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Abstract
Objective: To assess the baseline self-care knowledge of patients with chronic heart failure and evaluate the effectiveness of a health education intervention on knowledge improvement and retention.
Subjects and methods: A one-group pretest–posttest educational intervention study was conducted among 70 hospitalized patients with chronic heart failure at the Department of Cardiology, Nam Dinh General Hospital, from October 2024 to August 2025. Data were collected using a standardized questionnaire; internal consistency reliability was assessed using Cronbach’s alpha. Descriptive statistics and inferential statistics (paired t-test/chi-square test) were used as appropriate, with statistical significance set at p < 0.05.
Results: Before the intervention, patients’ self-care knowledge was limited, with a mean score of 10.98 ± 3.73 out of 22; no patient achieved a good level, 55.7% were at a fair level, 34.3% at a moderate level, and 10% at a poor level. After the health education intervention, knowledge improved markedly, with the mean score increasing to 17.35 ± 2.36 and remaining at 17.42 ± 2.03 after one month. The proportion of patients achieving a good level increased to 57.1% immediately after the intervention and 47.1% after one month; there were no poor-level cases, and only 1.4% were at a moderate level. The difference was statistically significant (p < 0.001).
Conclusion: Patients with chronic heart failure had substantial limitations in self-care knowledge. The intervention significantly improved self-care knowledge, supporting the importance of regular education to enhance self-care knowledge and thereby contribute to better quality of life and treatment outcomes in patients with chronic heart failure.
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References
Nguyen THH. Changes in self-care behaviors and quality of life among patients with chronic heart failure after a health education intervention at Quang Ninh Provincial General Hospital, 2023 [Master’s thesis in Nursing]. 2023.
Hwang B, Pelter MM, Moser DK, Dracup K. Effects of an educational intervention on heart failure knowledge, self-care behaviors, and health-related quality of life of patients with heart failure: exploring the role of depression. Patient Educ Couns. 2020;103(6):1201-1208. doi:10.1016/j.pec.2020.01.007
Koirala B, Dennison Himmelfarb CR, Budhathoki C, Davidson PM. Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: a cross-sectional observational study. Heliyon. 2020;6(2):e03412. doi:10.1016/j.heliyon.2020.e03412
Son YJ, Lee SJ, Kim SH. The role of patient activation in self-care behaviours of Korean older adults with heart failure. Nurs Open. 2023;10(8):5202-5210. doi:10.1002/nop2.1756
Minh An Nguyen, Van Manh Nguyen. Research on the self-care practice of heart failure patient at Thai Binh provincial general hospital in 2022. Vietnam Medical Journal. Vol. 531 No. 2 (2023). https://doi.org/10.51298/vmj.v531i2.7183
Vu VT, Le TL. Changes in self-care knowledge and practices among patients with heart failure treated at Hop Luc General Hospital (Thanh Hoa) in 2020 after a health education intervention [Master’s thesis in Nursing]. 2020.
Dao TP. Self-care knowledge and practices among patients with chronic heart failure after a health education intervention at Quang Ninh Provincial General Hospital, 2021 [Master’s thesis in Nursing]. 2021.
Berbiglia VA, Banfield B. Self-care deficit theory of nursing. In: Nursing Theorists and Their Work. p. 198-217.
Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. Heart disease and stroke statistics—2017 update: a report from the American Heart Association. Circulation. 2017;135(10):e146-e603. doi:10.1161/CIR.0000000000000485
Nguyen THH. Current status of self-care behaviors among older adults with heart failure receiving treatment at the Viet Nam–Cuba Friendship Hospital, Dong Hoi, Quang Binh [Master’s thesis in Nursing]. Nam Dinh: Nam Dinh University of Nursing; 2017.
Hu SS, Kong LZ, Gao RL, Zhu ML, Wang W, Wang YJ, et al. Outline of the report on cardiovascular disease in China, 2010. Biomed Environ Sci. 2012;25(3):251-256. doi:10.3967/0895-3988.2012.03.001.
Vietnamese Society of Cardiology. Recommendations on the diagnosis and treatment of heart failure, 2015 [Internet]. 2015 [cited 2017 Nov 11]. Available from: http://vnha.org.vn/cate.asp?cate_id=168
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