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Showing 38 results for Heart Failure

Roya Khorrami Estakhri, Masoumeh Zakeri Moghaddam,
Volume 7, Issue 3 (12-2018)
Abstract

Abstract
Aim. The aim of this study was to identify the factors affecting the outcomes in people with heart failure.
Background. Heart failure is a complex clinical syndrome. Due to functional and structural problems occurs in the heart failure and its high prevalence and associated financial burden, it is considered a public health problem. Mortality rate and serious complications from the disease are on the rise. Decreased quality of life and frequent hospitalizations are among these complications.
Method. In this review study, a comprehensive search on scientific databases and search engines such as Science Direct, Ovid, PubMed, Google Scholar, Medline was conducted with the keywords heart failure, education, health literacy education, heart failure knowledge, self care, readmission, family support and heart failure outcomes for papers published between 2003 to 2018.
Findings. Heart failure is associated with many problems and several factors affect the patient. Focusing on previous studies on factors influencing the outcomes of heart failure, we can refer to patient health literacy, self-care, heart failure knowledge and patient family support. Education of affected patients has also influenced the outcomes of the disease and frequent hospitalization of patients.
Conclusion. Patient education based on health literacy has effect on heart failure outcomes.

Sara Rezai, Shadi Dehghanzadeh, Bahman Akbari,
Volume 7, Issue 4 (3-2019)
Abstract

Aim. The aim of this study was to determine the role of resiliency and life expectancy in predicting psychological well-being of heart failure patients.
Background. Regarding the importance of psychological well-being in improving the health of patients with heart failure, examining the affective variables such as resiliency and life expectancy are of great importance.
Method. This research was a descriptive correlational study. Statistical population consisted of all of Rasht heart failure patients in 2018. 265 heart failure patients were selected using convenience sampling. The data collection instruments were Ryff's psychological well-being, Connor and Davidson’s resilience, and Snyder et al's hope. Abstract
Aim. The aim of this study was to determine the role of resiliency and life expectancy in predicting psychological well-being of people with heart failure.
Background. Regarding the importance of psychological well-being in improving the health of patients with heart failure, examining the relationship of affective variables such as resiliency and life expectancy with psychological well-being is of great importance.
Method. This research was a descriptive correlational study. Statistical population consisted of all of heart failure patients in Rasht, Iran, in 2018. In this study, 265 heart failure patients were selected using convenience sampling. The data collection instruments were the questionnaires Ryff's psychological well-being, Connor and Davidson’s resilience, and Snyder et al.’s hope. The collected data were analyzed using Pearson correlation coefficient and stepwise multiple regression.
Findings. There was a positive relationship of psychological well-being with resiliency (r=0.386) and life expectancy (r=0.396). The regression analysis showed that the meaning of life and subscales of factor thinking and spiritual influences can significantly predict 0.228 of psychological well-being in heart failure patients.
Conclusion. Regarding the determinants of psychological well-being in this research, psychological well-being and quality of nursing care in heart failure patients can be increased using interventions such as resiliency education programs and psychological treatments focusing on hope.
The collected data were analyzed using pearson correlation coefficient and stepwise multiple regression.
Findings. The results of this study revealed positive relationship between resiliency and life expectancy with psychological well-being. The regression showed that meaning of life and subscales of factor thinking and spiritual influences can predict psychological well-being of heart failure patients.
Conclusion. Regarding the determinants of resilience in this research, psychological well-being of heart failure patients can be increased using interventions such as resiliency education programs and psychological treatments focusing on hope.

