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Learning needs of patients with heart failure a descriptive, exploratory study
So-Sun Kim1, Jeong-Ah Ahn, Seok-Min Kang
1College of Nursing Researcher, the Nursing Policy Research Institute, Yonsei University, Seoul.
Insights
Korean heart failure patients report lower learning needs than Western counterparts, often relying on physicians for health decisions. This highlights a gap in patient education and disease management strategies.
Area of Science:
- Cardiology
- Patient Education
- Health Literacy
Background:
- Heart failure (HF) is a major cause of mortality in Korea.
- Effective cardiac education programs aim to reduce HF recurrence and improve quality of life.
- Current patient information needs are inadequately addressed by healthcare providers in Korea.
Purpose of the Study:
- To determine the learning needs of heart failure patients in Korea.
- To establish a foundation for developing patient-centered educational programs.
Main Methods:
- A descriptive and exploratory study was conducted.
- 121 heart failure patients (aged 19-88) were recruited.
- Data collected via self-report questionnaires including the Heart Failure Patients' Learning Needs Inventory.
Main Results:
- Occupation was the only significant factor related to learning needs.
- No disease-related characteristics correlated with learning needs.
- The average learning needs score was 3.78.
Conclusions:
- Korean heart failure patients exhibit lower learning needs and disease awareness compared to Western populations.
- Patients tend to defer health management decisions to physicians, potentially impacting clinical outcomes.
- Current Korean HF education programs lack a needs-based approach, necessitating development to empower patients and guide professionals.
Aims And Objectives:
To assess the learning needs of patients with heart failure in Korea as this information is the cornerstone for developing a programme based on patients' learning needs.
Background:
Heart failure is a life-threatening event and a significant cause of morbidity and mortality in Korea. Cardiac educational programmes are intended to prevent the recurrence of heart failure and improve patients' quality of life. However, patients' information requests have historically not been well met by physicians and nurses in Korea.
Design:
A descriptive and exploratory study was designed.
Methods:
We recruited 121 patients with heart failure between the ages of 19-88 years. Self-report questionnaires, which included general characteristics, disease-related characteristics and the Heart Failure Patients' Learning Needs Inventory patient version, were used to gather data.
Results:
The only general characteristic that was significantly related to patients' learning needs was their occupation. No disease-related characteristics were related to learning needs. The overall mean learning needs score was 3·78.
Conclusion:
Patients' learning needs in Korea are lower than those typically seen in Western countries. Korean patients with heart failure had a low level of knowledge about heart failure and did not recognise the importance of being informed about their disease, which is why Korean patients with heart failure tend to depend on their physicians to make decisions related to their health management. These conditions can negatively affect clinical outcomes.
Relevance To Clinical Practice:
Although an educational programme for patients with heart failure should be based on the patients' learning needs, heart failure management and education programmes in Korea are not currently developed using a needs-based approach. Therefore, this study will provide a basis for encouraging Korean patients to obtain information about their disease and to guide professionals in developing heart failure management and education programmes.
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