Does Patient-Centered Educational Intervention Affect Clinical Outcome of Egyptian Patients with Heart Failure? | ||||
| The Egyptian Journal of Community Medicine | ||||
| Articles in Press, Accepted Manuscript, Available Online from 17 March 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejcm.2025.350259.1355 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Amany Mohammed AbdAllah   1; Nearmeen Rashad2; Randa Said1; Islam Elsayed Shehata 3; Lamiaa Lotfy Elhawy 4; Esraa Ibrahim Khalil1; Mahmoud Ahmed Sharafeddin2
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| 1Family Medicine department, Faculty of Medicine, Zagazig University, Egypt | ||||
| 2Internal Medicine department, Faculty of Medicine, Zagazig University | ||||
| 3Cardiology department, Faculty of Medicine, Zagazig university | ||||
| 4Public Health And Community Medicine, Faculty Of Medicine, Zagazig University | ||||
| Abstract | ||||
| Background: Patient-centered education helps patients understand their problem and reach shared decisions on self-monitoring and management. The objective was to evaluate the effect of patient-centered education on self-care behavior, symptoms severity and need for hospitalization. Methods: A quasi-interventional study was done among patients attending the outpatient clinic, Zagazig University hospital. Patients were alternatively allocated to the intervention or control groups. Intervention group received patient-centered care while control group received classic consultations. Patients at pre- and post-intervention phases underwent assessment of self-care behavior using self-care of HF index (SCHFI) and New York Heart Association (NYHA) class. Hospital admission data were collected from the hospital electronic medical records. Results: A total of 95 patients were included; 49 intervention and 46 control patients. The average age was 53.6±12.8 years in the intervention patients (51% females) and 53.2±15.3 years in the control patients (69.6% females). Pre-intervention scores of SCHFI domains did not significantly differ between intervention and control groups. Post-intervention adequacy of self-care behavior among the control group did not significantly change. For the post-intervention adequacy in the intervention group, 40.8% achieved adequacy in self-care maintenance behavior, 59.2% adequately practiced self-care management, and 91.8% had adequate self-care confidence behavior. About 41% showed improvement in NYHA class vs 15.2% of control group (P=0.005). At 9-month, 4.1% of the intervention group were admitted more than one time vs 23.9% of control group (P=0.01). Conclusions: Patient-centered approach can effectively enable patients with HF to adopt adequate self-care behavior and to have a favorable clinical outcome. | ||||
| Keywords | ||||
| Quasi-interventional study; Self-care of HF index; New York Heart Association class; Egypt; patient-centered | ||||
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