Abstract
BackgroundCardiovascular diseases are among somatic disorders and psychological factors affect their onset, exacerbation, and treatment. This study was conducted on the hospitalized patients who had heart failure with and without depression. The study criteria was to evaluate the effect of self-care education on awareness, attitude, and adherence to self-care behaviors on these patients.Materials and MethodsIn this quasi-experimental study, seventy patients with heart failure that met the inclusion criteria were recruited through purposive sampling method. They were assigned in to two equal size groups regarding their depression status. First, the eligible patients were selected; then Beck Depression Inventory was done on the patients followed by examination by the clinical psychologist. Patients with average and higher scores were classified in the depressed group and others who got lower than average scores were classified as the non -depressed group. A questionnaire containing items related to awareness, attitude, and adherence to self-care behaviors was used to collect the data. First, self-care behavior was determined and then a four-sessions of educational intervention were held individually for both groups. The second round of questionnaires were completed at patients’ home twelve weeks after the discharge. The Collected data was analyzed using independent-samples and paired-sample t tests, Chi square, and statistical analysis of covariance (ANCOVA) tests through SPSS (version 21, SPSS Inc., Chicago, IL, USA).ResultsAfter the educational sessions, the statistical analysis showed significant differences in the mean scores of awareness, attitude, and adherence to self-care behaviors between the two groups (P<0.0001).ConclusionSelf-care behavior education had lower effects on the depressed patients with heart failure. Therefore, before providing education for these patients, it is necessary to consider their psychological problems such as depression.
Highlights
Heart Failure (HF) is the most common cause of death in many countries [1]including Iran[2] Cardiovascular diseases (CVD) are the main cause of deaths worldwide
Similar to the other countries, the rate of HF is increasing in Iran; CVD was the main cause of death in 46% of cases in recent years regard[5]
This quasi-experimental study was conducted on patients with HF who were hospitalized in CCU and post-CCU wards of educational hospitals affiliated with Zahedan University of Medical Sciences in 2013
Summary
Cardiovascular diseases are among somatic disorders and psychological factors affect their onset, exacerbation, and treatment. The study criteria was to evaluate the effect of self-care education on awareness, attitude, and adherence to self-care behaviors on these patients
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