Effect of Education Based on Learning Needs to Patient and Family Member on Self-Care Behaviors and Frequency of Rehospitalization in Patients with Heart Failure
Background and purpose: Inappropriate self-care behaviors in heart failure patients lead to Rehospitalization. One of the most effective strategies in controlling Rehospitalization and promoting self-care behaviors in these patients is to train self-care behaviors. Therefore, the aim of this study was to determine the effect of education based learning needs to patients and family on self-care behaviors and frequency of Rehospitalization in patients with heart failure.
Methods: This study is a single blinded randomized clinical trial that was conducted on 75 patients with heart failure. Samples were divided into one test group and two control groups. In test group, training was done based on learning needs using CHFPLNI and with the presence of family member. In control group (1), training was done without learning needs assessment and with the presence of family member and in control group (2), training was conducted without learning needs assessment and without the presence of family member. SCHFI questionnaire was used to assess a self-care behaviors which was completed at the beginning and at the end of the 90 days after the discharge of the samples, and Rehospitalization frequency was calculated at the end of 30, 60 and 90 days after discharge. Data analysis was done using Statistical tests .
General information
Acronym
IRCT registration information
IRCT registration number:IRCT2015020320940N1
Registration date:2015-08-11, 1394/05/20
Registration timing:retrospective
Last update:
Update count:0
Registration date
2015-08-11, 1394/05/20
Registrant information
Name
Seyedeh Fatemeh Gheiasi
Name of organization / entity
Zanjan University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 24 3377 2513
Email address
karimiv88@zums.ac.ir
Recruitment status
Recruitment complete
Funding source
Vice Chancellor for Research of Zanjan University of Medical Sciences
Expected recruitment start date
2014-05-31, 1393/03/10
Expected recruitment end date
2015-03-30, 1394/01/10
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effect of Education Based on Learning Needs to Patient and Family Member on Self-Care Behaviors and Frequency of Rehospitalization in Patients with Heart Failure
Public title
The Effect of Education to Patient and Family on Self Care and Rehospitalization
Purpose
Prevention
Inclusion/Exclusion criteria
Patients’ inclusion criteria:
Diagnosis of heart failure confirmed by a cardiologist contained in the file; left ventricular ejection fraction of 35% or less based on the results of echocardiography; at least being once hospitalized due to heart failure in the last year; being admitted to the heart department; being native; accessing to the phone; as well as having a family member over the age of 18 as an attendant; having normal IQ; accessing to daily weighing scales at home
Family member's inclusion criteria:
Having a role in patient care; having a causal or relative relationship with the patient
Patients’ exclusion criteria:
Terms of acute illness; long traveling during the study; relocation of residence; employment in the medical team; participating in another training program in conjunction with the study; suffering from mental and memory disorders and chronic and debilitating diseases such as renal failure; severe respiratory diseases recorded in their medical records
Family members’ exclusion criteria:
Employment in the treatment team; being dissatisfied with continuing participation in the study
Age
From 18 years old to 90 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
75
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Single blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee of Zanjan University of Medical Sciences
Street address
University of Medical Sciences, Azadi Sq, Zanjan, Iran
City
Zanjan
Postal code
١٣١٩١۴۵١۵۶
Approval date
2014-05-31, 1393/03/10
Ethics committee reference number
A-11-117-2
Health conditions studied
1
Description of health condition studied
Heart Failure
ICD-10 code
IX
ICD-10 code description
Diseases of The Circulatory System
Primary outcomes
1
Description
Self Care
Timepoint
First and 3 Month after Intervention
Method of measurement
Questionnaire
2
Description
Rehospitalization
Timepoint
30, 60 and 90 Days After Intervention
Method of measurement
Questionnaire
Secondary outcomes
1
Description
Family Contribution in Self Care
Timepoint
3 Months AfterIintervention
Method of measurement
Questionnaire
2
Description
Assessment of Observed Changes of Self Care Behaviors
Timepoint
3 Months After Intervention
Method of measurement
Questionnaire and Observation
Intervention groups
1
Description
In group 1, training is done based on the learning needs of patients with a family member, and learning needs of patients are extracted with the CHFPLNI questionnaire. The training program consisting of diet and medication, fluid and salt restriction, weight control and ………. is performed in three 20-15 minute sessions with 15-minute rest period, during hospitalization and face-to-face in three groups
Category
N/A
2
Description
In Group 2, training is done based on a preset training booklet without needs assessment and with the presence of a family member. The training program consisting of diet and medication, fluid and salt restriction, weight control and ………. is performed in three 20-15 minute sessions with 15-minute rest period, during hospitalization and face-to-face in three groups
Category
N/A
3
Description
in group 3, training is done based on a preset pamphlet without needs assessment and without the presence of a family member. The training program consisting of diet and medication, fluid and salt restriction, weight control and ………. is performed in three 20-15 minute sessions with 15-minute rest period, during hospitalization and face-to-face in three groups
Category
N/A
Recruitment centers
1
Recruitment center
Name of recruitment center
Ayatollah Mousavi Hospital, Zanjan
Full name of responsible person
Sayede Fatemeh Gheiasi, Ms Critical Care Nursing Student
Street address
Gavazang Road, Zanjan, Iran
City
Zanjan
2
Recruitment center
Name of recruitment center
Hazrat Valiasr Hospital
Full name of responsible person
Sayede Fatemeh Gheiasi, Ms Critical Care Nursing Student
Street address
Valiasr Sq, Zanjan, Iran
City
Zanjan
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Vice Chancellor for Research of Zanjan University of Medical Sciences
Full name of responsible person
Dr Mohamad Masood Vakili
Street address
Vice Chancellor for Research of Zanjan University of Medical Sciences, Azadi Sq, Zanjan, Iran
City
Zanjan
Grant name
00
Grant code / Reference number
00
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Vice Chancellor for Research of Zanjan University of Medical Sciences
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty
Person responsible for general inquiries
Contact
Name of organization / entity
Zanjan University of Medical Sciences
Full name of responsible person
Saiede Fatemeh Gheiasi
Position
Ms Critical Care Nursing Student
Other areas of specialty/work
Street address
Zanjan School of Nursing and Midwifery School, Parvin Etesami Sq, Zanjan, Iran
City
Zanjan
Postal code
4515789589
Phone
+98 243377251314
Fax
+98 24 3377 0305
Email
fatemeh.gheiasi@gmail.com
Web page address
www.zums.ac.ir
Person responsible for scientific inquiries
Contact
Name of organization / entity
Zanjan University of Medical Sciences
Full name of responsible person
Mahin Rohani
Position
Master of Nursing
Other areas of specialty/work
Street address
Zanjan School of Nursing and Midwifery School, Parvin Etesami Sq, Zanjan, Iran
City
Zanjan
Postal code
4515789589
Phone
+98 98243377251314
Fax
+98 24 3377 0305
Email
mahroo2050@yahoo.com
Web page address
www.zums.ac.ir
Person responsible for updating data
Contact
Name of organization / entity
Zanjan University of Medical Sciences
Full name of responsible person
Saiede Fatemeh Gheiasi
Position
Ms Critical Care Nursing Student
Other areas of specialty/work
Street address
Zanjan School of Nursing and Midwifery School, Parvin Etesami Sq, Zanjan, Iran
City
Zanjan
Postal code
4515789589
Phone
+98 243377251314
Fax
+98 24 3377 0305
Email
fatemeh.gheiasi@gmail.com
Web page address
www.zums.ac.ir
Sharing plan
Deidentified Individual Participant Data Set (IPD)