Nurse‐led self‐management group programme for patients with congestive heart failure: randomized controlled trial
Abstract
smeulders e.s.t.f., van haastregt j.c.m., ambergen t., uszko‐lencer n.h.k.m., janssen‐boyne j.j.j., gorgels a.p.m., stoffers h.e.j.h., lodewijks‐van der bolt c.l.b., van eijk j.th.m. & kempen g.i.j.m. (2010) Nurse‐led self‐management group programme for patients with congestive heart failure: randomized controlled trial. Journal of Advanced Nursing 66(7), 1487–1499. Title. Nurse‐led self‐management group programme for patients with congestive heart failure: randomized controlled trial. Aim. This paper reports on of the effects of the Chronic Disease Self‐Management Programme on psychosocial attributes, self‐care behaviour and quality of life among congestive heart failure patients who experienced slight to marked limitation of physical activity. Background. Most self‐management programmes for congestive heart failure patients emphasize the medical aspects of this chronic condition, without incorporating psychosocial aspects of self‐management. The programme has been used with various patient groups, but its effectiveness with congestive heart failure patients when led by pairs of cardiac nurse specialists and peer leaders is unknown. Method. A randomized controlled trial with 12 months of follow‐up from start of the programme was conducted with 317 patients. Control group patients (n = 131) received usual care, consisting of regular outpatient checkups. Intervention group patients (n = 186) received usual care and participated in the six‐week self‐management programme. The programme teaches patients medical, social and emotional self‐management skills. Twenty‐one classes were conducted in six hospitals in the Netherlands, and data were collected between August 2004 and January 2007. Results. Directly after the programme, statistically significant effects were found for cognitive symptom management (P < 0·001), self‐care behaviour (P = 0·008) and cardiac‐specific quality of life (P = 0·005). No effects were found at 6‐ and 12‐month follow‐up. Conclusion. Further research is necessary to study how long‐term effectiveness of the programme with patients with congestive heart failure can be achieved, and how successful adaptations of the programme can be integrated into standard care.
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In many clinical conditions, such as diabetes mellitus and congestive heart failure, outcomes and quality of life are improved when patients have access to their clinical data and play a role in managing their own symptoms.
“In many clinical conditions, such as diabetes mellitus and congestive heart failure, 63 outcomes and QOL are improved when patients have access to their clinical data and play a role in managing their own symptoms.64,65”
From Managing with pacemakers and implantable cardioverter defibrillators (2013) · cites this paper as [63]
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- Authors
- Smeulders, E. S. T. F., Van Haastregt, J. C. M., Ambergen, T., Uszko‐Lencer, N. H. K. M., Janssen‐Boyne, J. J. J., Gorgels, A. P. M., Stoffers, H. E. J. H., Lodewijks‐van der Bolt, C. L. B., Van Eijk, J. T. M., & Kempen, G. I. J. M.
- Affiliations
- Maastricht University (NL)
- Maastricht University Medical Centre (NL)
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2010-06-02
- Volume
- 66
- Issue
- 7
- Pages
- 1487-1499
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W1905371906
- Cited by
- 110
- References
- 60
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 5 · 2022: 3 · 2021: 8 · 2020: 11 · 2019: 3 · 2018: 9 · 2017: 12 · 2016: 17 · 2015: 10 · 2014: 14 · 2013: 6 · 2012: 5
- FWCI
- 3.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (submittedVersion)
- Funders
- Universitair Medisch Centrum Groningen
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- congestive heart failure, self-management, nurse-led intervention, peer leaders, self-care behavior, quality of life, psychosocial aspects, symptom management, physical activity limitation
- MeSH terms
- Aged, Chronic Disease, Female, Heart Failure, Humans, Male, Netherlands, Quality of Life, Self Care, Nursing Evaluation Research, Cardiology Service, Hospital, Outcome Assessment, Health Care, Self Efficacy, Practice Patterns, Nurses'
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