| Autor: |
Flynn, Kristin J., Powell, Lynda H., De Leon, Carlos F. Mendes, Muñoz, Rocio, Eaton, Claudia B., Downs, Diane L., Silver, Marc A., Calvin, James E. |
| Předmět: |
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| Zdroj: |
Congestive Heart Failure (15275299); Nov/Dec2005, Vol. 11 Issue 6, p297-302, 6p |
| Abstrakt: |
Nonadherence to medical treatment among heart failure patients is high and results in frequent exacerbations and premature death. This treatment-only pilot study examined whether a year-long group-based self-management intervention is feasible and improves self-management skills in patients with mild-to-moderate heart failure (ejection fraction ≤40% and New York Heart Association functional class I, II, or III). A total of 31 of 100 recruited patients (31%) agreed to participate. Twenty-six (84%) completed the year-long self-management program. Compared with baseline, the intervention was associated with an increase in overall self-efficacy in practicing self-management skills (p < 0.001) and in four of five specific self-management skills. Patients and their group leaders also reported an increase in actual use of self-management skills (p < 0.001) and in several psychosocial outcomes. The success of this pilot study suggests the need for a randomized clinical trial to test the efficacy of group-based self-management training on medical outcomes. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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