TY - JOUR
T1 - Effect of family nursing therapeutic conversations on health-related quality of life, self-care and depression among outpatients with heart failure
T2 - A randomized multi-centre trial
AU - Østergaard, Birte
AU - Mahrer-Imhof, Romy
AU - Wagner, Lis
AU - Barington, Torben
AU - Videbæk, Lars
AU - Lauridsen, Jørgen
N1 - Copyright © 2018 Elsevier B.V. All rights reserved.
PY - 2018/8
Y1 - 2018/8
N2 - Objective: To evaluate the short-term (3 months) effects of family nursing therapeutic conversations (FNTC) on health-related quality of life, self-care and depression in outpatients with Heart failure (HF). Methods: A randomised multi-centre trial was conducted in three Danish HF clinics. The control group (n = 167) received usual care, and the intervention group (n = 180) received FNTCs as supplement to usual care. Primary outcome was clinically significant changes (6 points) in Kansas City Cardiomyopathy Questionnaire (KCCQ) summary score between groups. Secondary outcomes were changes in self-care behaviour and depression scores. Data were assessed before first consultation and repeated after three months. Results: No statistically significant difference was found in the change of KCCQ, self-care and depression scores between the groups. KCCQ scores of patients in the FNTC group changed clinically significant in seven domains, compared to one domain in the control group, with the highest improvement in self-efficacy, social limitation and symptom burden. Conclusion: FNTC was not superior to standard care of patients with HF regarding health-related quality of life, self-care and depression. Implication for practice: Addressing the impact of the disease on the family, might improve self-efficacy, social limitation and symptom burden in patients with heart failure.
AB - Objective: To evaluate the short-term (3 months) effects of family nursing therapeutic conversations (FNTC) on health-related quality of life, self-care and depression in outpatients with Heart failure (HF). Methods: A randomised multi-centre trial was conducted in three Danish HF clinics. The control group (n = 167) received usual care, and the intervention group (n = 180) received FNTCs as supplement to usual care. Primary outcome was clinically significant changes (6 points) in Kansas City Cardiomyopathy Questionnaire (KCCQ) summary score between groups. Secondary outcomes were changes in self-care behaviour and depression scores. Data were assessed before first consultation and repeated after three months. Results: No statistically significant difference was found in the change of KCCQ, self-care and depression scores between the groups. KCCQ scores of patients in the FNTC group changed clinically significant in seven domains, compared to one domain in the control group, with the highest improvement in self-efficacy, social limitation and symptom burden. Conclusion: FNTC was not superior to standard care of patients with HF regarding health-related quality of life, self-care and depression. Implication for practice: Addressing the impact of the disease on the family, might improve self-efficacy, social limitation and symptom burden in patients with heart failure.
KW - Family nursing therapeutic conversations
KW - Heart failure
KW - randomised multi-centre trial
U2 - 10.1016/j.pec.2018.03.006
DO - 10.1016/j.pec.2018.03.006
M3 - Journal article
C2 - 29567335
AN - SCOPUS:85044130638
SN - 0738-3991
VL - 101
SP - 1385
EP - 1393
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 8
ER -