Contenuto dell'articolo principale
Abstract
INTRODUZIONE: Il self-care nelle persone con scompenso cardiaco è oggetto di studio di recenti teorie infermieristiche a medio e breve raggio e la sua promozione è oggi riconosciuta quale esito sensibile dell'assistenza infermieristica, realizzabile attraverso diverse strategie tra le quali l'educazione.
SCOPO: Identificare gli interventi educativi che risultano efficaci nella promozione del self- care in adulti e anziani con scompenso cardiaco, valutando metodi e strumenti educativi utiliz- zati e l'efficacia a medio-lungo termine degli stessi.
METODO: È stata condotta una revisione della letteratura partendo da studi secondari consul- tando Cochrane Library e proseguendo con la ricerca dei più recenti studi primari anche nelle banche dati scientifiche: Pubmed, Cinhal, Scopus, PsycINFO.
RISULTATI: L'incontro informativo, metodo focalizzato sull'apprendimento di tipo cognitivo, è il piuÌ€ utilizzato e ha mostrato una buona ed eterogenea efficacia nella promozione del self- care. I risultati staticamente migliori si sono ottenuti dall'integrazione di questo metodo con l'addestramento e il counselling afferenti rispettivamente all'area di apprendimento psico- motoria e psico-affettiva. A supporto degli interventi etero-diretti risultano utili strumenti di tipo informativo, di automonitoraggio e facilitanti. L'educazione risulta efficace nella promo- zione del self-care fino a 12 mesi.
CONCLUSIONI: Dalla letteratura selezionata si evince che non esiste un metodo o uno stru- mento educativo migliore, inoltre un singolo intervento non è sufficiente a promuovere il self- care. EÌ€ necessario pensare all'educazione come a un processo continuo e dinamico che preveda sessioni multiple che stimolino la partecipazione dell'assistito, trasformando l'incontro in tempo di discussione in cui ogni informazione fornita sia utile a rispondere a situazioni speci- fiche, vissute, in attivitaÌ€ e relazione.
PAROLE CHIAVE: self-care, educazione al paziente, scompenso cardiaco.
ABSTRACT
INTRODUCTION: Self-care in people with heart failure is subject of recent middle-range and short-range nursing theories and its promotion is recognized as a sensitive nursing outcome, achievable through various strategies including education.
PURPOSE: To identify educational interventions that are effective in the promotion of self-care in adults and elderly people with heart failure, evaluating educational methods and tools used and their effectiveness in the medium-long term period.
METHOD: We conducted a literature review, beginning with a search of secondary studies consulting Cochrane Library and than searching for the most recent primary studies in these scientific databases: PubMed, CINAHL, Scopus, and PsycINFO.
RESULTS: The information meeting, focused on cognitive learning method, is the most frequently used and it shows a good and heterogeneous effectiveness in the promotion of self- care. The best statically significant results were obtained from the integration of this method with patients' training and counseling, relating respectively to the psycho-motor and psycho- affective learning. In support of the hetero-directed interventions were useful informational tools, self-monitoring tools and facilitating tools. The education was effective in promoting self-care until 12 months in most of the studies.
CONCLUSIONS: The selected literature shows that is difficult to identify the best method or educational tool and that a single intervention is often not enough to promote self-care. Heal- thcare providers need to think about education as a continuous and dynamic process that includes multiple sessions and encourages the participation of the patient, turning the meeting into a discussion time where any provided is useful to answer to specific situations through activities and relationships.
KEY WORDS: Self-care, Patient education, Heart failure.
Dettagli dell'articolo
Riferimenti
- Alvaro M., Lommi M., Matarese R. (2015). L'evoluzione del concetto di cura di sé nell'assistenza sanitaria: una revisione narrativa della letteratura. Professioni Infermieristiche, 68(2), 155-166.
- Cartabellotta A., Iannone P. (2015). Linee guida per la diagnosi e il trattamento dello scompenso cardiaco acuto. Evidence, 7(2), 10-13.
- Barnason S., Zimmerman L., Young L. (2012). An integrative review of interventions promoting self-care of patients with heart failure. Journal of Clinical Nursing, 21(3-4), 448-475.
