Effectiveness of a nurse-led multidisciplinary self-management program for patients with coronary heart disease in communities: A randomized controlled trial |
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| Institution: | 1. Division of Cardiology, University of Florida, Gainesville, Florida;2. Preventive Medicine Research Institute, Sausalito, California, Department of Medicine, University of California, San Francisco, San Francisco, California;3. Division of Cardiology, Cleveland Medical Center and Case Western Reserve University, Cleveland, Ohio;4. Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama;5. Division of Cardiology, Montefiore Health System, Bronx, New York;6. Medical and Science Office, INTERVENT International, Savannah, GA and Centre for Exercise Science and Sports Medicine, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa;7. Division of Cardiology, Montefiore Health System, Bronx, New York;8. Geisel School of Medicine at Dartmouth, Hanover, New Hampshire;9. Division of Cardiology, Cleveland Medical Center and Case Western Reserve University, Cleveland, Ohio;10. Division of Cardiology, University of Florida, Gainesville, Florida;11. Division of Cardiology, Department of Medicine, National Jewish Health, Denver, Colorado;12. Lifespan Cardiovascular Institute, and Department of Medicine, Division of Cardiology, Brown University, Alpert Medical School, Providence, Rhode Island;1. Rosemary Bryant AO Research Centre, UniSA, Clinical and Health Sciences, University of South Australia;2. UniSA, Clinical and Health Sciences, University of South Australia;3. Clinical Pharmacology, Royal Adelaide Hospital, North Terrace, Adelaide, Australia;4. Discipline of Pharmacology, Adelaide Medical School, University of Adelaide, Royal Adelaide Hospital, North Terrace, Adelaide, Australia;5. Registry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, Australia;1. Alice Lee Centre for Nursing Studies, Yong Loo Lin, School of Medicine, National University of Singapore;2. National Heart Centre Singapore, 5 Hospital Drive, 169609, Singapore |
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| Abstract: | ObjectiveTo examine the effectiveness of a nurse-led multidisciplinary self-management program (NMSP) on self-management behaviors, self-efficacy, health-related quality of life (HRQoL) and unplanned health service utilization (HSU) among Chinese patients with coronary heart disease (CHD) in communities.MethodsA randomized controlled trial with repeated measurements was used. A convenience sample of 144 participants was recruited from a community health center in China. All participants were randomly assigned to an intervention group (n = 72) in the newly developed NMSP or a control group (n = 72) in routine care. Outcome measurement was performed at baseline, 3 months and 6 months using Coronary Artery Disease Self-Management Scale (CADSs), Self-efficacy for Chronic Disease 6-item Scale (SECD6), and Short Form-12 health survey questionnaire (SF-12).ResultsOver the six months, the two groups reported significant differences in disease medical and emotional management of CADSs, confidence in symptom and disease management of SECD6, physical and mental component summary of SF-12, as well as emergency and outpatient visits of unplanned HSU.ConclusionsThe NMSP improves self-management behaviors, self-efficacy, HRQoL and reduces unplanned HSU among CHD patients in communities.Practice implicationsThis study provides an effective approach to empower CHD patients with emphasizing on collaboration support of health professionals in communities. |
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| Keywords: | Self-management Multidisciplinary team Coronary heart disease Self-efficacy Health-related quality of life |
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