Titre :
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The impact of a self-management patient education program for patients with chronic heart failure undergoing inpatient cardiac rehabilitation (2016)
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Titre original:
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L'impact d’un programme d'éducation du patient d'autogestion pour des patients souffrant d'insuffisance cardiaque chronique et hospitalisés en réadaptation cardiaque
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Auteurs :
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MENG K. ;
MUSEKAMP G. ;
SCHULER M. ;
ET AL.
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Type de document :
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Article : texte imprimé
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Dans :
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Patient Education and Counseling (Vol. 99 n° 7, Juillet 2016)
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Article en page(s) :
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pp.1190-1197
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Langues:
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Anglais
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Catégories :
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EDUCATION DU PATIENT
MALADIE CHRONIQUE
COEUR
MALADIE CARDIO-VASCULAIRE
INSUFFISANCE CARDIAQUE
HOSPITALISATION
GESTION DE SOI
READAPTATION
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Mots-clés:
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EDUCATION DU PATIENT
;
MALADIE CHRONIQUE
;
COEUR
;
MALADIE CARDIO-VASCULAIRE
;
INSUFFISANCE CARDIAQUE
;
HOSPITALISATION
;
EVALUATION
;
GESTION DE SOI
;
READAPTATION
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Résumé :
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Objective To evaluate a patient-centred self-management educational group program for patients with chronic systolic heart failure as compared to usual care education during inpatient cardiac rehabilitation. Methods A multicentre cluster randomized controlled trial of 475 patients was conducted. In the intervention condition, patients received the new self-management educational group program whereas in the control condition, patients received a short lecture-based educational program (usual care). The primary outcome was patients‘ self-reported self-management competence. Secondary outcomes included self-management health behaviour, health-related quality of life, and treatment satisfaction. Patients completed self-reported outcome measures at admission, discharge, and after 6 and 12 months. Results There was a significant small between-group intervention effect on certain dimension of patients’ self-management competence (self-monitoring and insight) in short term (p < 0.05). Furthermore, significant small effects were observed for treatment satisfaction at discharge as well as symptom monitoring after 6 months (p < 0.05) and by trend on symptom monitoring and physical activity after 12 months. Conclusions The patient-centred self-management program might be more effective in certain self-management outcomes than a usual care education in both short-term and long-term periods. Practice implications Therefore, such programs may be considered for dissemination within cardiac rehabilitation.
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Note de contenu :
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SCIENTIFIQUE
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