Ali Hosseinzadeh, Alireza Shameli, Somayyeh Esmailian, Esmaeil Mohammadnejad,
Volume 7, Issue 4 (3-2019)
Abstract

Abstract
Aim. This study was conducted with the aim of determining the effect of peer education on outcome in people with heart failure.
Background. Heart failure is a complex clinical syndrome that is considered as a public health problem due to its chronic, progressive and irreversible nature.
Method. In this review study, a comprehensive search of scientific databases and search engines such as Science Direct, Scopus, PubMed, Google Scholar, and Medline using the keywords heart failure and peer education in both Persian and English language was done to find literature published between 2000 and 2018.
Findings. Studies about the effect of peer education on outcomes of heart failure patients in the country showed that these trainings have examined three outcomes of self-care, quality of life and self-efficacy in people with heart failure, and that this method has had a positive effect on all three components.
Conclusion. Peer education improves self-care, self-efficacy, and quality of life in people with heart failure. It is recommended to use this training program as an effective, cost-effective method without the need for specialized equipment.

Hamid Peyrovi,
Volume 7, Issue 4 (3-2019)
Abstract

Abstract
Aim. This study was conducted to investigate palliative care in people with heart failure.
Background. Heart failure as a syndrome of cardiac dysfunction has a variety of pathophysiology. Progress in knowledge related to heart failure has led to improvement in survival, but the incidence and prevalence of the syndrome is incremental. Cure of the disease is rarely possible and as a chronic disease it can significantly affect the patient, family and health care system. Providing care for patients with heart failure is a complex phenomenon and as the disease progresses to the late stages, palliative care takes a larger part of the caring.
Method. In this review study, scientific databases and search engines such as SID, Scopus, PubMed, and Web of Science were searched for to find articles published from the beginning of 2000 to 2017. The keywords used for the search included heart failure, palliative care and their Persian equivalent. Papers in Persian and English that were available on the common theme of heart failure and palliative care were reviewed.
Findings. A total of 36 English and one Persian article were reviewed. The definitions of palliative care, views on palliative care, palliative care drugs, types of palliative care providers, palliative care models, palliative care delivery to family caregivers, and the future of palliative care were the topics covered in the reviewed articles.
Conclusion. Palliative care for people with heart failure should be considered in line with the treatment plan of these patients. Special attention should be payed to development of specialty palliative care and long-term planning for primary palliative care

Mojdeh Navidhamidi, Tahmine Salehi, Hadi Ranjbar, Fatemeh Alipoor,
Volume 8, Issue 1 (3-2019)
Abstract

Abstract
Aim. This study was conducted to examine the relationship of marital satisfaction and self-care behavior in people with chronic heart failure
Background. Chronic heart failure is one of the most important problems in public health and it would impose heavy costs on society and family. Self-care plays an important role in managing heart failure and can be influenced by social support. The patients receive the highest level of social support from their families.
Method. In this descriptive study, 251 patients were selected by convenience sampling method. The instruments were Enrich marital satisfaction questionnaire, and The European Heart Failure Self-care Behavior  (EHFSCB). Collected data were analyzed in SPSS version 16 using descriptive and inferential statistics.
Findings. The results showed that 58.8 percent of participants were male, with a mean age of 59.66 years. The mean score of marital satisfaction was 145.6±41.98. Most participants (46.9 percent) had partial marital satisfaction. The mean score of self-care was 34.5±12.24 and most participants (41.2 percent) reported good self-care. There was a statistically significant negative correlation between the marital satisfaction and self-care scores.
Conclusion. Due to the positive effect of self-care behaviors on marital satisfaction and because most people with chronic heart failure have partial marital satisfaction, it is recommended to study factors influencing these components. It is suggested to support and teach patients and their families in order to improve marital satisfaction and promote self-care behaviors in these patients.

Fatemeh Mohaddes-Ardebili, Naeimeh Seyedfatemi, Fatemeh Maroofkhani, Mohammad Reza Zarei, Leila Mamashli, Mehri Bozorgnezhad,
Volume 8, Issue 1 (3-2019)
Abstract

