Journal of Client-centered Nursing Care (Aug 2018)
The Effect of Self-Care Education on the Resilience of the Patients With Heart Failure
Abstract
Background: Heart Failure (HF) as one of the severe consequences of cardiovascular diseases leads to high mortality in Iran and around the world. This study aims to investigate the effect of self-care education on the resilience of patients with Heart Failure. Methods: This is a quasi-experimental study with a control group. The study population consisted of all patients with HF referring to the educational hospitals affiliated to Babol University of Medical Sciences in 2017. The obtained data were collected by the Connor-Davidson Resilience Scale (CD-RISC). A total of 88 patients were selected by convenience sampling method and randomly assigned into intervention and control groups (44 in each group). The intervention group received intervention program for 60-45 minutes in 6 sessions, per week in addition to routine care. The control group just received routine care. After one month, CD-RISC was completed again by both groups. The collected data were analyzed by descriptive and inferential statistics (Chi-square, independent t-test, ANCOVA) in SPSS-PC V. 22. Results: Before self-care education, the mean score of resilience was not significantly different between the groups (P=0.69), but after intervention the difference was significant (P<0.001). After the intervention, the mean score of resilience increased in the control group by 2.95 unit which was significant (P=0.02). In the intervention group, the mean score of resilience increased by 20.55 unit, which was statistically significant (P<0.001). Conclusion: Considering the effectiveness of self-care education on the resilience of patients with Heart Failure and its feasibility, implementation of this program by nurses is recommended.
