Effectiveness of the individual and family educative-supportive program on self-care behaviors and symptom burden among persons with heart failure

ประสิทธิผลของการสนับสนุนและให้ความรู้แบบรายบุคคลร่วมกับครอบครัวต่อพฤติกรรมการดูแลตนเองและภาระอาการของผู้ที่มีภาวะหัวใจล้มเหลว

Name: Warinthorn Damrongratnuwong

LCSH: Burapha University -- Nursing Science

Classification :.DDC: 616.129

LCSH: Heart failure

LCSH: Self-care, Health

LCSH: Patient education

Abstract: The rising prevalence of heart failure is a global and Thai public health problem. Providing specific knowledge along with building skills with family member to support people with heart failure is recommended as one of strategies to improve self-care behaviors and reduce symptom burden. The purpose of this quasi-experimental design was to examine effectiveness of the individual and family educative-supportive program for persons with heart failure. Forty six persons with heart failure and their family members were recruited between November 2021 and August 2022. They were randomly assigned to either the experimental (n = 23) or control group (n = 23) based on week of admission. The experimental group received usual care plus the program, which consisted of five sessions over three weeks, while the control group only received usual care. The research instruments included the demographic data form, the Self-Care of Heart Failure Index-Thai Version 7.2, the Modified Memorial Symptom Assessment Scale-Heart Failure Thai version, and the individual and family educative-supportive program. The Cronbach’s alpha reliability of the Self-Care of Heart Failure Index-Thai Version 7.2 and the Modified Memorial Symptom Assessment Scale-Heart Failure Thai version was .83 and .86, respectively. The outcomes of the program were evaluated three times, at baseline (week 1), immediate post-intervention (week 3), and one-month follow-up (week 7). An independent t-test and repeated measures analysis of variance were used in the data analysis. According to the finding, the mean scores of self-care behaviors and symptom burden were statistically significant differences in the interaction effects (time*group). The participants in the experimental group had better self-care behaviors than those in the control group at immediate post-intervention and one-month follow-up (F1,44 = 109.652, p ˂ .001, F1,44 = 130.609, p ˂ .001, respectively). While the participants in the experimental group had lower symptom burden than those in the control group at immediate post-intervention and one-month follow-up (F1,44 = 8.931, p < .05, F1,44 = 5.776, p ˂ .05, respectively). Within the experimental group had significantly higher mean scores of self-care behaviors at immediate post-intervention and one-month follow-up than at baseline. However, symptom burden within the experimental group had significantly reduced over the three-time points. This program has shown a statistically significant increase in self-care behaviors and reduce in symptom burden over time. Therefore, it is recommended that specific knowledge and family focus intervention should be integrated into nursing practice in the medical wards. Long-term studies should be carried out to test the sustainability of the findings.

Burapha University. Library

Address: CHONBURI

Email: buulibrary@buu.ac.th

Name: Khemaradee Masingboon

Role: Principal advisor

Name: Chintana Wacharasin

Role: Co-advisor

Created: 2024

Modified: 2025-03-03

Issued: 2025-03-03

วิทยานิพนธ์/Thesis

application/pdf

CallNumber: Th 616.129 Wa277E

eng

DegreeName: Doctor of Philosophy

Level: Doctoral Degree

Descipline: Nursing Science

Grantor: Burapha University

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