Abbasi Alireza, Ghezeljeh Tahereh Najafi, Farahani Mansoureh Ashghali
MSc of Medical-Surgical Nursing, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
PhD, Associate Professor, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran.
Electron Physician. 2018 Jul 25;10(7):7028-7037. doi: 10.19082/7028. eCollection 2018 Jul.
Chronic Heart Failure (CHF) is a syndrome that negatively affects a person's Quality of Life (QOL). The efficient self-management education program increases the individual's abilities and skills for following and participating in a long-term healthcare plan.
The aim of this study was to determine the effect of the self-management education program on QOL in people with CHF.
This randomized controlled trial study was conducted on 60 people with CHF and without sensory-cognitive problem from April-August 2015. They were selected using the convenience sampling method, and were randomly assigned into the intervention and control groups. The control group received the routine education presented to participants at discharge. However, besides the routine education, the intervention group received the self-management education program consisting of three sessions followed for a 3-month period. The Iranian heart failure QOL questionnaire was used for data collection before and after the intervention. The independent-samples and paired-samples t-tests, Chi-square and Fisher exact tests were used for data analysis via the SPSS v.16 software. P<0.05 was considered statistically significant.
No statistically significant differences were reported between the groups in terms of demographic and clinical characteristics, indicating that they were homogeneous. A statistically significant difference was reported between the two groups after the intervention in terms of the mean changes of total QOL (p<0.001) and its dimensions, including symptoms (p=0.002), social interference (p=0.01), psychological condition (p=0.013), and self-efficacy and knowledge (p<0.001). In addition, an improvement was observed in the total QOL in the intervention group after the education (p<0.001).
According to the results of this study, the self-management education program can be considered an appropriate strategy for improving the QOL in people suffering from CHF by health care providers.
The trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the IRCT ID: IRCT2015032021521N1.
The authors received financial support for the research, authorship, and/or publication of this article from Iran University of Medical Sciences (No: 107/105/94/D, date April 11, 2015).
慢性心力衰竭（CHF）是一种对人的生活质量（QOL）产生负面影响的综合征。有效的自我管理教育项目可提高个体遵循和参与长期医疗保健计划的能力与技能。
本研究旨在确定自我管理教育项目对CHF患者生活质量的影响。
本随机对照试验于2015年4月至8月对60例无感觉认知问题的CHF患者进行。采用便利抽样法选取患者，并随机分为干预组和对照组。对照组接受出院时向参与者提供的常规教育。然而，除常规教育外，干预组还接受了为期3个月、共三节课的自我管理教育项目。干预前后使用伊朗心力衰竭生活质量问卷收集数据。通过SPSS v.16软件，采用独立样本和配对样本t检验、卡方检验和Fisher精确检验进行数据分析。P<0.05被认为具有统计学意义。
两组在人口统计学和临床特征方面未报告有统计学显著差异，表示它们具有同质性。干预后，两组在总生活质量的平均变化（p<0.001）及其维度，包括症状（p=0.002）、社会干扰（p=0.01）、心理状况（p=0.013）以及自我效能和知识（p<0.001）方面报告有统计学显著差异。此外，教育后干预组的总生活质量有所改善（p<0.001）。
根据本研究结果，自我管理教育项目可被医疗保健提供者视为改善CHF患者生活质量的一种合适策略。
该试验在伊朗临床试验注册中心（http://www.irct.ir）注册，IRCT编号：IRCT2015032021521N1。
作者获得了伊朗医科大学对本研究、作者身份和/或本文发表的资金支持（编号：107/105/94/D，日期：2015年4月11日）。
