which one of the most common forms of heart diseases is congestive heart failure (CHF) (Coelho et al, 2005; Fonarow, 2004; Sadeghi Sherme, Ahmadi, Babatabar, & Haji Amini, 2009; Saccomann et al, 2011; Murray-Thomas, & Cowie, 2005)
The aim of this study was to determine the effects of education provided by nurses on the Quality of life (QOL) in patients with CHF in home-visit care compared to usual care
QOL was decreased in group I and increased in group II compared to the time of hospital discharge

Summary

Introduction

Incidence of heart diseases has increased from 5.8% to 16.8% from 1995 to 2001 in Iran (Iranian Ministry of Health and Medical Education, 2010) which one of the most common forms of heart diseases is congestive heart failure (CHF) (Coelho et al, 2005; Fonarow, 2004; Sadeghi Sherme, Ahmadi, Babatabar, & Haji Amini, 2009; Saccomann et al, 2011; Murray-Thomas, & Cowie, 2005). According to the report of Iranian health care agency in 2001, the rate of CHF was 3.3 in every 100 people (Iranian Ministry of Health and Medical Education, 2010). It means that the rate of readmission among patients with CHF is high and may impose the health care systems with many further problems (Hou et al, 2004). Sabzevari, Mohammadalizade and Haghdoost studied the QOL of patients with CHF in Iran in 2011 and reported that these patients had not appropriate QOL. They have found that illiterate patients and women www.ccsenet.org/gjhs

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