Document Detail


Pilot testing of a medication self-management transition intervention for heart failure patients.
MedLine Citation:
PMID:  20702679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This pilot study examined the impact of a hospital transition intervention for older adults (≥ 65 years of age) with heart failure (HF) to promote medication use self-management. Forty subjects, hospitalized with either primary or secondary HF, had a mean age of 76.9 ± 6.5 years; 65% were males. The majority of subjects (55%) had NYHA Class III HF. A prospective, repeated measures experimental design was used. Baseline and follow-up data (1- and 3-months after hospitalization) were obtained using the Medication Regimen Complexity Index, Brief Medication Questionnaire, Drug Regiment Unassisted Grading Scale, and Kansas City Cardiomyopathy Questionnaire. Using repeated measures analysis of covariance (ANCOVA), with baseline measures as covariates, the transition intervention group had higher levels of medication adherence (F(1,35) = 13.4, p < .001), self-efficacy for HF self-care (F(1,35) = 17.9, p < .001) and had significantly fewer HF related symptoms that impaired health related quality of life (F(1,35) = 9.1, p = .006).
Authors:
Susan Barnason; Lani Zimmerman; Melody Hertzog; Paula Schulz
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Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-08-11
Journal Detail:
Title:  Western journal of nursing research     Volume:  32     ISSN:  1552-8456     ISO Abbreviation:  West J Nurs Res     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-09-30     Completed Date:  2011-01-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7905435     Medline TA:  West J Nurs Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  849-70     Citation Subset:  IM; N    
Affiliation:
University of Nebraska Medical Center, College of Nursing-Lincoln Division, Lincoln, NE 68588-0220, USA. sbarnaso@unmc.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Continuity of Patient Care*
Female
Follow-Up Studies
Heart Failure / drug therapy*,  nursing*
Humans
Male
Patient Discharge*
Pilot Projects
Self Administration / methods*
Self Efficacy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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