The Effects of Nursing Care Based on Watson’s Theory on Self‑Care Ability in Patients with Congestive Heart Failure
Abstract
Background: Patients with Congestive Heart Failure (CHF) require continuous self‑care to manage potential complications and adverse effects of the disease. This study aims to evaluate the impact of Watson’s care model on the self‑care ability of these patients.
Materials and Methods: This clinical trial was conducted between November 2021 and July 2022 on 72 patients with CHF at a cardiovascular research hospital in Esfahan, Iran. Participants were randomly assigned to either the intervention or control group. The intervention group received care based on Watson’s theory, which included audio recordings to reduce anxiety and enhance hope, individualized sessions to improve knowledge about the disease and its complications, and a 3‑month telephone follow‑up. Both groups completed a self‑care ability questionnaire before, immediately after, and 3 months after intervention. Data were analyzed using statistical tests, including analysis of variance, Kolmogorov–Smirnov, analysis of covariance, and paired t‑test.
Results: The findings demonstrated a significant difference in the total self‑care ability scores within the intervention group before, immediately after, and 3 months following the intervention (F1,67 = 15.73, p < 0.001). Three months after the intervention, the mean self‑care ability score was 77.65 in the control group and 123.82 in the intervention group.
Conclusions: The study suggests that a care program based on Watson’s theory is an effective and cost‑efficient approach to enhancing self‑care ability in patients with CHF.
Keywords
Full Text:
PDFReferences
Mohammad HM, Farahani B, Zohour A, Panahi AS. Self care ability based on Orem’s theory in individuals with coronary artery disease. J Crit Care Nurs 2010;3:15 6.
Saeidzadeh S, Darvishpoor Kakhki A, Abed Saeedi J. Factors associated with self‐care agency in patients after percutaneous coronary intervention. J Clin Nurs 2016;25:3311 6.
Yildiz FT, Kaşikçi M. Impact of training based on Orem’s theory on self care agency and quality of life in patients with coronary artery disease. J Nurs Res 2020;28:e125.
Akyol AD, Cetinkaya Y, Bakan G, Yaralı S, Akkuş S. Self‐care agency and factors related to this agency among patients with hypertension. J Clin Nurs 2007;16:679 87.
Chen C, Chen Y, Huang Q, Yan S, Zhu J. Self care ability of patients with severe Mental disorders: Based on community patients investigation in Beijing, China. Front Public Health 2022;10:847098.
Atashpeikar S, Jalilazar T, Heidarzadeh M. Self care ability in hemodialysis patients. J Caring Sci 2012;1:31 5.
Abu Baker NN, Al Zyoud NmH, Alshraifeen A. Quality of life and self care ability among individuals with spinal cord injury. Clin Nurs Res 2021;30:883 91.
Mohammad Talebi H, Firouzkouhi M, Alimohammadi N, Azizi N, Amiri F. Pressure ulcer in diabetic older adults with Covid 19; A narrative review. J Diabetes Nurs 2021;9:1503 603.
Noohi S, Karamitanha F, Shoghli A. Self care ability of the elderly and related factors. Prev Care Nurs Mid J 2022;12:19 25.
Dalir Z, Reihani Z, Mazlom R, Vakilian F. Effect of training based on teach back method on self care in patients with heart failure. J Mazandaran Univ Med Sci 2016;25:209 20.
Hua CY, Huang Y, Su YH, Bu JY, Tao HM. Collaborative care model improves self care ability, quality of life and cardiac function of patients with chronic heart failure. Braz J Med Biol Res 2017;50:e6355.
Mesbahi H, Kermansaravi F, Kiyani F. The effect of teach back training on self care and readmission of patients with heart failure. Med Surg Nurs J 2020;9:e111465
Yoshinaga R, Tomita K, Wakayama K, Furuta S, Miyamoto K, Matsuda Y, et al. Factors related to self care behaviors among hospitalized patients with heart failure in Japan, based on the European Heart Failure Self Care Behaviour Scale. J Phys Ther Sci 2022;34:416 21.
Tangus C, Githemo G, Onsongo L. Self-care abilities of patients on maintenance hemodialysis at kenyatta national hospital renal unit, Kenya. Kenyan Journal of Nursing and Midwifery. 2022;7.
Oksel E, AkbiyIk A, Kocak G. FP32 Self care behaviour analysis of patients with chronic heart failure. Eur J Cardiovasc Nurs 2009;8 (1_suppl):S22 S22.
Watson J. Unitary caring science: Philosophy and praxis of nursing: University Press of Colorado; 2018.
Cirelli MA, Lacerda MS, Lopes CT, de Lima Lopes J, de Barros ALBL. Correlations between stress, anxiety and depression and sociodemographic and clinical characteristics among outpatients with heart failure. Archives of Psychiatric Nursing. 2018;32:235-41.
McEwan M, Wills EM. Theoretical basis for nursing: Lippincott Williams & Wilkins; 2021.
Tektaş P, Çam O. The effects of nursing care based on Watson's theory of human caring on the mental health of pregnant women after a pregnancy loss. Archives of psychiatric nursing. 2017;31:440-6.
Halakou S, Sanagoo A, Kalantari S, Jouybari L. Application Of Watson Human Care Theory On Anxiety And Frustration Of An Adolescent With Trauma And Burn Injury: An Educational Report. Education & Ethic In Nursing. 2020;9:17-25.
Moradi M, Doostkami M, Behnamfar N, Rafiemanesh H, Behzadmehr R. Global prevalence of depression among heart failure patients: a systematic review and meta-analysis. Current problems in cardiology. 2022;47:100848.
Bayuo J. Case study in caring application of Watson’s theory of human caring to end of life care in the burns intensive care unit: A case report. International Journal of Human Caring. 2017;21:142-4.
Aghaei MH, Vanaki Z, Mohammadi E. Watson’s human caring theory-based palliative care: a discussion paper. International Journal of Cancer Management. 2020;13.
Mohammad HM, Farahani B, Zohour A, Panahi AS. Self-care ability based on Orem’s theory in individuals with coronary artery disease. 2010.
Refbacks
- There are currently no refbacks.