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Related Concept Videos

Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

478
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
478
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

659
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
659
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

511
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
511
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

591
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
591
Mitral Regurgitation IV: Nursing Management01:28

Mitral Regurgitation IV: Nursing Management

485
Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
485
Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

442
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
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Related Experiment Video

Updated: Mar 19, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Evaluating a Web-Based Self-Management Intervention in Heart Failure Patients: A Pilot Study.

Nazli Bashi1, Carol Windsor, Clint Douglas

  • 1School of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, Australia. nazli.bashi@csiro.au.

JMIR Research Protocols
|June 22, 2016
PubMed
Summary

This study explored a web-based intervention for heart failure (HF) self-care. Results showed minimal improvements in HF knowledge, self-care, and self-efficacy, indicating a need for enhanced digital tools.

Keywords:
heart failureknowledgepatient educationself-careself-efficacyself-managementweb-based intervention

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Area of Science:

  • Digital Health
  • Cardiovascular Medicine
  • Patient Self-Management

Background:

  • Web-based interventions show promise for chronic disease self-care.
  • Feasibility of such tools for heart failure (HF) patients is not well understood.

Purpose of the Study:

  • To develop and pilot a web-based self-care intervention for heart failure (HF) patients.
  • To assess the feasibility and initial impact of the intervention.

Main Methods:

  • A randomized controlled trial pilot study was conducted.
  • 28 participants with HF completed baseline and 1-month follow-up assessments.
  • Measures included HF knowledge, self-care, and self-efficacy.

Main Results:

  • Small effect sizes were observed for changes in HF knowledge (d=0.06), self-care (d=0.32), and self-efficacy (d=0.37).
  • Participant engagement was suboptimal, with 50% accessing the site daily and 28% having no access record despite reminders.

Conclusions:

  • The developed web-based intervention showed limited effectiveness.
  • Future research requires larger trials with improved educational tools and focus on self-efficacy sources.