The Effect of Teaching Palliative Care on the Self-Efficacy of Elderly Patients with Chronic Heart Failure

  • Mahnaz Modanloo Associate Professor
  • Ameneh Tazikeh-Lemeski Associate Professor
  • Shohreh Kolagari Assistant Professor
Palabras clave: Heart Failure, Palliative Care, Self-Efficacy, Elderly, Teaching

Resumen

ABSTRACT
Objetive: Determine the effect of teaching palliative care on the self-efficacy of elderly with Chronic Heart Failure. Material and Methods: This single-blind randomized clinical trial was done on patients with Chronic Heart Failure attending to the heart clinics of Golestan University of Medical Sciences in 2018. 48 eligible patients with class-III were selected via convenience sampling. Patients allocated into control and intervention group randomly (n=32). Palliative care training was done for intervention group for six weeks. Data was gathered through the Cardiac Self-Efficacy Scale (CSES) on three time points (before, immediately, and one month after intervention). Data were analyzed in SPSS-18 using independent t-test, chi-squared, Fisher's exact, and repeated-measures ANOVA with corrected Bonferroni post-hoc test. Results: Finding showed that before intervention the mean scores of self-efficacy in intervention and control group was 23.95±8.34 and 24.11±9.41, respectively. Immediate and one month after intervention it was 26.30±8.30 vs. 28.95±8.53 in intervention group and 24.68±9.32 vs. 25.53±10.39 in control group. In intervention group there was no significant difference between the mean scores of before with immediate and one month after intervention. However, there was a significant difference between the two time follow up in both intervention (p<0.0001) and control (p<0.003) groups. Conclusion: Although the education of palliative care has increased the ability to care in elderly, it seems that self-managing in complex conditions is required follow-up over time.

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Biografía del autor

Mahnaz Modanloo, Associate Professor
  1. Nursing Research Center, Department of Community and Mental Health Nursing, Golestan University of Medical Sciences, Gorgan, Iran.
Ameneh Tazikeh-Lemeski, Associate Professor
  1. Department of Community and Mental Health Nursing, Golestan University of Medical Sciences, Gorgan, Iran.
Shohreh Kolagari, Assistant Professor
  1. Nursing Research Center, Medical Surgical Nursing department, Golestan University of Medical Sciences, Gorgan, Iran.
Publicado
2020-01-19
Cómo citar
Modanloo, M., Tazikeh-Lemeski, A., & Kolagari, S. (2020). The Effect of Teaching Palliative Care on the Self-Efficacy of Elderly Patients with Chronic Heart Failure. Revista Del Cuerpo Médico Del HNAAA, 12(3), 201 - 207. https://doi.org/10.35434/rcmhnaaa.2019.123.530
Sección
Artículo Original