{"title":"Tailored nurse-led education to enhance self-care for patients with heart failure and acute kidney injury","authors":"Mahmoud Al-Kalaldeh , Wael Alhameed , Safa’a Al-Olime , Mohammad Abu-Sabra , Nashi Alreshidi","doi":"10.1016/j.ijans.2024.100738","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Although the association between acute kidney injury and heart failure has recently become understood, the patient’s recognition of this relationship is still deficient. The least impact of heart failure on kidney functioning may attributed to promoted patient perception and self-care.</p></div><div><h3>Aims</h3><p>To identify the impact of heart failure nurse-led education on the perception and self-care behaviours of heart failure patients suffering from acute kidney injury.</p></div><div><h3>Methods</h3><p>A pre-test-post-test intervention design was implemented. Perception of cardio-renal disease and self-care behaviours were assessed before and after conducting a brief nurse-led educational program focusing on self-care management for heart failure and its association with renal disease using the “Visual Learners” learning model.</p></div><div><h3>Results</h3><p>A total of fifty patients completed the study. The mean age of the patients was 51.16 years, and 58.0 % were males. The pre-test assessment revealed a moderate deficit in perception and self-care behaviours. However, education improved patients’ perception (t: 3.65, df: 49, SE: 0.34, p < 0.001, CI: 0.61 − 2.19), and self-care behaviours (t: 8.66, df: 49, SE: 1.05, p < 0.001, CI: 7.02 − 11.18). Analysis of covariance suggested that the educational program explained more than 68 % of these improvements.</p></div><div><h3>Conclusion</h3><p>Providing nurse-led education on self-care behaviours for heart failure patients promoted patients’ recognition of the association of disease with the development of kidney injury.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000830/pdfft?md5=6388cc31dd39937ff2d8a0d24df699bf&pid=1-s2.0-S2214139124000830-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Africa Nursing Sciences","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214139124000830","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}
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Abstract
Background
Although the association between acute kidney injury and heart failure has recently become understood, the patient’s recognition of this relationship is still deficient. The least impact of heart failure on kidney functioning may attributed to promoted patient perception and self-care.
Aims
To identify the impact of heart failure nurse-led education on the perception and self-care behaviours of heart failure patients suffering from acute kidney injury.
Methods
A pre-test-post-test intervention design was implemented. Perception of cardio-renal disease and self-care behaviours were assessed before and after conducting a brief nurse-led educational program focusing on self-care management for heart failure and its association with renal disease using the “Visual Learners” learning model.
Results
A total of fifty patients completed the study. The mean age of the patients was 51.16 years, and 58.0 % were males. The pre-test assessment revealed a moderate deficit in perception and self-care behaviours. However, education improved patients’ perception (t: 3.65, df: 49, SE: 0.34, p < 0.001, CI: 0.61 − 2.19), and self-care behaviours (t: 8.66, df: 49, SE: 1.05, p < 0.001, CI: 7.02 − 11.18). Analysis of covariance suggested that the educational program explained more than 68 % of these improvements.
Conclusion
Providing nurse-led education on self-care behaviours for heart failure patients promoted patients’ recognition of the association of disease with the development of kidney injury.
期刊介绍：
International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
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