Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Does Symptom Recognition Improve Self-Care in Patients With Heart Failure? A Growth Latent Model

Version 1 : Received: 20 February 2021 / Approved: 22 February 2021 / Online: 22 February 2021 (12:45:35 CET)

A peer-reviewed article of this Preprint also exists.

Pereira Sousa, J.; Neves, H.; Pais-Vieira, M. Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled Trial. Nurs. Rep. 2021, 11, 418-429. Pereira Sousa, J.; Neves, H.; Pais-Vieira, M. Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled Trial. Nurs. Rep. 2021, 11, 418-429.

Journal reference: Nurs. Rep. 2021, 11, 40
DOI: 10.3390/nursrep11020040

Abstract

Patients with heart failure have difficulty in self-care management, as daily monitoring and recognizing symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate self-care management and quality of life changes on patients with heart failure and assessed by a pilot study, for three months, to sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p<.001) and emergency admission (IRR 4.24; p<.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (βSlope. Assign-ment_group=-.881; p<.001) and in the quality of life (βSlope. Assignment_group=1.739; p<.001). This study supports that a nurse-led program on symptom recognition and fluid restriction can have a positive impact on self-care behaviours and quality of life in patients with heart failure.

Keywords

Heart failure; self-care behaviours; symptom recognition; nurse-led program.

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