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IRCT201107041464N4 IRCT 2012-06-05 Tabriz University of Medical Sciences The effect of education on Self-Care behaviors & readmission of patients with heart failure The effect of Supportive- Educative interventions on Self-Care behaviors & readmission rates of patients with heart failure 2011-07-11 anticipated 80 Complete https://irct.ir/trial/740 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. 3 Heart Failure. Intervention 1: The present study was included a two-part intervention. The first part of the intervention was included patient education in the intervention group. Patients in the intervention group were educated by nurses who worked in cardiac wards. Education had been personalized for each patient. After determining the learning needs of patients about heart failure and according to the previous information, the educational level and cognitive level of patients, researcher done the training. Training performed with the goal of improving self-care behavior such as receiving proper medical regimes, fluid and sodium restriction, Improving physical activity, control symptoms and signs of worsening the heart failure to prevent worsening of the disease in the patients with heart failure. Patients and their families were educated for an hour. Training was contain information about heart failure definition, signs and symptoms of the disease, information about the diet, Information about medications, information about the activities and appropriate sports. The booklet was given to patients or their families at the time of discharge. The second part of the intervention, was include telephone follow-up of patients after discharge from the hospital. This support was to strengthen the basic education and providing strategies for improvement of patients self-care behaviors. In the first stage of the follow-up phone call was conducted after two days of hospital discharge to confirm the patient information and for establishment of the next time of phone contacts. Then, every two weeks for three months, the phone calls were conducted in order to support patients in the intervention group. At the end of each month during the period of study phone calls were conducted with patients, in both study groups, in order to obtain information about self-care behaviors, the cost of care, readmission rates and refer to physician. Intervention 2: Patients in the control group received All cares and treatments provided by Hospital and physician during the intervention.
public Dr. Vahid zamanzadeh
Nursing and Midwifery Scool
Tabriz Iran (Islamic Republic of) 51745-347 +98 41 1381 9129 zamanzadeh@tbzmed.ac.ir Tabriz University of Medical Sciences scientific Dr. Vahid zamanzadeh
Nursing and Midwifery Scool
Tabriz Iran (Islamic Republic of) 51745347 +98 41 1381 9129 zamanzadeh@tbzmed.ac.ir Tabriz University of Medical Sciences Iran (Islamic Republic of) Inclusion Criteria : 18 years or older patients who were hospitalized because of congestive heart failure; to have echocardiography form (EF lesser than 40%); talking in Turkish or Persian; consciousness at reception; accessibility after release by phone call; agreement with training at release time and self care pursuit; not to accompany at another study. Exclusion Criteria : death of patients; disagreement with continuance of pursuit; long time journey after release from hospital up to 6 months; to have acute and progressive disease other than congestive heart failure and distinguished mental disorder. 18 years 85 years Both I50 Heart Failure Rehabilitation Treatment - Other The present study was included a two-part intervention. The first part of the intervention was included patient education in the intervention group. Patients in the intervention group were educated by nurses who worked in cardiac wards. Education had been personalized for each patient. After determining the learning needs of patients about heart failure and according to the previous information, the educational level and cognitive level of patients, researcher done the training. Training performed with the goal of improving self-care behavior such as receiving proper medical regimes, fluid and sodium restriction, Improving physical activity, control symptoms and signs of worsening the heart failure to prevent worsening of the disease in the patients with heart failure. Patients and their families were educated for an hour. Training was contain information about heart failure definition, signs and symptoms of the disease, information about the diet, Information about medications, information about the activities and appropriate sports. The booklet was given to patients or their families at the time of discharge. The second part of the intervention, was include telephone follow-up of patients after discharge from the hospital. This support was to strengthen the basic education and providing strategies for improvement of patients self-care behaviors. In the first stage of the follow-up phone call was conducted after two days of hospital discharge to confirm the patient information and for establishment of the next time of phone contacts. Then, every two weeks for three months, the phone calls were conducted in order to support patients in the intervention group. At the end of each month during the period of study phone calls were conducted with patients, in both study groups, in order to obtain information about self-care behaviors, the cost of care, readmission rates and refer to physician. Patients in the control group received All cares and treatments provided by Hospital and physician during the intervention. Self-care behavior. Timepoint: each month until three month. Method of measurement: based on self-care behaviour index tools. Readmission. Timepoint: Each month until three month. Method of measurement: Rate of admission to the hospital with worsen of heart failur. Visit of physician. Timepoint: each month until three month. Method of measurement: rate of referal to the physician fore worsen of heart failur. Costs of treatment. Timepoint: Each month until three month. Method of measurement: Rate of costs for readmissions and visit of physician. Tabriz University of Medical Sciences Approved 2010-08-20 Ethical Committee of Tabriz University of medical sciences Emam Ave Tabriz Iran (Islamic Republic of)