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Patients with heart failure in primary health care: effects of a nurse-led intervention on health-related quality of life and depression

Martensson, J; Stromberg, A; Dahlstrom, U; Karlsson, JE and Fridlund, Bengt LU (2005) In European Journal of Heart Failure 7(3). p.393-403
Abstract
Aims: To determine the effects of a nurse-led intervention designed to improve self-management of patients with heart failure in a primary health care setting regarding health-related quality of life and depression. Methods: Patients at eight primary health care centres were screened by the Diagnosis Related Groups registry for the diagnosis of heart failure and eligibility for a cluster randomised study. A total of 153 patients were included (n = 78 in the intervention group, 54% males, mean age 79 years, 59% in New York Heart Association class III-IV). The intervention involved patient and family education about heart failure and self-management and monthly telephone follow-up during 12 months by a primary health care nurse. Results: The... (More)
Aims: To determine the effects of a nurse-led intervention designed to improve self-management of patients with heart failure in a primary health care setting regarding health-related quality of life and depression. Methods: Patients at eight primary health care centres were screened by the Diagnosis Related Groups registry for the diagnosis of heart failure and eligibility for a cluster randomised study. A total of 153 patients were included (n = 78 in the intervention group, 54% males, mean age 79 years, 59% in New York Heart Association class III-IV). The intervention involved patient and family education about heart failure and self-management and monthly telephone follow-up during 12 months by a primary health care nurse. Results: The effects of the nurse-led intervention were limited. Significant differences were found in the physical dimension measured by the SF-36 health survey, and in depression measured by the Zung Self-rating Depression Scale. In comparison within groups at the 3 and 12-month follow-up, the intervention group significantly maintained their health-related quality of life measured by the SF-36 health survey, and their experience of depression measured by the Zung Self-rating Depression Scale to a greater extent than in the control group, especially among women. Conclusion: A nurse-led intervention directed toward patients with heart failure in a primary health care setting resulted in limited effects between the groups, although the physical and mental status were retained during 12 months of follow-up to a greater extent than in the control group. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
heart failure, follow-up, self-management, health-related quality of life, primary health care, nurse-led intervention
in
European Journal of Heart Failure
volume
7
issue
3
pages
393 - 403
publisher
Elsevier
external identifiers
  • wos:000227367000014
  • scopus:13844296848
ISSN
1879-0844
DOI
10.1016/j.ejheart.2004.01.016
language
English
LU publication?
yes
id
93f85722-f164-4390-b543-a814c59b2e0d (old id 250561)
date added to LUP
2007-08-22 12:45:45
date last changed
2017-08-13 03:37:09
@article{93f85722-f164-4390-b543-a814c59b2e0d,
  abstract     = {Aims: To determine the effects of a nurse-led intervention designed to improve self-management of patients with heart failure in a primary health care setting regarding health-related quality of life and depression. Methods: Patients at eight primary health care centres were screened by the Diagnosis Related Groups registry for the diagnosis of heart failure and eligibility for a cluster randomised study. A total of 153 patients were included (n = 78 in the intervention group, 54% males, mean age 79 years, 59% in New York Heart Association class III-IV). The intervention involved patient and family education about heart failure and self-management and monthly telephone follow-up during 12 months by a primary health care nurse. Results: The effects of the nurse-led intervention were limited. Significant differences were found in the physical dimension measured by the SF-36 health survey, and in depression measured by the Zung Self-rating Depression Scale. In comparison within groups at the 3 and 12-month follow-up, the intervention group significantly maintained their health-related quality of life measured by the SF-36 health survey, and their experience of depression measured by the Zung Self-rating Depression Scale to a greater extent than in the control group, especially among women. Conclusion: A nurse-led intervention directed toward patients with heart failure in a primary health care setting resulted in limited effects between the groups, although the physical and mental status were retained during 12 months of follow-up to a greater extent than in the control group.},
  author       = {Martensson, J and Stromberg, A and Dahlstrom, U and Karlsson, JE and Fridlund, Bengt},
  issn         = {1879-0844},
  keyword      = {heart failure,follow-up,self-management,health-related quality of life,primary health care,nurse-led intervention},
  language     = {eng},
  number       = {3},
  pages        = {393--403},
  publisher    = {Elsevier},
  series       = {European Journal of Heart Failure},
  title        = {Patients with heart failure in primary health care: effects of a nurse-led intervention on health-related quality of life and depression},
  url          = {http://dx.doi.org/10.1016/j.ejheart.2004.01.016},
  volume       = {7},
  year         = {2005},
}