The purpose of this study is to determine whether Family Focused Nursing are effective in the treatment of heart failure outpatients with respect to health-related quality of life.
Quality of life is impaired among patients with heart failure and their next of kin compared to other patients with chronic diseases. Besides, there are still a number of patients who misunderstand or have difficulties remembering the counseling they are provided during the course of illness. International guidelines recommend that the patient's relatives are involved in patient education as well as the treatment. Family interventions might contribute to improvement in quality of life, enhanced illness-management and delayed readmission and mortality among patients with heart failure. However, up till today, only two observational studies have investigated the effect of family intervention on outcomes of treatment for heart failure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
468
All patients receive treatment as usual. Additionally, patients in the intervention arm receives family focused nursing consultations which are structured as outpatient sessions focusing on change, improvement and/or maintenance of family function within cognitive, affective and behavioral knowledge. Each session is organized and individualized according to the wishes and needs for education and counseling of the families within a period of six months.
Bispebjerg Hospital
Copenhagen, Denmark
Odense University Hospital
Odense, Denmark
Vejle Hospital
Vejle, Denmark
Change in Health Related Quality of Life assessed by ≥6 point in Kansas City Cardiomyopathy Questionnaire summary score
The effect of intervention on primary outcome are investigated as longitudinal data at three, six and twelve month. The data are analysed using mixed models
Time frame: Baseline, three, six and twelve months
Change in European Heart Failure Self-Care Behavior Scale
Time frame: Baseline, three, six and twelve months months
Change in Family Functioning, Health and Social Support scale
Time frame: Baseline, three, six and tvelve months
Change in Self-Efficacy for Managing Chronic Disease 6-item scale
Time frame: Baseline, three, six and tvelve months
Change in Major Depression Inventory diagnostic scale
Time frame: Baseline, three, six and tvelve months
Time for the emergence of total re-admission and re-admission for heart failure
Time frame: One year
Time for the emergence of mortality
Time frame: One year
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.