Abstract
Aim. The aim of this study was to investigate the relationship between spiritual health and sleep quality in people with heart failure.
Background. The quality of sleep in patients with heart failure is unfavorable compared to healthy individuals. It is stated that in some societies, spirituality is related to mental health and sleep quality.
Method. In this descriptive correlational study, 207 people with heart failure, who were recruited in the study through convenience sampling method, were given demographic questionnaires, Pittsburgh sleep quality and Alison and Palutzian spiritual health questionnaires. Data were analyzed using descriptive and inferential statistics in SPSS V24.
Findings. The mean total score of sleep quality was 8.90±3.16; indicating that the sleep quality of people with heart failure was at an unfavorable level. The mean total score of spiritual health was 93.36±9.20; demonstrating that the level of spiritual health of the people with heart failure was moderately high. There was a statistically significant positive relationship between sleep quality and spiritual health (r=0.175, p=0.026).
Conclusion. People with heart failure who have higher spiritual health experience better sleep quality. It is recommended to pay attention to spiritual health as well as to the physical health of patients when planning caring programs for these people.

Somayeh Esmaeilian, Shahab Papi, Soroor Sohrabi,
Volume 8, Issue 1 (3-2019)
Abstract

Abstract
Aim. The present review study was conducted to investigate the effect of family-centered care education on outcomes of heart failure in Iranian patients.
Background. Heart failure is a complex clinical syndrome that poses a health problem due to its chronic, progressive, and irreversible nature.
Method. A comprehensive searching out scientific databases and search engines including Science Direct, Scopus, PubMed, Google Scholar, and Medline with the keywords heart failure and family-centered care education in both Persian and English language was done to find published studies between 2000 to 2020. Six articles were found based on inclusion criteria and reviewed to report their dominant findings.
Findings. Studies on the effect of family-centered care education on outcomes of heart failure in Iranian patients showed that this educational method has yield in effective results.
Conclusion. Family-centered care training improves and promotes self-care and quality of life in people with heart failure. Using this training program is recommended as an effective, cost-effective training method without the need for special equipment.

Hediyeh Mesbahi, Fatihe Kerman Saravi, Farnoosh Khojasteh,
Volume 9, Issue 1 (3-2020)
Abstract

Abstract
Aim. This study was conducted to examine the effect of teach-back training on lifestyle of people with heart failure.

Background. Lifestyle is a determining factor in the development and progression of cardiovascular disease, so the patient's adherence to therapeutic regimen (medication, diet, and physical activity) guarantees a healthy lifestyle. 

Method. This quasi-experimental study was conducted on 80 individual with heart failure who were admitted to the coronary care units (CCUs) and post coronary care units (PCCUs) of teaching hospitals affiliated to Zahedan University of Medical Sciences, Iran, in 2019. The patients were selected using the convenience sampling method and randomly placed into intervention and control groups. The tools used to collect the data included a demographic information form and Health-Promoting Lifestyle Profile II (HPLP II) questionnaire (HPLP2). The lifestyle questionnaire was completed by the participants in both groups in two stages, before and three months after the intervention. In the intervention group, lifestyle promotion training was performed individually using a teach-back method in 4 sessions, each lasting 30 to 60 minutes. Participants in control group received conventionally lifestyle promotion training. The data were analyzed using SPSS-22 software via the independent samples t-test, paired samples t-test, and chi-square test.

Findings. There was no statistically significant difference between groups in terms of demographic characteristics. Before intervention, no statistically significant difference was found between the mean score of total lifestyle, in the intervention and control group (110.82±48.93 and 103.38±37.23, respectively). (P=0.45). Three months after intervention, the mean score of total lifestyle in intervention group was significantly higher than that of control group (137.80±54.36 against 113.23±37.77) (p≤0.0001). After intervention, the mean score of domains of lifestyle in the intervention group (except for interpersonal communication domain) were significantly higher than that of control group.
Conclusion. The results of the present study showed that teach-back training promoted lifestyle and its domains (except for interpersonal communication domain) in people with heart failure. It is recommended that nurses use this training method to improve lifestyle in people with heart failure.


