Educational program for self-care in heart failure: PEAC-IC: randomized control trial
Arq. bras. cardiol
; 120(8 supl. 2): 25-25, ago. 2023.
Article
in English
| CONASS, Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1516441
Responsible library:
BR79.1
ABSTRACT
BACKGROUND:
Worldwide, approximately 64 million people live with signs and symptoms of heart failure(HF), considered one of the leading causes of morbidity and mortality, hospitalizations and worsening of quality of life. Self-care is a nonpharmacological approach to control the progression of HF, which involves behaviors to maintain health and monitor and manage symptoms. However, self-care still insufficient among this population in Brazil and worldwide. The Educational Program for Self-Care in Heart Failure (PEAC-CI) is an acceptable and feasible intervention that needs to be evaluated for its effectiveness.OBJECTIVE:
To evaluate the effectiveness of the PEAC-IC in improving self-care behaviors (primary outcome), knowledge, quality of life, the number of hospitalizations, and access to emergency services in patients with HF (secondary outcome).METHODS:
A parallel randomized clinical trial with HF patients recruited in a clinical cardiology ward and outpatient settings of the Dante Pazzanese Institute of Cardiology in São Paulo/Brazil. Participants were randomized to the intervention group (IG), receiving the PEAC-CI intervention, and the control group (CG), receiving standard care. The intervention consisted of a face-to-face session followed by five structured telephone contacts every week during six weeks. Standard care consisted of general guidance during hospital discharge and outpatient follow-ups with medical and nursing consultations when indicated. The outcomes were assessed in seventh week or after the six sessions of the implementation of PEAC-IC, and then third and sixth month after the first assessment in both groups. The primary outcome was measured with the Self-Care of HF Index v.6.2, which measures selfcare maintenance, management, and confidence; scores of these three scales range between 0-100, with higher scores meaning better self-care.RESULTS:
We enrolled 80 patients, and 56 completed the entire intervention. These patients were mostly males (52.5%), with a mean age of 61.8 years (SD= 12,6) 44.9% white, with a diagnosis of HF from an average of 174.9 (SD=158,3), 50% in New York Heart Association functional class III. At baseline, self-care maintenance, management, and confidence scores were 51.6, 56.2, and 54.1, respectively. At the seven-week follow-up, the IG scored 72.3 on self-care maintenance, while the CG scored 61. The difference between the two groups, assessed with the linear mixed model, was clinically and statistically significant (p0.05).CONCLUSION:
The PEAC-CI has effectively improved self-care maintenance in patients with HF. Even though the improvement in the secondary outcomes was not statistically significant, we observed a trend towards statistically significance. Key-words nursing; heart failure; self-care; randomized controled trial.
Full text:
Available
Collection:
National databases
/
Brazil
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Cardiovascular Disease
/
Other circulatory Diseases
Database:
CONASS
/
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Language:
English
Journal:
Arq. bras. cardiol
Year:
2023
Document type:
Article
/
Congress and conference
Institution/Affiliation country:
Instituto Dante Pazzanese de Cardiologia/BR