Date of Award

2001

Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Department

College of Nursing

Abstract

The prevalence of heart failure (HF) is increasing and patients with HF are frequently readmitted to hospitals soon after discharge, at great cost. Improving self-care and reducing hospitalizations in this group is vital. This study, based on Dorothea Orem’s ( 1995) self-care deficit theory, evaluated supportive-educative vs. placebo nursing interventions. The study results were drawn from a larger longitudinal study done by Dr. Kay Setter-Kline, Ph.D., R.N.

The study sought to determine if supportive-educative nursing interventions reduced the rehospitalization rate for patients with HF. The Self-Management Tool was utilized for data collection, after being adapted from the Chronic Disease Self-Management Study Measures Tool (Lorig et al., 1996). A significant reduction in readmissions at three months was demonstrated among the supportive-educative group.

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