Jae Lan Shim; Seon Young Hwang

doi:10.4040/jkan.2016.46.6.881

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Original Article
Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure: Jae Lan Shim, Seon Young Hwang; Journal of Korean Academy of Nursing 2016;46(6):881-893.
DOI: https://doi.org/10.4040/jkan.2016.46.6.881
Published online: December 30, 2016

School of Nursing, Hanyang University, Seoul, Korea.

Address reprint requests to : Hwang, Seon Young. College of Nursing, Hanyang University, 222 Wangsimri-ro, Seongdong-gu, Seoul 04763, Korea. Tel: +82-2-2220-0702, Fax: +82-2-2220-1163, seon9772@hanyang.ac.kr

• Received: August 9, 2016 • Revised: November 2, 2016 • Accepted: November 12, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study was to develop a heart health diary to promote self-care ability among patients with heart failure (HF), and to identify the diary's effect on self-care adherence, self-efficacy, and physical activity.
Methods
A randomized control-group pretest-posttest design was adopted using block randomization. A calender-typed health diary was developed and it included a self-care checklist and education information on HF management. The experimental group were given guided counseling and education for 8 weeks and wrote a daily health diary during that period. Data were collected from the outpatient department of a tertiary medical center from February to April 2016. To verify the hypotheses, data for the experimental group (n=28) and control group (n=33) were analysed using the independent t-test with SPSS/WIN 21.0.
Results
At the end of 8 weeks the experimental group had significantly higher scores for self-care adherence (t=-2.48, p =.016) and exercise related self-efficacy (t=-3.44, p =.001) compared to the control group.
Conclusion
The findings show that the application of a patient-directed heart health diary is an effective nursing intervention for improving HF patients' self-care adherence and exercise self-efficacy. Strategies to promote dietary self-efficacy are necessary along with further studies including repeated research with an increasing intervention period. Healthcare providers need to encourage the utilization of a health diary for HF patients as a tool for evaluation and for implementation that leads to self-care.
Keywords: Heart Failure; Health Diary; Self-Care; Self-Efficacy; Nursing Care

^*This manuscript is based on a part of the first author's doctoral dissertation from Hanyang University.

^*This study was supported by the National Research Foundation of Korea funded by the Ministry of Education (NRF# 2015R1D1A1A01060938).

REFERENCES

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Figure 1

Flow diagram of the progress through the phases of a randomized trial (based on CONSORT statement)

Figure 2

An example of the heart health diary

Table 1

Contents of Heart Health Diary

HF=heart failure; CRT=cardiac resynchronisation therapy; ICD=implantable cardioverter-defibrillator.

Table 2

Homogeneity Test of Characteristics and Dependent Variables of Subjects

Exp.=Experimental group; Cont.=Control group; LVEF= Left ventricular ejection fraction; ACE: Angiotensin converting enzyme; ARB: Angiotensin receptor blocker; NYHA=New york heart association; BNP=Brain natriuretic peptide; hs-CRP;High-sensitivity C-reactive protein ^*Multiple response.

Table 3

Differences in the Dependent Variables between Experimental and Control Groups

Exp.=Experimental group; Cont.=Control group; M=Mean; SD=Standard deviation.

Figure & Data

REFERENCES

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Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure

J Korean Acad Nurs. 2016;46(6):881-893. Published online December 30, 2016

DOI: https://doi.org/10.4040/jkan.2016.46.6.881

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Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure

Figure 1 Flow diagram of the progress through the phases of a randomized trial (based on CONSORT statement)

Figure 2 An example of the heart health diary

Figure 1

Figure 2

Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure

Table 1

Contents of Heart Health Diary

HF=heart failure; CRT=cardiac resynchronisation therapy; ICD=implantable cardioverter-defibrillator.

Table 2

Homogeneity Test of Characteristics and Dependent Variables of Subjects

Table 3

Differences in the Dependent Variables between Experimental and Control Groups

Exp.=Experimental group; Cont.=Control group; M=Mean; SD=Standard deviation.

Table 1 Contents of Heart Health Diary

HF=heart failure; CRT=cardiac resynchronisation therapy; ICD=implantable cardioverter-defibrillator.

Table 2 Homogeneity Test of Characteristics and Dependent Variables of Subjects

Table 3 Differences in the Dependent Variables between Experimental and Control Groups

Exp.=Experimental group; Cont.=Control group; M=Mean; SD=Standard deviation.