Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed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 Pilot Study Randomised Controlled Trial

Version 1 : Received: 1 June 2021 / Approved: 2 June 2021 / Online: 2 June 2021 (14:23:22 CEST)

How to cite: 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. Preprints 2021, 2021060081 (doi: 10.20944/preprints202106.0081.v1). 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. Preprints 2021, 2021060081 (doi: 10.20944/preprints202106.0081.v1).

Abstract

Patients with heart failure have difficulty in self-care management, as daily monitoring and recognizing symptoms do not readily triggers 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. Assignment_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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