Roghayyeh Ghanbarpour Jouybari, Fereshteh Araghian Mojarad, Seyyed Mahmoud Samadian Kiamohaleh, Hedayat Jafari,
Volume 9, Issue 1 (3-2020)
Abstract

Abstract
Aim. The aim of this study was to review the effect of music as a non-invasive, non-pharmacological, inexpensive method with no side effects, on people with heart disease
Background. Heart disease is a common disease with considerable annual mortality. This review study investigates studies to bring a comprehensive view about the effect of music therapy on recovery of people with heart disease.
Method. This study was a narrative review in which studies in Persian and English language were searched out in databases/ search engines Magiran, SID, IranMedex, Pubmed, Scopus, and Google Scholar using the keywords music therapy, heart failure, acute coronary syndrome, hypertension, hypertension, heart surgery and open heart surgery. Inclusion criteria included articles being published in Persian or English language that examined the effect of music on recovery of people with heart disease. There was no time limit for articles under review. Exclusion criteria included articles that their full text were not accessible.
Findings. Out of 24 articles, the most of them (10 articles) examined the effect of music on hypertensive patients and on vital signs in heart patients (8 articles). The results showed that the effect of music on the recovery of heart patients included increasing the percentage of oxyhemoglobin saturation, relieving pain, reducing anxiety and depression, improving sleep quality and reducing fatigue. The music had no effect on mean arterial pressure and respiration. There were conflicting results regarding the effect of music on blood pressure and heart rate.
Conclusion. Considering the easy and cost-free application of this method, it is recommended that the health care team and especially nurses use this non-invasive method in the care of people with heart disease.

Mr Hosein Mahmoudi, Mrs Asma Shojaee,
Volume 10, Issue 1 (3-2021)
Abstract

Abstract
Aim. The purpose of this study was to explore and clarify the concept of adherence to treatment in people with heart failure.
Background. The concept of adherence to treatment, which determines the consequences of heart failure, is widely used in the literature. But this concept is very complex and needs a clear definition.
Method. In this study, the evolutionary approach of Rogers concept analysis was used. The main criteria for entry were texts published in English between 2004 and 2019. The data sources were the PubMed, Scopus, and EMBASE. A total of 73 articles were found out of which 37 articles were selected after omitting duplications, and after screening the studies based on Prism Diagram, 35 articles were studied.
Findings. After reviewing the studies, 5 words, adherence to medication, medication adherence, non-medication adherence or self-care recommendations, adherence to therapeutic guidelines, and non- adherence treatment were recognized as alternative terms, and two concepts, compliance and self-care were identified as the most important and the most common concepts related to adherence to treatment. Seven concepts were found as the features of the adherence to treatment (adaptability, being multidimensional and complex, participatory, dependent on demographic variables and underlying diseases, being conscious and dependent on education, measurable and predictive, and continuous and follow-up). Outcomes of the concept of adherence to treatment were directly related to the consequences of the concept.
Conclusion. Adherence to treatment is a complex, multidimensional, participatory, conscious, and measurable concept that depends on demographic variables that must be constantly monitored by the health care team. Adherence to treatment is evolving over time, both semantically and conceptually.

Sayed Ehsan Kazemeini, Tahereh Ranjbaripour, Atefeh Nezhadmohammad Nameghi, Sheida Sodagar, Parisa Peyvandi,
Volume 10, Issue 1 (3-2021)
Abstract

