The Effects of an Educational Program for Heart Failure Prevention Using Telephone Monitoring on Symptoms and Quality of Life Among Patients with Valvular Heart Disease
Keywords:
Educational program, Telephone monitoring, Symptom severity, Quality of life, Valvular heart disease, Heart failure preventionAbstract
Patients with valvular heart disease will experience fewer symptoms of heart failure and have a higher quality of life if they learn about heart failure prevention. This experimental research design aimed to examine the effects of an educational program for heart failure prevention using telephone monitoring on symptoms and quality of life (QOL) among patients with valvular heart disease. The sample consisted of 44 patients who followed up for treatment at Mahasarakham Hospital. Table random sampling was used to assign the patients to an experimental or a control group. The research instruments included the Educational Program, the Symptom Severity Scale, and the SF-36 for measuring QOL. The reliabilities of the questionnaires were 1.00 and .88, respectively. Data were analyzed using descriptive statistics, Mann-Whitney-U test, Wilcoxon signed-rank test, t-test and paired t-test.
The results showed that after the intervention, the experimental group had statistically significantly lower perceived symptom severity scores for dyspnea on exertion and nausea than the control group (p < .05). The experimental group had statistically significantly lower symptom severity scores for dyspnea on exertion, orthopnea, foot and ankle swelling, dry cough, fatigue, nausea, dizziness, palpitation, and chest pain than before the intervention (p < .05). There was no difference in QOL scores between groups. However, the experimental group demonstrated a significantly greater change in QOL scores, compared to the control group. The experimental group also had statistically significantly higher QOL scores than before the intervention (p < .05).
The study indicates that this educational program can reduce the severity of crucial HF symptoms and improve the QOL of patients with valvular heart disease. Therefore, nurses should apply it to prevent HF in these patients.
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