Arofiati Fitri, Lestari Fuji Dwi, Setiawan Henri
Department of Nursing, Universitas Muhammadiyah Yogyakarta, Jl. Brawijaya, Kasihan, Bantul, 55183, Indonesia, 62 81392462014.
Department of Nursing, STIKes Muhammadiyah Ciamis, Ciamis, Indonesia.
JMIR Cardio. 2025 Sep 5;9:e75417. doi: 10.2196/75417.
Heart failure remains a major global health issue, significantly impacting patients' quality of life due to its chronic and progressive nature. Effective discharge planning, including educational interventions such as videos and booklets, plays a crucial role in enhancing self-care management and overall patient well-being.
The aim of this study is to evaluate the effects of discharge planning videos and booklets on the quality of life of patients with heart failure.
This study used a quasi-experimental design and was conducted at PKU Muhammadiyah Gamping Hospital from July to November 2024. A total of 42 participants who met the inclusion criteria were selected based on sample size calculations using G*Power and were evenly assigned to intervention and control groups. Both groups received standard discharge planning provided by health care professionals. Discharge planning videos and booklets were developed as educational tools for the intervention group. The Minnesota Living With Heart Failure Questionnaire was used to assess quality of life. The independent sample t test was used to analyze the effect of the intervention using SPSS (version 29). This study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki and was approved by the institutional review board (number 150/KEP-PKU/VII/2024).
The intervention significantly improved the quality of life of patients with heart failure, with the mean score decreasing from 39.00 (SD 8.11) to 24.76 (SD 4.02; P<.001) in the intervention group. In contrast, the control group showed minimal change, from 39.90 (SD 5.89) to 40.24 (SD 5.84), resulting in a statistically significant between-group difference of 15.58 (P<.001). Furthermore, the effect size was large (Cohen d=3.09), suggesting a strong practical significance of the intervention in enhancing the quality of life among patients with heart failure. Moreover, the mean Minnesota Living With Heart Failure Questionnaire scores across 4 domains-physical, mental, emotional, and social-also showed significant improvements after the intervention. The intervention group experienced reductions in all domains: physical (9.95 to 6.76), mental (7.81 to 5.62), emotional (13.19 to 7.48), and social (8.05 to 4.90), whereas the control group showed minimal or no change. These results indicate that the intervention effectively improved patients' quality of life across multiple dimensions.
Discharge planning through videos and booklets may improve the quality of life of patients with heart failure compared to standard care. These findings highlight the potential clinical value of structured patient education. The intervention appeared to enhance patients' understanding of their condition and support self-management behaviors, including adherence to lifestyle recommendations. However, they should be interpreted with caution and confirmed through further studies with larger and more diverse populations.
心力衰竭仍然是一个重大的全球健康问题，由于其慢性和渐进性，严重影响患者的生活质量。有效的出院计划，包括视频和小册子等教育干预措施，在加强自我护理管理和患者整体健康方面起着至关重要的作用。
本研究的目的是评估出院计划视频和小册子对心力衰竭患者生活质量的影响。
本研究采用准实验设计，于2024年7月至11月在北大穆罕默迪亚甘平医院进行。根据使用G*Power进行的样本量计算，共选择了42名符合纳入标准的参与者，并将其平均分配到干预组和对照组。两组均接受医疗保健专业人员提供的标准出院计划。出院计划视频和小册子被开发为干预组的教育工具。使用明尼苏达心力衰竭生活问卷评估生活质量。使用独立样本t检验，通过SPSS（版本29）分析干预效果。本研究按照《赫尔辛基宣言》中概述的伦理原则进行，并获得了机构审查委员会的批准（编号150/KEP-PKU/VII/2024）。
干预显著改善了心力衰竭患者的生活质量，干预组的平均得分从39.00（标准差8.11）降至24.76（标准差4.02；P<0.001）。相比之下，对照组变化极小，从39.90（标准差5.
