Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure.
10.4040/jkan.2016.46.6.881
- Author:
Jae Lan SHIM
1
;
Seon Young HWANG
Author Information
1. School of Nursing, Hanyang University, Seoul, Korea. seon9772@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Heart Failure;
Health Diary;
Self-Care;
Self-Efficacy;
Nursing Care
- MeSH:
Checklist;
Counseling;
Education;
Health Personnel;
Heart Failure*;
Heart*;
Humans;
Medical Records*;
Motor Activity;
Nursing;
Nursing Care;
Outpatients;
Random Allocation;
Self Care*
- From:Journal of Korean Academy of Nursing
2016;46(6):881-893
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to develop a heart health diary to promote self-care ability among patients with heart failure (HF), and to identify the diary's effect on self-care adherence, self-efficacy, and physical activity. METHODS: A randomized control-group pretest-posttest design was adopted using block randomization. A calender-typed health diary was developed and it included a self-care checklist and education information on HF management. The experimental group were given guided counseling and education for 8 weeks and wrote a daily health diary during that period. Data were collected from the outpatient department of a tertiary medical center from February to April 2016. To verify the hypotheses, data for the experimental group (n=28) and control group (n=33) were analysed using the independent t-test with SPSS/WIN 21.0. RESULTS: At the end of 8 weeks the experimental group had significantly higher scores for self-care adherence (t=-2.48, p =.016) and exercise related self-efficacy (t=-3.44, p =.001) compared to the control group. CONCLUSION: The findings show that the application of a patient-directed heart health diary is an effective nursing intervention for improving HF patients' self-care adherence and exercise self-efficacy. Strategies to promote dietary self-efficacy are necessary along with further studies including repeated research with an increasing intervention period. Healthcare providers need to encourage the utilization of a health diary for HF patients as a tool for evaluation and for implementation that leads to self-care.
