TY - JOUR
T1 - Efficacy of nurse-led cardiac rehabilitation on health care behaviours in adults with chronic heart failure
T2 - An experimental design
AU - Arjunan, Porkodi
AU - D'Souza, Melba Sheila
N1 - Funding Information:
This work was supported by the Sri Ramachandra Institute of Higher Education and Research , IEC/07/21/Nov/2018. The sponsors played no role in the design, execution, analysis, data interpretation, writing reports or decision to submit the paper for publication.
Publisher Copyright:
© 2021 The Author(s)
PY - 2021/10/1
Y1 - 2021/10/1
N2 - Introduction: Nonadherence and poor health care behaviors contribute to worsening of heart failure symptoms, in many cases leading to increased morbidity and mortality. Aim: To assess the efficacy of nurse-led cardiac rehabilitation on health care behaviours in adults with chronic heart failure. Method. An experimental design was conducted in India from January to December of 2019. A sample size of 200 adults with heart failure from a tertiary cardiac care center was enrolled. Participants were allocated into an intervention group (n = 100) and a control group (n = 100). A nurse-led cardiac rehabilitation program using a virtual educational video and reminder telephone calls was given to the intervention group for six months. A modified heart failure adherence and health care behaviours scale was used. Results: 78% of the adults in the intervention group and 79% of the adults in the control group were males. 43% of the adults in the intervention group and 32% of the adults in the control group had ≥2 years of chronic heart failure. 42.27% of the participants in the intervention group and 35.05% of the adults in the control group indicated that medical follow-ups were essential. 21.65% of the adults in the intervention group and 13.40% of the adults in the control group expressed no difficulty adhering to the sodium restriction in the posttest2. The participants in the intervention group had higher health care behaviours compared to control group, p < 0.001. Conclusion/Implication: Cardiac nurses need to adopt cardiac rehabilitation in continuity of care for improving health care behaviours for adults with chronic heart failure.
AB - Introduction: Nonadherence and poor health care behaviors contribute to worsening of heart failure symptoms, in many cases leading to increased morbidity and mortality. Aim: To assess the efficacy of nurse-led cardiac rehabilitation on health care behaviours in adults with chronic heart failure. Method. An experimental design was conducted in India from January to December of 2019. A sample size of 200 adults with heart failure from a tertiary cardiac care center was enrolled. Participants were allocated into an intervention group (n = 100) and a control group (n = 100). A nurse-led cardiac rehabilitation program using a virtual educational video and reminder telephone calls was given to the intervention group for six months. A modified heart failure adherence and health care behaviours scale was used. Results: 78% of the adults in the intervention group and 79% of the adults in the control group were males. 43% of the adults in the intervention group and 32% of the adults in the control group had ≥2 years of chronic heart failure. 42.27% of the participants in the intervention group and 35.05% of the adults in the control group indicated that medical follow-ups were essential. 21.65% of the adults in the intervention group and 13.40% of the adults in the control group expressed no difficulty adhering to the sodium restriction in the posttest2. The participants in the intervention group had higher health care behaviours compared to control group, p < 0.001. Conclusion/Implication: Cardiac nurses need to adopt cardiac rehabilitation in continuity of care for improving health care behaviours for adults with chronic heart failure.
KW - Adherence
KW - Cardiac rehabilitation
KW - Health care behaviours
KW - Heart failure
KW - Nursing
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U2 - 10.1016/j.cegh.2021.100859
DO - 10.1016/j.cegh.2021.100859
M3 - Article
AN - SCOPUS:85113169922
SN - 2213-3984
VL - 12
JO - Clinical Epidemiology and Global Health
JF - Clinical Epidemiology and Global Health
M1 - 100859
ER -
