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Title: Effect of the Educational program on Compliance to treatment and Quality of life i n Patients with heart failure At Sudan heart C enter - Khartoum - Sudan
Authors: Mugahed Ali Ahmed Al - khader
Keywords: Educational program
Compliance to treatment
Quality of life
Patients with heart failure
Issue Date: 2015
Publisher: AL Neelain University
Abstract: Abstract Background and objectives The education of patients with heart failure (HF) is an essential part of disease management . HF is known t o decrease the quality of life especially in non - compliance patients with regards to medication and life style changes. Heart failure educational program known to be beneficial for HF patient’s and many of studies worldwide have proven the positive outcomes in HF patients , but not previ ously developed and tested in Sud a n situation. Hens the aim of the present study is to evaluate the effectiveness of educational program on c ompliance to treatment and quality of life among Sudanese patients with heart failure, to explore new strategies in supporting patients to be better informed and more active. Methodology A prospective, one group, pre - intervention / post - intervention quasi - experimental study design, this study was conducted from January – October 2014 on all admitted heart failure patients (132) at the Sudan heart center. Demographic and clinical data including the compliance (medication, sodium restriction, fluid restriction, daily weighing, exercise, and appointment - keeping) and quality of life using the Minnesota Living with Hea rt Failure Questionnaire were collected from all patients and the Data were analyzed using SPSS software program version21 , Frequency distribution, mean, Mc Nemar Test, Wilcoxon Signed Ranks Test and chi - square .P value of ≤ 0.05 was considered statistical ly significant. Results The result of present study revealed that proportion of overall of 132 patients’ compliance before HF educational program was (non - compliance 118 (89.3%), 14(10.65%) compliance to HF treatment), and the overall of 132 patients’ compliance post HF educational program (non - compliance 25 (18.9%), 107(81.1%) compliance to HF treatment). the high rate of compliance was found in medications 117 10 (88.6%) and follow – up appointment keeping 108 (81.8%). The highest rates of non - compliance are found in fluid restriction 7(5.3%), and exercise 16 (12.12%), and daily weighing 22 (16.6%). The present study finding show that , compared to baseline, there were statistically significant differences in QOL for HF patients participate in this study , The mean(SD) QOL of our study 78.401(22.226) pre - test , and 67.7(8.832) post - test which presented significant improvement ,The present study confirmed that there was a considerable improvement in overall t reatment compliance after the HF educational program and it is established as significant (p value =0.00). Conclusion Over all finding showed that there is low compliance that leading to poor quality of life in the majority of Sudanese patients with heart failure . The present study confirmed the important of educating and counselling program in changing the attitude of HF patients. This was obvious in the c onsiderable improvement in overall t reatment compliance following the HF educationa l program. Key words Educational program; Heart Failur e; treatment Compliance ; Quality of life; Sudan
Description: A thesis Submitted for the degree of PhD in Nursing In Medical - Surgical Nursing
Appears in Collections:Masters theses:Nursing

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