- Baker D. W., Dewalt, D. A., Schillinger D., Hawk V., Ruo B., Bibbins-Domingo K., Weinberger M., MacAbasco-O'Connell A., Grady K, L., Holmes G. M., Erman B., Broucksou K. A.,Pignone M. (2011). The effect of progressive, reinforcing telephone education and counseling versus brief educational intervention on knowledge, self-care behaviors and heart failure symptoms. Journal of cardiac failure, 17(10), 789-796.
- Boyde, M., Turner, C., Thompson, D. R., & Stewart, S. (2011). Educational interventions for patients with heart failure: a systematic review of randomized controlled trials, Journal of Cardiovascular Nursing, 26(4), E27-E35.
- Boyde M., Song S., Peters R., Turner C., Thompson D. R., Stewart, S. (2013). Pilot testing of a self-care education intervention for patients with heart failure. European Journal of Cardiovascular Nursing, 12(1), 39-46.
- Bryant R., Gaspar P. (2014). Implementation of a self-care of heart failure program among home-based clients. Geriatric Nursing, 35(3),188-193.
- Casimir, Y. E., Williams, M. M., Liang, M. Y., Pitakmongkolkul, S., & Slyer, J. T. (2014). The effectiveness of patient"centered self"care education for adults with heart failure on knowledge, self"care behaviors, quality of life, and readmissions: a systematic review. JBI Database of Systematic Reviews and Implementation Reports, 12(2), 188-262.
- Clark A. P., McDougall G., Riegel B., Joiner-Rogers G., Innerarity S., Meraviglia M., Delville C., Davila A. (2015). Health status and self-care outcomes after an education-support intervention for people with chronic heart failure. The Journal of Cardiovascular Nursing, 30 (4 0 1), S3.
- Cocchieri A., Riegel B., D'Agostino F., Rocco G., Fida R., Alvaro R., Vellone E. (2015). Describing self-care in italian adults with heart failure and identifying determinants of poor self-care. European Journal of Cardiovascular Nursing, 14(2), 126-136.
- Cockayne S., Pattenden J., Worthy G., Richardson G., Lewin R. (2014). Nurse facilitated self-management support for people with heart failure and their family carers (SEMAPHFOR): a randomised controlled trial. International Journal of Nursing Studies, 51(9),1207-1213.
- Davis K. K., Mintzer M., Dennison Himmelfarb C. R., Hayat M. J., Rotman S., Allen J. (2012). Targeted intervention improves knowledge but not self-care or readmissions in heart failure patients with mild cognitive impairment. European Journal of Heart Failure, 14(9), 1041-1049.
- Deek H., Noureddine S., Newton P. J., Inglis S. C., Al Arab G., Kabbani S., Chalak W.,Timany N., MacDonald P. S., Davidson P. M. (2015). Family focused Approach to improve Heart Failure care In Lebanon QualitY (FAMILY) Intervention: A randomized controlled trial. Da https://opus.lib.uts.edu.au/handle/10453/43423.
- Dickson V. V., Melkus G. D., Katz S., Levine-Wong A., Dillworth J., Cleland C. M., Riegel B. (2014).Building skill in heart failure self-care among community dwelling older adults: results of a pilot study. Patient Education and Counseling, 96(2)188-196.
- Dickson V. V., Chyun D., Caridi, C., Gregory J. K., Katz S. (2016). Low literacy self-care management patient education for a multi-lingual heart failure population: results of a pilot study. Applied Nursing Research, 29, 122–124.
- Dilles A., Heymans V., Martin S., Droogné W., Denhaerynck K., De Geest S.,(2011). Comparison of a computer assisted learning program to standard education tools in hospitalized heart failure patients. European Journal of Cardiovascular Nursing, 10(3), 187-193.
- Ditewig, J. B., Blok, H., Havers, J., & van Veenendaal, H. (2010). Effectiveness of self-management interventions on mortality, hospital readmissions, chronic heart failure hospitalization rate and quality of life in patients with chronic heart failure: a systematic review. Patient education and counseling, 78(3), 297-315.
- Doran D. M., (2013) Nursing outcomes: gli esiti sensibili alle cure infermieristiche, McGraw-Hill.
