Abstract
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 Models
Methods: 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 means
between 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 family
members 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 either
patients 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 family
nursing interventions.
Framework: Calgary Family Assessment and Intervention Models
Methods: 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 means
between 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 family
members 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 either
patients 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 family
nursing interventions.
| Original language | English |
|---|---|
| Publication date | 2019 |
| Publication status | Published - 2019 |
| Event | 14th International Family Nursing Conference: Social Determinants of Family Health: Expanding Family Nursing Capacity - Hyatt Regency on Capitol Hill, Washington DC, United States Duration: 13. Aug 2019 → 16. Aug 2019 |
Conference
| Conference | 14th International Family Nursing Conference |
|---|---|
| Location | Hyatt Regency on Capitol Hill |
| Country/Territory | United States |
| City | Washington DC |
| Period | 13/08/2019 → 16/08/2019 |