The aim of this study is to evaluate the effect of nurse-led education on patients' self-efficacy levels, self-care behaviors, medication compliance, and diet compliance in individuals diagnosed with heart failure. This study will be conducted as a randomized controlled experimental study.
This study, to be conducted at the Akdeniz University Hospital Cardiology Department and Outpatient Clinic, aims to evaluate the impact of nurse-led education on heart failure patients' self-efficacy, self-care behaviors, and adherence to medication and diet. Study Population The study sample will comprise heart failure patients aged 18 years and older who are followed in the Cardiology Clinic at Akdeniz University Hospital. Data Collection Instruments The following data collection tools will be used in the study: Patient Information Form: To collect demographic and clinical information. European Heart Failure Self-Care Behavior Scale-12: To assess self-care behaviors specific to heart failure. General Self-Efficacy Scale: To measure perceived competence in coping with general difficulties. Beliefs about Medication Adherence Scale: To evaluate patients' beliefs regarding adherence to medication. Beliefs about Dietary Adherence Scale: To assess patients' beliefs concerning adherence to dietary recommendations. Permissions for the use of the Turkish adaptations of these scales have been obtained via email from the authors responsible for their respective adaptations. Intervention Program and Control Group An educational booklet, developed by the researcher based on a review of current research and evidence-based treatment guidelines, will be utilized for the training program, considering the specific needs of the patients. Intervention Group: Patients in this group will receive a comprehensive educational program: In-Hospital Individual Training: This will begin with a personalized training session conducted in the hospital, tailored to each patient's unique needs. The content of this session, covering self-efficacy, self-care, and medication and diet compliance, has been developed from an extensive review of up-to-date research and evidence-based treatment guidelines to ensure its effectiveness. Post-Discharge Telephone Follow-up: After discharge, patients in the intervention group will receive six telephone calls over a three-month period, with two calls scheduled each month. These calls will help reinforce the in-hospital education and provide continuous support. Control Group: This group will continue to receive routine nursing care and treatment in the Cardiology Clinic, without any additional educational interventions. Data Collection Schedule To measure the impact of the intervention, data will be collected twice for both groups: Baseline: Data will be collected at the beginning of the study. Three Months Later: A second round of data collection will be conducted three months after the initial data collection.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
66
The training program will be implemented in line with patient needs determined by the researcher. In order to overcome this lack of information, existing research findings and evidence-based treatment guidelines were extensively reviewed. The training program will be based on the following guidelines. The program will start with a 30-minute individual training session on patients' self-efficacy level, self-care behaviors, medication and diet compliance processes. This training will be carried out in the hospital in accordance with the patient's plan. Discharged intervention group patients will then be interviewed by telephone six times over a period of three months, and two interviews will be scheduled for each of these monthly periods. In order to measure the impact of the intervention, data will be collected twice, before and after the training for the intervention group
Akdeniz University Health Services Vocational School, Department of Health Care Services Elderly Care, Antalya, Türkiye
Antalya, Konyaaltı, Turkey (Türkiye)
European Heart Failure Self-Care Behaviour Scale (EHFScBS)
The European Heart Failure Self-Care Behavior Scale consists of 12 questions related to life activities to assess the self-care of Heart Failure patients. The scale is a five-point Likert-type scale with a maximum score of 60 and a minimum score of 12. Higher scores on the scale indicate better self-care behavior.The European Heart Failure Self-Care Behavior Scale (EHFScBS) will be utilized to assess changes in patients' self-care behavior levels. This longitudinal approach will allow researchers to observe any improvements or changes in self-care behaviors that may be attributable to the intervention (nurse-led in-hospital education and post-discharge telephone follow-up).
Time frame: This assessment will be conducted at two distinct time points: at the beginning of the study (baseline- day 0) and at the end of the 3rd month.
General Self-Efficacy (GSE), The Beliefs About Medication Compliance Scale (BMCS), The Beliefs About Dietary Compliance Scale (BDCS)
General Self-Efficacy Scale This scale is designed to assess an individual's perceived competence in dealing with general life difficulties. It's a 4-point Likert-type scale. Scores range from a minimum of 10 to a maximum of 40. A higher score on this scale indicates that the individual has a stronger perception of their own competence. Beliefs About Diet and Medication Adherence Scales Both the Beliefs About Diet Adherence Scale and the Beliefs About Medication Adherence Scale are used to understand patients' beliefs regarding their adherence to dietary recommendations and medication regimens, respectively. Each of these scales comprises 12 items and uses a 5-point Likert-type scale.The minimum score on these scales is 12 and the maximum score is 60. Higher scores on these scales indicate that the individual has stronger beliefs about adherence to diet or medication. Conversely, lower scores indicate weaker beliefs.
Time frame: This assessment will be conducted at two distinct time points: at the beginning of the study (baseline- day 0) and at the end of the 3rd month.
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