- Ferraresi A., Gaiani R., Manfredini M. (2004) Educazione terapeutica. Metodologia e applicazioni, Roma, Carrocci Editore.
- González B., Lupón J., Domingo M., Cano L., Cabanes R., de Antonio M., Arenas M., Crespo E., Rodriguèz M., Bayes-Genis A. (2014). Educational level and self-care behaviour in patients with heart failure before and after nurse educational intervention. European Journal of Cardiovascular Nursing, 13(5), 459-465.
- Holmes G. M., DeWalt D.A., Baker D.W., Hawk B. R. V., Broucksou K., Schillinger D., Bibbins" Domingo K., Macabasco"O'Connell A., Weinberger M., Erman B., Pignone M.E. 2011. Multi"session self"care training improves knowledge, self"efficacy and self"care behaviors for low and high"literacy patients with heart failure. Journal of general internal medicine, 26, S54-S55
- Howie-Esquivel J., Bibbins-Domingob K., Clarkc R., Evangelistad L., Kathleen Dracupa (2014). A culturally appropriate educational intervention can improve self-care in Hispanic patients with heart failure: A pilot randomized controlled trial. Cardiology Research, 5(3-4), 91-100.
- Kí¶berich S., Lohrmann C., Mittag O., Dassen T. (2015). Effects of a hospital-based education programme on self-care behaviour, care dependency and quality of life in patients with heart failure--a randomised controlled trial. Journal of Clinical Nursing, 24(12), 1643-1655.
- Lainscak M., Blue L., Clark A. L., Dahlstrí¶m U., Dickstein K., Ekman I., McDonagh T, McMurray JJ, Ryder M, Stewart S, Strí¶mberg A, Jaarsma T. (2011). Self"care management of heart failure: practical recommendations from the Patient Care Committee of the Heart Failure Association of the European Society of Cardiology. European Journal of Heart Failure, 13(2),115-126.
- Meng K., Musekamp G., Schuler M., Seekatz B., Glatz J., Karger G.,Kiwusd U., Knoglingere R., Schubmannf R., Westphalg R., Faller H. (2016). The impact of a self-management patient education program for patients with chronic heart failure undergoing inpatient cardiac rehabilitation. Patient Education and Counselling, 99(7), 1190-1197.
- Mussi C. M., Ruschel K., de Souza E. N., Lopes A. N. M., Trojahn M. M., Paraboni C. C., Rabelo E. R. (2013). Home visit improves knowledge, self-care and adhesion in heart failure: Randomized Clinical Trial HELEN-I. Revista Latino-Americana de Enfermagem, 21, 20-28.
- Navidian A, Yaghoubinia F, Ganjali A, Khoshsimaee S. (2015). The effect of self-care education on the awareness, attitude, and adherence to self-care behaviors in hospitalized patients due to heart failure with and without depression. PLoS One, 10(6): e0130973.
- Otsu, H., Moriyama M. (2011). Effectiveness of an educational self-management program for outpatients with chronic heart failure. Japan Journal of Nursing Science, 8(2), 140-152.
- Otsu, H., Moriyama M. (2012) Follow-up study for a disease management program for chronic heart failure 24 months after program commencement. Japan Journal of Nursing Science, 9(2), 136-148.
- Riegel, B., & Dickson, V. V. (2008). A situation-specific theory of heart failure self-care. Journal of cardiovascular Nursing, 23(3), 190-196.
- Riegel B., Jaarsma T., Stromberg A. (2012). A Middle range Theory of Self-Care of Chronic Illness. Advances in Nursing Science, 35(3), 194-204.
- Riegel, B., Dickson, V. V., & Faulkner, K. M. (2016). The situation-specific theory of heart failure self-care: revised and updated. Journal of Cardiovascular Nursing, 31(3), 226-235.
- Rodríguez-Gázquez M., Arredondo-Holguín E., Herrera-Cortés R. (2012). Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Revista Latino-Americana de Enfermagem, 20(2), 296-306.
- Sebern, M. D., & Woda, A. (2012). Shared care dyadic intervention: outcome patterns for heart failure care partners. Western journal of nursing research, 34(3), 289-316.
