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Iranian Journal of Public Health، جلد ۵۴، شماره ۸، صفحات ۱۷۲۱-۱۷۳۰
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عنوان انگلیسی Effects of a Periodic Assessment of Heart Failure and Depressive Symptoms on Self-Care in Outpatients with Heart Failure: A Randomized Controlled Trial
چکیده انگلیسی مقاله Background: Periodic symptom assessment in outpatient settings may enhance self-care in heart failure (HF) patients, though its effects are not fully studied. This study examined the impact of periodic HF and depressive symptom assessments on self-care (maintenance, symptom perception, and management) over nine months. Methods: In this randomized controlled trial, symptom assessments were conducted in the intervention group at baseline and at three, six, and nine months in South Korea between Sep 2022 and Nov 2023. Data on self-care were collected at baseline and at nine-month follow-up. A series of two-way repeated measures analysis of variance were used to address the purpose. Results: The only variable that showed a significant difference between the intervention group (n=17, age=64.8 yr) and the control group (n=21, age=64.6 yr) from baseline to nine-month follow-up was self-care maintenance. The main effect of time on self-care maintenance was statistically significant, improving from baseline to follow-up regardless of group (F[1,36])=26.53, P<0.001). A significant group-by-time interaction (F[1,36] = 26.53, P=0.015) indicated the changes in self-care maintenance varied over time by group membership. Conclusion: A periodic assessment of HF symptoms and depressive symptoms increased self-care maintenance, but did not affect other self-care behaviors, in outpatients with HF. Clinicians may consider regular outpatient symptom assessment as a tool for educational support to enhance self-care maintenance in patients with HF.
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نویسندگان مقاله | JinShil Kim
Gachon University, College of Nursing, Incheon, South Korea


| Jisun Yang
Gachon University Gil Hospital, Incheon, South Korea


| KyungAh Cho
Gachon University, College of Nursing, Incheon, South Korea


| Sang Baek
Gachon University, College of Nursing, Incheon, South Korea


| Seongkum Heo
3. Mercer University, Georgia Baptist College of Nursing, 3001 Mercer University Drive, Atlanta, GA 30341, USA
نشانی اینترنتی https://ijph.tums.ac.ir/index.php/ijph/article/view/36893
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