Date of Award
Spring 2020
Document Type
DNP Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Committee Chairperson
Dr. Cheryl Monturo
Committee Member
Dr. Cheryl Schlamb
Abstract
Abstract
This evidence-based quality improvement project was implemented to improve self-care behaviors in homebound heart failure patients. Heart failure is a complex disease with significant challenges for patients, caregivers, healthcare providers, and the healthcare system. Educating and engaging patients in self-care management skills can reduce the clinical and financial burden of this disease. Heart failure self-care management skills can decrease 30-day readmission rates, improve quality of life, and reduce mortality. The self-care management program was implemented over a 6-week period. The Self-Care of Heart Failure Index (SCHFI) was administered at baseline to assess self-care and reevaluated after 6-weeks. During the first week, participants received heart failure education with individual counseling, followed by weekly telephone calls for four weeks. After completing the self-care management program, self-care maintenance increased to 29%, self-care perception increased to 39%, self-care management increased to 26%, and self-care confidence increased to 22%. The homebound heart failure program effectively improved self-care behavior scores in heart failure patients.
Keywords: heart failure, self-care management, patient education, homebound
Recommended Citation
Warren, Dinah, "Heart Failure Self-Care At Home" (2020). West Chester University Doctoral Projects. 63.
https://digitalcommons.wcupa.edu/all_doctoral/63