Date Approved

10-3-2003

Graduate Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing

Abstract

The purpose of this secondary analysis was to examine the difference in quality of life (QOL) in home-care patients with heart failure (HF) receiving nursing intervention. The specific nursing intervention of interest was supportive-education (SE), based on Orem's (1995) self-care deficit theory. The second intervention of general health teaching acted as a placebo effect. The convenience sample of randomly assigned patients with HF was from two home-care agencies. The paired t-test was used to analyze the difference in QOL within the SE group and the placebo group from baseline to six months. The independent t-test was used to compare the means of the SE group to the placebo group at baseline and at six months. Results indicated that QOL did increase from baseline to six months in the SE group. While the placebo group and the SE group were similar at baseline and differences were noted by six months, these differences were not statistically significant. Nursing intervention by SE can improve QOL in patients with HF receiving home-care.

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