The Effect of Personalized Self-management Program on Self-Care and Rehospitalization of Inpatients with Heart Failure

Determination of the Effect of Personalized Self-management Program on Self-Care and Rehospitalization of Inpatients with Heart Failure

A clinical trial, randomised, with control group, with a sample size of 84 patients with heart failure

The samples will be selected by convenience sampling based on the inclusion criteria from the patients hospitalized in educational hospitals of Shahrekord; Then they will be divided into 2 groups (intervention and control) according to random allocation rule.

Inclusion criteria: Consent to participate in study, Confirmed medical diagnosis of heart failure, Ability to speak or write, Age: 18-60, Ejection fraction <55%; Exclusion criteria: Physical disability, Psycho-cognitive illness, Participation in similar training sessions, Decreased level of consciousness

Intervention group: The educational sessions will be held for a total of 60 minutes (in 3 consecutive daily sessions). The first session will be face-to-face. During the next two sessions, a personalized pamphlet, tailored to each individual, will be reviewed with the patient. All developed educational materials will be derived from each patient's questionnaire. These trainings include adhering to recommended diets based on the patient's weight, regulating activities (based on age, gender, occupation, cardiac ejection fraction, and stage of the disease), adhering to the medication regimen and learning about their side effects, controlling smoking, identifying symptoms of the disease and adhering to training. About 60 days after the patients' discharge, a review of previous training and answering the patients' questions will be provided by the researchers. Control group: patients will only receive routine care and education.

Self-Care, Readmission Risk, Readmission

This study will be conducted in two university hospitals with 84 participants. The samples will be selected from inpatients in the cardiac and internal medicine departments of educational hospitals in Shahrekord using convenience sampling. Eligible patients will be divided into two groups using the block randomization method: intervention (A) and control (B). The randomized block procedure will be performed as follows: 1) All possible block states -created with the combination of AAABBB - labeling: AAABBB, ABBABA, BABABA, etc. will be written, 2) Written blocks will be provided in sealed envelopes, 3) One of the envelope will be be selected by a neutral person, and the six-letter combination will be noted down and then placed back in the box, 4) This process will be repeated 14 times to achieve a sequence of letters from 1 to 84, 5) Numbers from 1 to 84 will be assigned to each letter (A, B), and these numbers written on sealed envelopes. 6) At the beginning of sampling, the sealed envelopes will be opened and assigned to the patients. Participants will be randomly assigned to the intervention group or the control group according to the selected letters.