University of Khartoum

Assessment of Effect of Educational Program for Heart Failure Patients on Self Care, Readmission in Alshab Teaching Hospital (Khartoum State)

Assessment of Effect of Educational Program for Heart Failure Patients on Self Care, Readmission in Alshab Teaching Hospital (Khartoum State)

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Title: Assessment of Effect of Educational Program for Heart Failure Patients on Self Care, Readmission in Alshab Teaching Hospital (Khartoum State)
Author: Fageery, Fageery Mohammed Yassien
Abstract: Background: Heart failure (HF) is a major health problem and a challenge facing individuals and the whole society. Literature review has provided evidence that there is considerable misunderstanding about HF among patients. Knowledge about HF and its risk factors is an important pre-requisite for an individual to implement behavioral changes leading to prevention, or reduction of re-admission. Self-care behaviors include medications, regular weight monitoring, and exercise, which play a major role in maintaining physiological stability. Performing these self-care behaviors are central factors in facilitating lifestyle changes. Improvement of individual self-care skills and behaviors are an important outcome of patient education and counseling. The aim of this study was to evaluate the effectiveness of the educational program in improving self-care behavior and controlling hospital re-admission among HF patients. Methods: Quasi-experimental study design was used (pretest and post test). Forty nine participants were conveniently sampled and participated into this study during the period October to November 2013. Patient’s data was collect from the outpatient clinic of Alshaab hospital. Educational program was applied via face-to-face to improve self-care and reduce or prevent re-admission. The duration of intervention was 6-month. Questionnaire was used for the data collection. Results: The data was analyzed to evaluate the educational program on self-care behavior and prevention or reduction of hospital re-admission among heart failure patients. 55.1% of participants were illiterate; 59.3 % of illiterate participants are males and 40.7 % of them are females. Regarding physical exercise 16.3% were practicing it in the pre-test but in post-test period and follow-up, the number increased to 51%. 65.3% participants were hospitalized during the six months of the pre-test but 18.4% were hospitalized in the post-test period and follow-up. I. 12.2% of the participants were taking medications regularly in the pre-test; but only 4.2% were taking medications regularly in the post-test and follow-up. The median behavior of the total scores in the pre-test was 62, either in the post-test and the follow-up was 64. The mean knowledge of the total scores in the post-test (21.41 S.D. = 5.70) and follow-up test (23.80 S.D. = 5.42) were significantly higher than pre-test (17.14 S.D. = 6.57), (p < 0.001). The pre-test scores were significantly different from the post–test scores, at level of p<o.o5. Conclusion: Educational intervention and follow up conducted in the study for 6 months had beneficial effects on most of the self-care and knowledge assessed in participants with HF.
Description: 142 Pages
URI: http://khartoumspace.uofk.edu/handle/123456789/19941
Date: 2016-03-22


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