Effects of tailored telemonitoring on heart failure patients’ knowledge, self-care, self-efficacy and adherence: A randomized controlled trial

Autor: Boyne, J.J.J., Vrijhoef, H.J.M., Spreeuwenberg, M., De Weerd, G., Kragten, J., Gorgels, A.P.M., TEHAF Investigators, The
Přispěvatelé: Tranzo, Scientific center for care and wellbeing, Health Services Research, Cardiologie, RS: CAPHRI School for Public Health and Primary Care, RS: CARIM - R2 - Cardiac function and failure, RS: CAPHRI - Redesigning Health Care
Rok vydání: 2013
Předmět:
Zdroj: European Journal of Cardiovascular Nursing, 13(3), 243-252. Elsevier
European Journal of Cardiovascular Nursing, 13(3), 243-252. SAGE Publications Ltd
BASE-Bielefeld Academic Search Engine
ISSN: 1873-1953
1474-5151
DOI: 10.1177/1474515113487464
Popis: Background:The education of patients with heart failure (HF) is an essential part of disease management. The perspectives of an increasing number of patients and a shortage of professionals force healthcare to explore new strategies in supporting patients to be better informed and more active.Methods:Three hundred and eighty-two patients with HF (age 71±SD 11.2 years) were randomly assigned to either a telemonitoring or a usual care group. Patients received four postal questionnaires to assess their levels of self-reported knowledge, self-care, self-efficacy and adherence. Generalized estimating equations analysis was performed to assess the effects of telemonitoring during the 1-year follow-up. Corrections for baseline were performed if needed.Results:Baseline differences between groups were found for self-care (p=0.001) and self-efficacy (p=0.024). Knowledge of patients in the telemonitoring group significantly improved with 0.9 point on a 15-points scale (pConclusions:Tailored telemonitoring was found to educate patients with HF and to improve their self-care abilities and sense of self-efficacy.Keywords: Heart failure, telemonitoring, knowledge, self-care, adherence, self-efficacy
Databáze: OpenAIRE