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Patients with heart failure in primary health care : Effects of a nurse-led intervention on health-related quality of life and depression

Mårtenson, J (författare)
Strömberg, Anna, 1967- (författare)
Linköpings universitet, Hälsouniversitetet, Linköpings universitet, Omvårdnad
Dahlström, Ulf, 1946- (författare)
Linköpings universitet, Hälsouniversitetet, Linköpings universitet, Kardiologi, Östergötlands Läns Landsting, Kardiologiska kliniken
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Karlsson, J-E (författare)
Fridlund, B (författare)
Mårtensson, Jan, (författare)
Högskolan i Jönköping, HHJ, Avd. för omvårdnad, HHJMAJA
Martensson, J (författare)
Stromberg, A (författare)
Dahlstrom, U (författare)
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Linköpings universitet Hälsouniversitetet. (creator_code:org_t)
Linköpings universitet Institutionen för medicin och vård. Omvårdnad. (creator_code:org_t)
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Linköpings universitet Institutionen för medicin och vård. Kardiologi. (creator_code:org_t)
Östergötlands Läns Landsting Hjärtcentrum. Kardiologiska kliniken. (creator_code:org_t)
Högskolan i Jönköping Hälsohögskolan. HHJ, Avd. för omvårdnad. (creator_code:org_t)
Göteborgs universitet Sahlgrenska akademin. Institutionen för samhällsmedicin, Avdelningen för allmänmedicin. 
Högskolan i Halmstad Sektionen för hälsa och samhälle (HOS). Centrum för forskning om välfärd, hälsa och idrott (CVHI). (creator_code:org_t)
Lunds universitet Medicin. Institutionen för hälsa, vård och samhälle. Avdelningen för omvårdnad. 
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2005
Engelska.
Ingår i: European Journal of Heart Failure. - 1388-9842. ; 7:3 SPEC. ISS., s. 393-403
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Aims: To determine the effects of a nurse-led intervention designed to improve self-management of patients with heart failure in a primary health care setting regarding health-related quality of life and depression. Methods: Patients at eight primary health care centres were screened by the Diagnosis Related Groups registry for the diagnosis of heart failure and eligibility for a cluster randomised study. A total of 153 patients were included (n=78 in the intervention group, 54% males, mean age 79 years, 59% in New York Heart Association class III-IV). The intervention involved patient and family education about heart failure and self-management and monthly telephone follow-up during 12 months by a primary health care nurse. Results: The effects of the nurse-led intervention were limited. Significant differences were found in the physical dimension measured by the SF-36 health survey, and in depression measured by the Zung Self-rating Depression Scale. In comparison within groups at the 3 and 12-month follow-up, the intervention group significantly maintained their health-related quality of life measured by the SF-36 health survey, and their experience of depression measured by the Zung Self-rating Depression Scale to a greater extent than in the control group, especially among women. Conclusion: A nurse-led intervention directed toward patients with heart failure in a primary health care setting resulted in limited effects between the groups, although the physical and mental status were retained during 12 months of follow-up to a greater extent than in the control group. © 2004 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Nyckelord

Medical and Health Sciences Other Medical Sciences
Medicin och hälsovetenskap Annan medicin och hälsovetenskap
MEDICINE
MEDICIN
heart failure
nurse-led intervention
follow-up
self-management
primary health care
health-related quality of life
Medical and Health Sciences Health Sciences Nursing
Medicin och hälsovetenskap Hälsovetenskaper Omvårdnad
INTERDISCIPLINARY RESEARCH AREAS Caring sciences Nursing
TVÄRVETENSKAPLIGA FORSKNINGSOMRÅDEN Vårdvetenskap Omvårdnad
Aged
Depression/*nursing
Female
Follow-Up Studies
Heart Failure; Congestive/*nursing/*psychology/therapy
Humans
Male
Medical Records
Nurse Practitioners
Nurse's Role
Primary Health Care
Quality of Life
Kardiologi
Cardiology
elderly-patients
gender-differences
controlled trial
self-care
management
perceptions
situation
diagnosis
survival
validity
Heart failure
Nurse-led intervention
Follow-up
Self-management
Primary health care
Health-related quality of life

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