TY - JOUR
T1 - Nurse-led self-management group programme for patients with congestive heart failure: randomized controlled trial
AU - Smeulders, Esther S. T. F.
AU - van Haastregt, Jolanda C. M.
AU - Ambergen, Ton
AU - Uszko-Lencer, Nicole H. K. M.
AU - Janssen-Boyne, Josiane J. J.
AU - Gorgels, Anton P. M.
AU - Stoffers, Henri E. J. H. Jelle
AU - Lodewijks-van der Bolt, Cara L. B.
AU - van Eijk, Jacques Th. M.
AU - Kempen, Gertrudis I. J. M.
PY - 2010/7
Y1 - 2010/7
N2 - Title. Nurse-led self-management group programme for patients with congestive heart failure: randomized controlled trial. Aim. This paper reports on of the effects of the Chronic Disease Self-Management Programme on psychosocial attributes, self-care behaviour and quality of life among congestive heart failure patients who experienced slight to marked limitation of physical activity. Background. Most self-management programmes for congestive heart failure patients emphasize the medical aspects of this chronic condition, without incorporating psychosocial aspects of self-management. The programme has been used with various patient groups, but its effectiveness with congestive heart failure patients when led by pairs of cardiac nurse specialists and peer leaders is unknown. Method. A randomized controlled trial with 12 months of follow-up from start of the programme was conducted with 317 patients. Control group patients (n = 131) received usual care, consisting of regular outpatient checkups. Intervention group patients (n = 186) received usual care and participated in the six-week self-management programme. The programme teaches patients medical, social and emotional self-management skills. Twenty-one classes were conducted in six hospitals in the Netherlands, and data were collected between August 2004 and January 2007. Results. Directly after the programme, statistically significant effects were found for cognitive symptom management (P <0.001), self-care behaviour (P = 0.008) and cardiac-specific quality of life (P = 0.005). No effects were found at 6- and 12-month follow-up. Conclusion. Further research is necessary to study how long-term effectiveness of the programme with patients with congestive heart failure can be achieved, and how successful adaptations of the programme can be integrated into standard care.
AB - Title. Nurse-led self-management group programme for patients with congestive heart failure: randomized controlled trial. Aim. This paper reports on of the effects of the Chronic Disease Self-Management Programme on psychosocial attributes, self-care behaviour and quality of life among congestive heart failure patients who experienced slight to marked limitation of physical activity. Background. Most self-management programmes for congestive heart failure patients emphasize the medical aspects of this chronic condition, without incorporating psychosocial aspects of self-management. The programme has been used with various patient groups, but its effectiveness with congestive heart failure patients when led by pairs of cardiac nurse specialists and peer leaders is unknown. Method. A randomized controlled trial with 12 months of follow-up from start of the programme was conducted with 317 patients. Control group patients (n = 131) received usual care, consisting of regular outpatient checkups. Intervention group patients (n = 186) received usual care and participated in the six-week self-management programme. The programme teaches patients medical, social and emotional self-management skills. Twenty-one classes were conducted in six hospitals in the Netherlands, and data were collected between August 2004 and January 2007. Results. Directly after the programme, statistically significant effects were found for cognitive symptom management (P <0.001), self-care behaviour (P = 0.008) and cardiac-specific quality of life (P = 0.005). No effects were found at 6- and 12-month follow-up. Conclusion. Further research is necessary to study how long-term effectiveness of the programme with patients with congestive heart failure can be achieved, and how successful adaptations of the programme can be integrated into standard care.
KW - congestive heart failure
KW - group
KW - nurse-led programme
KW - patients
KW - quality of life
KW - randomized controlled trial
KW - self-management
U2 - 10.1111/j.1365-2648.2010.05318.x
DO - 10.1111/j.1365-2648.2010.05318.x
M3 - Article
C2 - 20492026
SN - 0309-2402
VL - 66
SP - 1487
EP - 1499
JO - Journal of Advanced Nursing
JF - Journal of Advanced Nursing
IS - 7
ER -