Family Nursing Therapeutic Conversations Improves Social Support In Outpatients With Heart Failure And Their Family Members
Autor: | Birte Østergaard, Romy Mahrer-Imhof, Mahdi Shamali, Birgitte Noergaard, Bernard Jeune, Pedersen, Karen S., Jørgen Trankjær Lauridsen |
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Zdroj: | Capital Region of Denmark University of Southern Denmark Østergaard, B, Mahrer-Imhof, R, Shamali, M, Nørgaard, B, Jeune, B, Pedersen, K S & Lauridsen, J T 2019, ' Family Nursing Therapeutic Conversations Improves Social Support In Outpatients With Heart Failure And Their Family Members ', 14th International Family Nursing Conference, Washington DC, United States, 13/08/2019-16/08/2019 . |
Popis: | Background and Purpose: Potential benefit of Family Nursing Therapeutic Conversations (FNTCs) in patients with heart failure (HF) and their family members has not yet been fully elucidated. We evaluated the short-term (3 months) and long-term (6 and 12 months) effect of FNTCs added to conventional care versus conventional care on social support (SS), family health (FH) and family functioning (FF) in outpatients with HF and their family members.Framework: Calgary Family Assessment and Intervention ModelsMethods: The study was designed as a randomized multi-center trial in three Danish HF clinics. Consecutively patients (n = 468) with family members (n = 322) patients were randomly assigned to the intervention or control group. After randomization and before FNTCs, participants were asked to fill in SS, FH and FF questionnaires. The same questionnaires were mailed to the patients and their relatives after 3, 6 and 12 months. One-way ANOVA was used for comparisons of differences in average meansbetween the two groups. For comparisons within the two groups, we used the repeated measures analysis of variance.Results: Average total SS scale mean scores increased statistically significantly in the short and long term among patients (p = 0.013) and their family members (p = 0.048) in the intervention group compared to the control group. Both patients and their familymembers reported increased reinforcement, feedback, decision-making capability, and collaboration with the nurse and aids after FNTCs. No significant differences between the two groups were seen in average total FH and FF scale mean scores among eitherpatients or family members.Conclusions and Implications: FNTCs is a suitable intervention to improve SS among families living with HF. The intervention is applicable in clinical HF practice and the results can be used to inform stakeholders and policy makers about effective familynursing interventions. |
Databáze: | OpenAIRE |
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