- Shao J.-H., Chang A. M., Edwards H., Shyu Y.-I. L., Chen S.-H. (2013). A randomized controlled trial of self-management programme improves health-related outcomes of older people with heart failure. Journal of Advanced Nursing, 69(11), 2458-2469.
- Stamp K. D. (2011). Self-care in women with heart failure and the effectiveness of nurse-led educational interventions: a review of the literature. Journal of Nursing and Healthcare of Chronic Illness, 3(4), 339-351.
- Veroff D. R., Sullivan L. A., Shoptaw E. J., Venator B., Ochoa-Arvelo T., Baxter J. R., Mannocchia M., Wennberg D. (2012). Improving self-care for heart failure for seniors: the impact of video and written education and decision aids. Population Health Management, 15(1), 37-45.
- World Health Organization. (2013), Global action plan for the prevention and control of noncommunicable diseases 2013-2020.
- Yancy C. W., Jessup M., Bozkurt B., Butler J., Casey D. E., Drazner M. H., Fonarow G.C., Geraci S.A, Horwich T., Januzzi J. R., Johnson M. R., Kasper E. K, Levy W. C., Masoud F.A., McBride P.E., McMurray J. V., Mitchell P.E, Peterson P. N., Riegel B., Sam F., Stevenson L. W., Tang W.W, TsaiE.J., Wilkoff B.L. (2013). 2013 ACCF/AHA guideline for the management of heart failure. Circulation, CIR-0b013e31829e8776.
- Yu D. S. F., Lee D. T. F., Stewart S., Thompson D. R., Choi K.-C., Yu C.-M. (2015). Effect of nurse-implemented transitional care for chinese individuals with chronic heart failure in Hong Kong: A randomized controlled trial. Journal of the American Geriatrics Society, 63(8), 1583-1593.
Riferimenti
Alvaro M., Lommi M., Matarese R. (2015). L'evoluzione del concetto di cura di sé nell'assistenza sanitaria: una revisione narrativa della letteratura. Professioni Infermieristiche, 68(2), 155-166.
Cartabellotta A., Iannone P. (2015). Linee guida per la diagnosi e il trattamento dello scompenso cardiaco acuto. Evidence, 7(2), 10-13.
Barnason S., Zimmerman L., Young L. (2012). An integrative review of interventions promoting self-care of patients with heart failure. Journal of Clinical Nursing, 21(3-4), 448-475.
Baker D. W., Dewalt, D. A., Schillinger D., Hawk V., Ruo B., Bibbins-Domingo K., Weinberger M., MacAbasco-O'Connell A., Grady K, L., Holmes G. M., Erman B., Broucksou K. A.,Pignone M. (2011). The effect of progressive, reinforcing telephone education and counseling versus brief educational intervention on knowledge, self-care behaviors and heart failure symptoms. Journal of cardiac failure, 17(10), 789-796.
Boyde, M., Turner, C., Thompson, D. R., & Stewart, S. (2011). Educational interventions for patients with heart failure: a systematic review of randomized controlled trials, Journal of Cardiovascular Nursing, 26(4), E27-E35.
Boyde M., Song S., Peters R., Turner C., Thompson D. R., Stewart, S. (2013). Pilot testing of a self-care education intervention for patients with heart failure. European Journal of Cardiovascular Nursing, 12(1), 39-46.
Bryant R., Gaspar P. (2014). Implementation of a self-care of heart failure program among home-based clients. Geriatric Nursing, 35(3),188-193.
Casimir, Y. E., Williams, M. M., Liang, M. Y., Pitakmongkolkul, S., & Slyer, J. T. (2014). The effectiveness of patient"centered self"care education for adults with heart failure on knowledge, self"care behaviors, quality of life, and readmissions: a systematic review. JBI Database of Systematic Reviews and Implementation Reports, 12(2), 188-262.
Clark A. P., McDougall G., Riegel B., Joiner-Rogers G., Innerarity S., Meraviglia M., Delville C., Davila A. (2015). Health status and self-care outcomes after an education-support intervention for people with chronic heart failure. The Journal of Cardiovascular Nursing, 30 (4 0 1), S3.