Abstract
Aim. The aim of this study was to compare the effect of mindfulness-based cognitive therapy and acceptance and commitment therapy on sleep quality and health promoting lifestyle behaviors in patients with heart failure.
Background. Consequences of heart failure create problems with sleep quality and lifestyle that affect the course of the disease. Mindfulness-based cognitive therapy and acceptance and commitment therapy are some of the potential effective interventions on those.
Method. The present study was a quasi-experimental with a pretest-posttest design and a control group with quarterly follow-up. The sample size was 45 people which were purposefully selected and then randomly assigned to two experimental groups (n=30) and one control group (n=15). Data were collected in three stages using the Sleep Quality Index Pittsburgh  of Boyce et al. (1989) and the Health-Promoting Lifestyle Questionnaire of Walker et al. (1987). Mindfulness-based cognitive therapy and acceptance and commitment therapy for experimental groups were performed and data analysis was performed in SPSS-25 software through analysis of covariance.
Findings. Both acceptance and commitment therapy and mindfulness-based cognitive therapy in post-test and follow-up (F=181.224, P≤0.0001) and (F=62.315, P≤0.0001), improved sleep quality and health-promoting lifestyle behaviors when compared to the control group. Despite the effect of both interventions, the superiority of acceptance and commitment therapy (P< 0.001) on health promoting lifestyle was found. There was no statistically significant difference between two interventions (P=0.967) in terms of improving sleep quality.
Conclusion. According to the results, both interventions were effective on sleep quality and health-promoting lifestyle behaviors, especially acceptance and commitment therapy was more effective on health-promoting lifestyle behaviors, so, in medical settings it can be used along with medical treatments for patients with heart failure.

Fateme Izadi, Yasaman Khalili, Shiva Khaleghparast, Sepide Taghavi,
Volume 11, Issue 1 (3-2022)
Abstract

Abstract
Aim. The aim of this study was to investigate the relationship of health literacy, knowledge of heart failure and social support with adherence to medical treatment in patients with heart failure.
Background. Despite significant advances in the treatment of heart failure, the prognosis in these patients is poor. Factors influencing the prognosis include comorbidities, disease severity, age and sex differences, inadequate health literacy, poor adherence to medication, poor knowledge, and poor social support.
Method. The present study was a cross-sectional descriptive correlational study that was performed on 300 patients referred to the clinic of Rajaie Cardiovascular Medical and Research Center. Sampling method was convenience. The study tools included questionnaires completed by the researcher or patient: demographic form (personal, economic and social information), Health Literacy Questionnaire, Dutch Heart Failure Knowledge Scale, Multidimensial Scale of Perceived Social Support and Morisky Medication Adherence Scale. Data were analyzed in SPSS software version 22 using descriptive and inferential statistics.
Findings. Median (interquartile range) age of the samples was 55 (41-65) years, and 172 (57.33%) were male and 128 (42.66%) were female. In this study, there was a statistically significant relationship of health literacy (P=0.029, r=0.13) and knowledge of heart failure (P=0.02, r=0.13) with adherence to medical treatment. But there was no significant correlation between social support and adherence to medical treatment.
Conclusion. The results of this study showed the relationship of health literacy and knowledge of heart failure with adherence to medical treatment. We can improve patient’s adherence to treatment by increasing the level of their knowledge related to heart failure and health literacy toward the disease

Mahin Roohani, Omid Omid Aghazadeh Godello, Mohammadreza Dinmohammadi, Asma Ghorbani, Seyede Fatemeh Gheiasi,
Volume 11, Issue 1 (3-2022)
Abstract

Abstract
Aim. This study aimed to investigate the effect of individual and group self-care training on self-care behaviors and readmission in patients with heart failure.
Background. Teaching patients with heart failure plays an important role in achieving favorable treatment outcome, management of disease complications and reduction in readmission.
Method. This semi-experimental study was conducted with a pre-test post-test design with a control group and follow-up on 75 patients with heart failure. In individual education group, educational intervention was done individually and in another experimental group, it was done in groups of 3-5 people in two sessions. In control group, routine training was delivered. Self-care behaviors were evaluated using the European Heart Failure Self-care Behavior Scale (EHFScBs) at the beginning, and 30 and 90 days after discharge. The frequency of readmission was evaluated 30, 60 and 90 days after discharge. Data analysis was done in SPSS version 21 using Chi-square and Kruskal-Wallis statistical tests.
Findings. Self-care behaviors in 30 and 90 days after the intervention showed a statistically significant difference between experimental and control groups (p=0.002 and p=0.027, respectively). Regarding the frequency of readmission, at the end of 30, 60 and 90 days after discharge, there was no statistically significant difference between groups.
Conclusion. Providing educational intervention (in individual and group forms) is recommended to improve self-care behaviors in patients with heart failure. The effect of these educational interventions on the frequency of readmission was not significant; therefore, it is suggested to conduct future studies with more samples and in a longer period of time.
 

