Effects of an explain-simulate-practice-communicate-support intervention on quality of life for patients with chronic heart failure: A randomized control trial

Cai-Xia Sun; Xiao-Yan Ni; Si-Jie Gui; Fei Wu; Rong-Jia Pan; Min Gui; Xiu-Hong Lei; Man-Yi Wang; Xiao-Shan Li; Gu-Qing Zeng

doi:10.1016/j.heliyon.2024.e25313

Effects of an explain-simulate-practice-communicate-support intervention on quality of life for patients with chronic heart failure: A randomized control trial

Heliyon. 2024 Feb 1;10(3):e25313. doi: 10.1016/j.heliyon.2024.e25313. eCollection 2024 Feb 15.

Authors

Cai-Xia Sun^{1

2}, Xiao-Yan Ni³, Si-Jie Gui³, Fei Wu^{1

2}, Rong-Jia Pan¹, Min Gui¹, Xiu-Hong Lei⁴, Man-Yi Wang¹, Xiao-Shan Li¹, Gu-Qing Zeng^{1

2}

Affiliations

¹ The First Affiliated Hospital, School of Nursing, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China.
² Joint Training Base for Nursing Postgraduates By University of South China and TD Care, Intelligent Nursing Research Center of Hunan Province, Hengyang, Hunan, 421001, China.
³ The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.
⁴ The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China.

Abstract

Background: Patients with New York Heart Association (NYHA) grade III chronic heart failure (CHF) present with low capacity for daily activities, severe self-perceived burden, and poor quality of life. Effective nursing interventions may reduce patients' self-perceived burden and improve their quality of life.

Objectives: To explore the effects of an explain-simulate-practice-communicate-support intervention on the self-perceived burden, cardiac function, and activities of daily living (ADL) ability in patients with New York Heart Association grade III chronic heart failure.

Methods: Of the 100 patients with New York Heart Association grade III chronic heart failure who were electronically randomized and equally divided into control and intervention groups, data from 88 patients who completed our study were analyzed. The primary outcome was quality of life; secondary outcomes were self-perceived burden, 6-min walking test distances, serum N-terminal pro-brain natriuretic peptide levels, New York Heart Association cardiac function classification, and ability to perform activities of daily living.

Results: After 12 weeks' intervention, the intervention group had significantly lower self-perceived burden, Minnesota Living with Heart Failure Questionnaire scores, N-terminal pro-brain natriuretic peptide levels, and New York Heart Association grades compared with the control group, while 6-min walking test distances, left ventricular ejection fraction, and modified Barthel Index scale scores were significantly higher than those in the control group (P > 0.05).

Conclusions: The explain-simulate-practice-communicate-support intervention improved patients' quality of life through reducing the level of self-perceived burden, and improving cardiac function and activities of daily living ability. This intervention was found to be effective for patients with New York Heart Association grade III chronic heart failure.

Keywords: Cardiac function; Chronic heart failure; ESPCS intervention; Quality of life; Self-perceived burden.