Heart failure. Heart failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: inclusion criteria of patient: - Age 40 years and over - Heart disease that will be diagnosed by a specialist cardiologist in the hospital. -Patients with heart failure are enrolled that are suitable physical condition to participate in the educational program and do not live alone and the patient has a family member to care . -Patients were enrolled in a study that, depending on the severity of the disease, required a specific treatment program following the pharmacological, dietary, and physical activity, ; It will focus on patients of Class II and above with EF less and equal 45 of NYHA criterion and criterion B and C of American Heart Association and American College of Cardiology. The latest clinical guideline for classification of patients with heart failure include of: Mild Heart Failure (Class II): LVEF 40-49% (mean 45%)? Moderate heart failure (grade III): LVEF rate of 30 to 39% (mean 35%) ?Severe heart failure (class IV): LVEF less than 30% Inclusion criteria of caregiver: -Family caregivers who devote the most time to participating in the care of the patient and helping him / her to adapt and adhere to the educational plan. -Have the opportunity to participate in educational sessions. - Have at least three months of patient care experience. -Ability to read and write. -Be able to communicate. - Have never attended any educational sessions before. - The caregiver should not care for another patient other than the patient with heart failure. -Have the first care experience of a patient with heart failure. - Do not suffer from psychological problems(based on the self-care statement). - Not a member of the medical team.
Exclusion criteria
Exclusion criteria: Exclusion criteria of patient: -Known physical and mental illnesses that affect quality of life, such as dialysis or other known psychological problems, such as depression and schizophrenia, which require a particular medication or diet. -Participation in previous educational programs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| First outcome: Assessment of self-care score of heart failure patients through the Self-Care Heart Failure Index (SCHFI) Questionnaire containing 15 questions in 3 subscales. Higher scores indicate greater self-care, scores above 70 indicate appropriate self-care. Second outcome : Caregiver burden assessment is a caregiver who is assessed through the Bartel Caregiver Inventory (CBI). The scores on this questionnaire range from zero to 96 which, given the mean total care burden scores, higher score indicates higher care burden. Timepoint: At the beginning of the study (before the intervention) and 8 weeks after the intervention. Method of measurement: Self-Care Heart Failure Index (SCHFI) / Bartel Caregiver Inventory (CBI). | — |
Countries
Iran (Islamic Republic of)
Contacts
Shahroud University of Medical Sciences