Jasem Allahyari, Farnaz Jahantigh, Benyamin Saadatifar, Javad Jafari, Mohammad Sadegh Sargolzaei,
Volume 11, Issue 1 (3-2022)
Abstract

Abstract
Aim. This literature review was conducted to investigate determinants of readmission among Iranian people with heart failure.
Background. Heart failure (HF) as a chronic progressive syndrome may reduce the quality of life and increase their treatment costs. The rate of readmission is relatively high in these patients, presenting a major health problem.
Method. In the present literature review, the literature on the topic were searched out in databases PubMed, Google Scholar, Web of Science, ProQuest, Magiran, SID, and IranMedex. The terms heart failure, congestive heart failure, readmission, rehospitalization, and Iran were searched without time limit. Literature search and evaluating the articles were independently conducted by two researchers, and all eligible studies were included in the review process.
Findings. Out of 601 studies found in the initial search, seven articles meeting the inclusion criteria entered the final phase of the study and were reviewed. According to these studies, the readmission rate varied from 10.9 to 40 percent. Some of the important factors affecting the readmission rate in patients with heart failure included age, gender, education, job status, underlying disease, disease stage, poor adherence to the therapeutic regimen, insurance coverage status, and place of residence.
Conclusion. Based on the results of the present study, the rate of readmission was high among Iranian patients with heart failure. It is recommended to consider interventions such as educational programs to improve patients’ awareness about this condition and their adherence to self-care activities.

Sayed Ehsan Kazemeini, Tahereh Ranjbaripour, Atefeh Nezhad Mohammad Nameghi, Sheida Sodagar, Dr Parisa Peyvandi,
Volume 11, Issue 1 (3-2022)
Abstract

Abstract
Aim. This study was conducted to compare the effect of “mindfulness-based cognitive therapy” and “acceptance and commitment therapy” on fatigue and quality of life in men with heart failure.
Background. Fatigue, as one of the important symptoms and complications of heart failure, affects the quality of life of the patients, their self-care and daily task performance. Mindfulness-based cognitive therapy and acceptance and commitment therapy may have an effect on these problems.    
Method. This research was semi-experimental with a pre-test post-test design and control group within a three-month follow-up period. Forty five men with heart failure were purposefully selected and randomly allocated to two experimental groups and one control group (15 people in each group). Data were collected in three stages using the Iowa Fatigue Scale, and Minnesota Living with Heart Failure Questionnaire. Data analysis was done in SPSS-25 software with mixed analysis of variance test.
Findings. After intervention and in follow-up stages, both mindfulness-based cognitive therapy and acceptance and commitment therapy were effective on fatigue and quality of life in men with heart failure. The follow-up test showed a greater effect of acceptance and commitment therapy on quality of life and no statistically significant difference was found between the experimental groups in terms of effect on fatigue. 
Conclusion. Both interventions, especially acceptance and commitment therapy, can be used as effective interventions on fatigue and quality of life along with medical treatments for men with heart failure in medical centers.      