Cocchieri A., Riegel B., D'Agostino F., Rocco G., Fida R., Alvaro R., Vellone E. (2015). Describing self-care in italian adults with heart failure and identifying determinants of poor self-care. European Journal of Cardiovascular Nursing, 14(2), 126-136.
Cockayne S., Pattenden J., Worthy G., Richardson G., Lewin R. (2014). Nurse facilitated self-management support for people with heart failure and their family carers (SEMAPHFOR): a randomised controlled trial. International Journal of Nursing Studies, 51(9),1207-1213.
Davis K. K., Mintzer M., Dennison Himmelfarb C. R., Hayat M. J., Rotman S., Allen J. (2012). Targeted intervention improves knowledge but not self-care or readmissions in heart failure patients with mild cognitive impairment. European Journal of Heart Failure, 14(9), 1041-1049.
Deek H., Noureddine S., Newton P. J., Inglis S. C., Al Arab G., Kabbani S., Chalak W.,Timany N., MacDonald P. S., Davidson P. M. (2015). Family focused Approach to improve Heart Failure care In Lebanon QualitY (FAMILY) Intervention: A randomized controlled trial. Da https://opus.lib.uts.edu.au/handle/10453/43423.
Dickson V. V., Melkus G. D., Katz S., Levine-Wong A., Dillworth J., Cleland C. M., Riegel B. (2014).Building skill in heart failure self-care among community dwelling older adults: results of a pilot study. Patient Education and Counseling, 96(2)188-196.
Dickson V. V., Chyun D., Caridi, C., Gregory J. K., Katz S. (2016). Low literacy self-care management patient education for a multi-lingual heart failure population: results of a pilot study. Applied Nursing Research, 29, 122–124.
Dilles A., Heymans V., Martin S., Droogné W., Denhaerynck K., De Geest S.,(2011). Comparison of a computer assisted learning program to standard education tools in hospitalized heart failure patients. European Journal of Cardiovascular Nursing, 10(3), 187-193.
Ditewig, J. B., Blok, H., Havers, J., & van Veenendaal, H. (2010). Effectiveness of self-management interventions on mortality, hospital readmissions, chronic heart failure hospitalization rate and quality of life in patients with chronic heart failure: a systematic review. Patient education and counseling, 78(3), 297-315.
Doran D. M., (2013) Nursing outcomes: gli esiti sensibili alle cure infermieristiche, McGraw-Hill.
Ferraresi A., Gaiani R., Manfredini M. (2004) Educazione terapeutica. Metodologia e applicazioni, Roma, Carrocci Editore.
González B., Lupón J., Domingo M., Cano L., Cabanes R., de Antonio M., Arenas M., Crespo E., Rodriguèz M., Bayes-Genis A. (2014). Educational level and self-care behaviour in patients with heart failure before and after nurse educational intervention. European Journal of Cardiovascular Nursing, 13(5), 459-465.
Holmes G. M., DeWalt D.A., Baker D.W., Hawk B. R. V., Broucksou K., Schillinger D., Bibbins" Domingo K., Macabasco"O'Connell A., Weinberger M., Erman B., Pignone M.E. 2011. Multi"session self"care training improves knowledge, self"efficacy and self"care behaviors for low and high"literacy patients with heart failure. Journal of general internal medicine, 26, S54-S55
Howie-Esquivel J., Bibbins-Domingob K., Clarkc R., Evangelistad L., Kathleen Dracupa (2014). A culturally appropriate educational intervention can improve self-care in Hispanic patients with heart failure: A pilot randomized controlled trial. Cardiology Research, 5(3-4), 91-100.
Kí¶berich S., Lohrmann C., Mittag O., Dassen T. (2015). Effects of a hospital-based education programme on self-care behaviour, care dependency and quality of life in patients with heart failure--a randomised controlled trial. Journal of Clinical Nursing, 24(12), 1643-1655.
Lainscak M., Blue L., Clark A. L., Dahlstrí¶m U., Dickstein K., Ekman I., McDonagh T, McMurray JJ, Ryder M, Stewart S, Strí¶mberg A, Jaarsma T. (2011). Self"care management of heart failure: practical recommendations from the Patient Care Committee of the Heart Failure Association of the European Society of Cardiology. European Journal of Heart Failure, 13(2),115-126.
