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Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled Trial

2021-06-01Artigo científico Acesso aberto
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datacite.subject.fosCiências Médicas::Outras Ciências Médicas
datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
datacite.subject.sdg17:Parcerias para a Implementação dos Objetivos
dc.contributor.authorSousa, Joana Pereira
dc.contributor.authorNeves, Hugo
dc.contributor.authorPais-Vieira, Miguel
dc.date.accessioned2026-02-27T15:25:43Z
dc.date.available2026-02-27T15:25:43Z
dc.date.issued2021-06-01
dc.description.abstractPatients with heart failure have difficulty in self-care management, as daily monitoring and recognition of symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate the longitudinal effect of a nursing-led complex intervention on self-care management and quality-of-life changes in patients with heart failure and assessed by a pilot study performed on sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p < 0.001) and emergency admission (IRR 4.24; p < 0.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (βSlope. Assignment_group = −0.881; p < 0.001) and in the quality of life (βSlope. Assignment_group = 1.739; p < 0.001). This study supports that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure. This randomised controlled trial was retrospectively registered (NCT04892004).eng
dc.identifier.citationPereira Sousa, J.; Neves, H.; Pais-Vieira, M. Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled Trial. Nurs. Rep. 2021, 11, 418–429. https://doi.org/10.3390/nursrep11020040.
dc.identifier.doi10.3390/nursrep11020040
dc.identifier.eissn2039-4403
dc.identifier.issn2039-439X
dc.identifier.urihttp://hdl.handle.net/10400.8/15743
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://www.mdpi.com/2039-4403/11/2/40
dc.relation.ispartofNursing Reports
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectheart failure
dc.subjectself-care behaviours
dc.subjectsymptom recognition
dc.subjectnurse-led programme
dc.titleDoes Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled Trialeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage429
oaire.citation.issue2
oaire.citation.startPage418
oaire.citation.titleNursing Reports
oaire.citation.volume11
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNamePereira de Sousa
person.familyNameNeves
person.givenNameJoana
person.givenNameHugo
person.identifier.ciencia-id551F-033A-267C
person.identifier.ciencia-idD013-949C-BCEE
person.identifier.orcid0000-0001-5515-0696
person.identifier.orcid0000-0002-6843-6228
person.identifier.ridI-3020-2014
person.identifier.scopus-author-id57210926095
relation.isAuthorOfPublication9663f6c0-6002-449a-86ad-f94c78577e43
relation.isAuthorOfPublication3f8bd55e-1f83-4bee-b1c6-822f6c902edc
relation.isAuthorOfPublication.latestForDiscovery9663f6c0-6002-449a-86ad-f94c78577e43

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Patients with heart failure have difficulty in self-care management, as daily monitoring and recognition of symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate the longitudinal effect of a nursing-led complex intervention on self-care management and quality-of-life changes in patients with heart failure and assessed by a pilot study performed on sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p < 0.001) and emergency admission (IRR 4.24; p < 0.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (βSlope. Assignment_group = −0.881; p < 0.001) and in the quality of life (βSlope. Assignment_group = 1.739; p < 0.001). This study supports that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure. This randomised controlled trial was retrospectively registered (NCT04892004).
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