Mohammad Montaseri, Fatemeh Bahramnezhad,
Volume 12, Issue 1 (3-2023)
Abstract

Aim. The present study was conducted with the aim of reviewing the role of serum albumin in heart failure.
Background. Heart failure is a complex clinical syndrome that affects a large population worldwide yearly, and its mortality is even higher than that of many cancers. Although the identification of traditional risk factors has helped in primary prevention, the death rate due to this disease is still increasing. Identifying potential and modifiable risk factors that are not known yet seems necessary in this situation. Serum albumin has been known for many years as a strong prognostic biomarker in many pathological conditions. In recent years, studies have been conducted regarding the role of serum albumin in the prediction, prognosis and treatment of heart failure symptoms.
Method. This narrative study was conducted in 2023. For this purpose, the data bases, PubMed, Scopus, Web of Sciences, SID, MagIran were searched out with the keywords albumin, heart failure, diastolic failure, systolic failure, and a total of 30 articles were included in the study.
Findings. Hypoalbuminemia is a common finding in patients with heart failure, and among its main causes in heart failure are malnutrition, inflammation, lack of intestinal function, lack of kidney function, and liver disease. According to clinical and experimental evidence, hypoalbuminemia is related to fluid retention and exacerbation of pulmonary edema in these patients. Also, hypoalbuminemia can independently predict the onset of a new heart failure and can be measured as a prognostic factor of heart failure outcomes. However, there is still no evidence that directly shows the benefit of albumin injection in patients with heart failure.
Conclusion. Serum albumin can be measured as a modifiable risk factor and a prognostic factor in heart failure, but it is necessary to limit its use to cases where its effectiveness has been confirmed.

Somaye Tajaldini, Fatihe Kermansaravi,
Volume 12, Issue 1 (3-2023)
Abstract

Abstract
Aim. The present study was conducted with the aim of reviewing the effect of telenursing in the care of patients with heart failure.
Background. Heart failure is one of the most common cardiovascular diseases, which is presented as a progressive and debilitating disorder. The prevalence of this disease is increasing due to the increasing age of the population, recent advances in the treatment of myocardial infarction, congenital diseases and the decline in mortality. In Iran, approximately one percent of all people over 40 years old have heart failure. The prevalence of this disease doubles with every decade of life and reaches about 10 percent in people over 70 years old. Studies have shown that specialized disease management programs for chronic heart failure (CHF) improve survival and quality of life and reduce health care utilization. Telenursing is one of the existing models.
Method. The present study is a narrative review. The researchers searched out the databases and search engines PubMed, Scopus, Web of Science, SID, Magiran, and Google Scholar using the keywords, care, chronic heart failure, nurse, telenursing and their Persian equivalent. After checking out the title and abstract of the articles found using the Joanna Briggs Institute (JBI) tool, the researchers reviewed 10 articles in this study.
Findings. Telenursing reduces hospitalization due to heart failure, reduces mortality and improves quality of life in patients with heart failure and improves education and follow-up after discharge. It also improves disease outcomes and reduces health costs.
Conclusion. The importance of paying attention to telenursing is recommended to policy makers and decision makers in the health system. 

Dr Mahsa Boozari Pour, Miss Zohreh Shahbazi, Dr Neda Sanaie, Dr Sepide Jafari Naeinie,
Volume 12, Issue 1 (3-2023)
Abstract

Abstract
Aim. The aim of this study was to examine the effect of telemonitoring on the compliance with self-care recommendations in patients with heart failure.
Background. Patients with heart failure need to strengthen their self-care behaviors in order to cope with the problems caused by the disease. This is despite the fact that most patients have poor compliance with self-care recommendations. In recent years, telemonitoring has been considered as an effective approach to increase patients compliance with self-care recommendations.
Method. This was a quasi-experimental study with an intervention group. The desired outcome was adherence to weekly self-reporting of three subjects: vital signs, questions related to experienced symptoms related to the disease and questions related to educational content. The statistical sample consisted of 68 people with heart failure referred to the heart failure clinic of selected hospitals in Tehran, Iran, who were selected by available methods and were trained and followed up for 8 weeks through messengers and phone calls.
Findings. Out of 68 patients, 7 patients were excluded, and the data of 61 patients was analyzed and reported as percentage of frequency. This method of intervention has received very good feedback from the participants such that the average response to questions related to weekly educational content was 91.9 percent, the average weekly self-reporting of vital signs was 86.4 percent, and the average weekly response to questions related to symptoms experienced related to the disease was 93 percent.
Conclusion. The results show that telemonitoring is effective in increasing the compliance with self-care recommendations in patients with heart failure.


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فصلنامه پرستاری قلب و عروق Iranian Journal of Cardiovascular Nursing
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