Meng K., Musekamp G., Schuler M., Seekatz B., Glatz J., Karger G.,Kiwusd U., Knoglingere R., Schubmannf R., Westphalg R., Faller H. (2016). The impact of a self-management patient education program for patients with chronic heart failure undergoing inpatient cardiac rehabilitation. Patient Education and Counselling, 99(7), 1190-1197.
Mussi C. M., Ruschel K., de Souza E. N., Lopes A. N. M., Trojahn M. M., Paraboni C. C., Rabelo E. R. (2013). Home visit improves knowledge, self-care and adhesion in heart failure: Randomized Clinical Trial HELEN-I. Revista Latino-Americana de Enfermagem, 21, 20-28.
Navidian A, Yaghoubinia F, Ganjali A, Khoshsimaee S. (2015). The effect of self-care education on the awareness, attitude, and adherence to self-care behaviors in hospitalized patients due to heart failure with and without depression. PLoS One, 10(6): e0130973.
Otsu, H., Moriyama M. (2011). Effectiveness of an educational self-management program for outpatients with chronic heart failure. Japan Journal of Nursing Science, 8(2), 140-152.
Otsu, H., Moriyama M. (2012) Follow-up study for a disease management program for chronic heart failure 24 months after program commencement. Japan Journal of Nursing Science, 9(2), 136-148.
Riegel, B., & Dickson, V. V. (2008). A situation-specific theory of heart failure self-care. Journal of cardiovascular Nursing, 23(3), 190-196.
Riegel B., Jaarsma T., Stromberg A. (2012). A Middle range Theory of Self-Care of Chronic Illness. Advances in Nursing Science, 35(3), 194-204.
Riegel, B., Dickson, V. V., & Faulkner, K. M. (2016). The situation-specific theory of heart failure self-care: revised and updated. Journal of Cardiovascular Nursing, 31(3), 226-235.
Rodríguez-Gázquez M., Arredondo-Holguín E., Herrera-Cortés R. (2012). Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Revista Latino-Americana de Enfermagem, 20(2), 296-306.
Sebern, M. D., & Woda, A. (2012). Shared care dyadic intervention: outcome patterns for heart failure care partners. Western journal of nursing research, 34(3), 289-316.
Shao J.-H., Chang A. M., Edwards H., Shyu Y.-I. L., Chen S.-H. (2013). A randomized controlled trial of self-management programme improves health-related outcomes of older people with heart failure. Journal of Advanced Nursing, 69(11), 2458-2469.
Stamp K. D. (2011). Self-care in women with heart failure and the effectiveness of nurse-led educational interventions: a review of the literature. Journal of Nursing and Healthcare of Chronic Illness, 3(4), 339-351.
Veroff D. R., Sullivan L. A., Shoptaw E. J., Venator B., Ochoa-Arvelo T., Baxter J. R., Mannocchia M., Wennberg D. (2012). Improving self-care for heart failure for seniors: the impact of video and written education and decision aids. Population Health Management, 15(1), 37-45.
World Health Organization. (2013), Global action plan for the prevention and control of noncommunicable diseases 2013-2020.
Yancy C. W., Jessup M., Bozkurt B., Butler J., Casey D. E., Drazner M. H., Fonarow G.C., Geraci S.A, Horwich T., Januzzi J. R., Johnson M. R., Kasper E. K, Levy W. C., Masoud F.A., McBride P.E., McMurray J. V., Mitchell P.E, Peterson P. N., Riegel B., Sam F., Stevenson L. W., Tang W.W, TsaiE.J., Wilkoff B.L. (2013). 2013 ACCF/AHA guideline for the management of heart failure. Circulation, CIR-0b013e31829e8776.
Yu D. S. F., Lee D. T. F., Stewart S., Thompson D. R., Choi K.-C., Yu C.-M. (2015). Effect of nurse-implemented transitional care for chinese individuals with chronic heart failure in Hong Kong: A randomized controlled trial. Journal of the American Geriatrics Society, 63(8), 1583-1593.