© 2005 European Society of Cardiology
Patients with heart failure in primary health care: effects of a nurse-led intervention on health-related quality of life and depression
a Department of Cardiology, County Hospital Ryhov Jönköping S-551 85, Sweden
b Department of Primary Health Care, Göteborg University Göteborg, Sweden
c School of Social and Health Sciences, Halmstad University Halmstad, Sweden
d Unit of Research and Development in Primary Health Care Jönköping, Sweden
e Department of Cardiology, Heart Centre, Linköping University Hospital Linköping, Sweden
f Department of Medicine and Care, Faculty of Health Sciences, Linköping University Linköping, Sweden
g Department of Nursing, Lund University Lund, Sweden
* Corresponding author. Tel.: +46-36-325213; fax: +46-36-325210. E-mail address: jan.martensson{at}ltjkpg.se
 |
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.
Key Words: Heart failure • Nurse-led intervention • Follow-up • Self-management • Primary health care • Health-related quality of life
Received October 8, 2002; Revised January 21, 2004; Accepted January 29, 2004
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  B. Riegel, D. K. Moser, S. D. Anker, L. J. Appel, S. B. Dunbar, K. L. Grady, M. Z. Gurvitz, E. P. Havranek, C. S. Lee, J. Lindenfeld, et al. State of the Science: Promoting Self-Care in Persons With Heart Failure: A Scientific Statement From the American Heart Association Circulation, September 22, 2009; 120(12): 1141 - 1163. [Full Text] [PDF]
|
|
|
|
 |
|
 E. K. Song, D. K. Moser, and T. A. Lennie Relationship of Depressive Symptoms to the Impact of Physical Symptoms on Functional Status in Women With Heart Failure Am. J. Crit. Care., July 1, 2009; 18(4): 348 - 356. [Abstract] [Full Text] [PDF]
|
|