Efficacy of a self-monitoring traffic light diary on outcomes of patients with heart failure: A randomized controlled trial

随机对照试验 射血分数 心力衰竭 随机化 医学 生活质量(医疗保健) 干预(咨询) 物理疗法 内科学 护理部
作者
Mahin Nomali,Ramin Mohammadrezaei,Mehdi Yaseri,Amirhossein Tayebi,Aryan Ayati,Gholamreza Roshandel,Abbasali Keshtkar,Shahrzad Ghiyasvandian,Kian Alipasandi,Hossein Navid,Masoumeh Zakerimoghadam
出处
期刊:International Journal of Nursing Studies [Elsevier BV]
卷期号:152: 104704-104704 被引量:2
标识
DOI:10.1016/j.ijnurstu.2024.104704
摘要

Patients with heart failure experience high hospitalization. However, patients cannot recognize symptoms according to current approaches, which needs to be improved by new self-monitoring instruments and strategies. Thus, we aimed to assess a self-monitoring traffic light diary on outcomes of patients with heart failure. This was a single-blind, two-arm parallel group randomized controlled trial at the heart failure clinic of Tehran Heart Center (Tehran, Iran). Adult patients with a definitive diagnosis of heart failure with reduced ejection fraction (i.e., ejection fraction of less than 40 %), and New York Heart Association functional classes II–IV were included. A block-balanced randomization method was used to assign eligible subjects to the intervention or control group. Baseline data were collected before random allocation. Participants in the intervention group received a comprehensive intervention consisting of (1) self-care education by an Australian Heart Foundation booklet on heart failure, (2) regular self-monitoring of weight and shortness of breath at home, and (3) scheduled call follow-ups for three months. Patients in the control group received usual care. The primary outcome was heart failure self-care; the secondary outcomes were heart failure quality of life, knowledge, and all-cause hospitalization. From June to August 2017, 68 patients were included in the study. The overall age of participants was 55 (13.6) years old, and 71 % of patients were male. A significant association between the intervention and self-care maintenance (β 5.1; 95 % CI 2.50 to 7.70, P < 0.001), self-care management (β 10.6; 95 % CI 6.50 to 14.8, P < 0.001), self-care confidence (β 8.0; 95 % CI 5.0 to 11.0, P < 0.001) and heart failure knowledge (β 1.7; 95 % CI 1.30, 2.04; P < 0.001) was found. However, there was no association between the intervention and quality of life (β 2.5; 95 % CI − 0.79, 5.88, P 0.135) and hospitalization-free survival of the two groups (Log-Rank P 0.540). A self-monitoring traffic light diary can improve self-care behaviors and heart failure knowledge in patients with heart failure with reduced ejection fraction. Iranian Registry of Clinical Trials IRCT2017021032476N1. PMCID: PMC6262204.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
阿姨洗铁路完成签到 ,获得积分10
5秒前
抹不掉的记忆完成签到,获得积分10
7秒前
7秒前
余杭村王小虎完成签到,获得积分10
8秒前
韭黄完成签到,获得积分20
12秒前
jeffrey完成签到,获得积分10
12秒前
Rondab应助机灵枕头采纳,获得10
18秒前
佳无夜完成签到,获得积分10
23秒前
摆哥完成签到,获得积分10
27秒前
66完成签到,获得积分10
32秒前
zlqq完成签到 ,获得积分10
32秒前
Hardskills发布了新的文献求助10
35秒前
36秒前
之_ZH完成签到 ,获得积分10
44秒前
gds2021完成签到 ,获得积分10
46秒前
你好呀嘻嘻完成签到 ,获得积分10
46秒前
梅特卡夫完成签到,获得积分10
48秒前
熊雅完成签到,获得积分10
49秒前
51秒前
睡到自然醒完成签到 ,获得积分10
52秒前
cis2014完成签到,获得积分10
54秒前
独特的大有完成签到 ,获得积分10
54秒前
量子星尘发布了新的文献求助10
55秒前
57秒前
xingyi完成签到,获得积分10
59秒前
1分钟前
舒心的秋荷完成签到 ,获得积分10
1分钟前
zz123发布了新的文献求助10
1分钟前
liaomr完成签到 ,获得积分10
1分钟前
粗犷的灵松完成签到,获得积分10
1分钟前
吃小孩的妖怪完成签到 ,获得积分10
1分钟前
ncuwzq完成签到,获得积分10
1分钟前
yshj完成签到 ,获得积分10
1分钟前
1分钟前
净禅完成签到 ,获得积分10
1分钟前
1分钟前
迷人的寒风完成签到,获得积分10
1分钟前
1分钟前
water应助科研通管家采纳,获得10
1分钟前
Lucas应助HHHAN采纳,获得10
1分钟前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038112
求助须知:如何正确求助?哪些是违规求助? 3575788
关于积分的说明 11373801
捐赠科研通 3305604
什么是DOI,文献DOI怎么找? 1819255
邀请新用户注册赠送积分活动 892655
科研通“疑难数据库(出版商)”最低求助积分说明 815022