Effect of family nursing therapeutic conversations on health-related quality of life, self-care and depression among outpatients with heart failure: A randomized multi-centre trial

Birte Østergaard*, Romy Mahrer-Imhof, Lis Wagner, Torben Barington, Lars Videbæk, Jørgen Lauridsen

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

185 Downloads (Pure)

Abstract

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.

Original languageEnglish
JournalPatient Education and Counseling
Volume101
Issue number8
Pages (from-to)1385-1393
ISSN0738-3991
DOIs
Publication statusPublished - Aug 2018

    Fingerprint

Bibliographical note

Copyright © 2018 Elsevier B.V. All rights reserved.

Keywords

  • Family nursing therapeutic conversations
  • Heart failure
  • randomised multi-centre trial

Cite this