However , there were no consistent relationships observed between intervention characteristics and the effects of interventions .
Most trials review ed demonstrated a beneficial impact of nursing interventions for secondary prevention in patients with CAD or heart failure .
OBJECTIVE This systematic review of recent r and omized trials was conducted to determine if cardiovascular nursing interventions improve outcomes in patients with coronary artery disease ( CAD ) and /or heart failure .
Self-care and quality of life in patients with advanced heart failure: the effect of a supportive educational intervention.
OBJECTIVE The goal of this study was to determine the effects of a supportive educational nursing intervention on self-care abilities , self-care behavior , and quality of life of patients with advanced heart failure . DESIGN The study design was an experimental , r and om assignment . SETTING The study was located at the University Hospital in Maastricht , The Netherl and s. PATIENTS The study included 179 patients ( mean age 73 years , 58 % men , New York Heart Association classification III and IV ) admitted to a university hospital with symptoms of heart failure . OUTCOME MEASURES Outcome measures included self-care abilities ( Appraisal of Self-care Agency Scale ) , self-care behavior ( Heart Failure Self-care Behavior Scale ) , 3 dimensions of quality of life ( functional capabilities , symptoms , and psychosocial adjustment to illness ) , and overall well-being ( Cantril 's ladder of life ) . INTERVENTION The intervention patients received systematic education and support by a nurse in the hospital and at home . Control patients received routine care . RESULTS Self-care abilities did not change as a result of the intervention , but the self-care behavior in the intervention group was higher than the self-care behavior in the control group during follow-up . The effect of the supportive educational intervention on quality of life was limited . The 3 dimensions of quality of life improved after hospitalization in both groups , with no differences between intervention and control group as measured at each follow-up measurement . However , there was a trend indicating differences between the 2 groups in decrease in symptom frequency and symptom distress during the 9 months of follow-up . CONCLUSION A supportive educational nursing intervention is effective in improving self-care behavior in patients with advanced ( New York Heart Association class III-IV ) heart failure ; however , a more intensive intervention is needed to show effectiveness in improving quality of life
However , there were no consistent relationships observed between intervention characteristics and the effects of interventions .
Most trials review ed demonstrated a beneficial impact of nursing interventions for secondary prevention in patients with CAD or heart failure .
OBJECTIVE This systematic review of recent r and omized trials was conducted to determine if cardiovascular nursing interventions improve outcomes in patients with coronary artery disease ( CAD ) and /or heart failure .