Patients with heart failure in primary health care: effects of a nurse-led intervention on health-related quality of life and depression
(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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/250561
- author
- Martensson, J ; Stromberg, A ; Dahlstrom, U ; Karlsson, JE and Fridlund, Bengt LU
- organization
- publishing date
- 2005
- 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
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Nursing (Closed 2012) (013065000)
- id
- 93f85722-f164-4390-b543-a814c59b2e0d (old id 250561)
- date added to LUP
- 2016-04-01 12:03:06
- date last changed
- 2022-01-26 22:07:21
@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}},
keywords = {{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}},
doi = {{10.1016/j.ejheart.2004.01.016}},
volume = {{7}},
year = {{2005}},
}