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Nurse-led Care Program with Patients with Heart Failure Using Johnson's Behavioral System Model: A Randomized
Behnoush Rahmani1, Nahid Aghebati2, Habibollah Esmaily3
1MSc Student, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Nursing Science Quarterly
|July 2, 2020
Summary
A nurse-led program improved heart failure patient balance using Johnson's behavioral system model. Key subsystems showed significant positive changes, enhancing patient well-being.
Area of Science:
- Nursing
- Systems Theory
- Cardiology
Background:
- Heart failure (HF) patients exhibit systemic imbalances and numerous symptoms.
- Johnson's Behavioral System Model (JBSM) provides a framework for understanding behavioral responses to illness.
- Optimizing behavioral system balance is crucial for managing chronic conditions like HF.
Purpose of the Study:
- To evaluate the effectiveness of a nurse-led intervention based on JBSM for heart failure patients.
- To improve the balance within the behavioral subsystems of patients experiencing heart failure.
- To identify specific behavioral subsystems most responsive to nursing care in HF management.
Main Methods:
- A randomized controlled trial involving 150 heart failure patients.
- The experimental group received individualized nursing care tailored to JBSM subsystem imbalances over two weeks.
- A behavioral subsystem assessment tool was used to evaluate patient status and guide interventions.
Main Results:
- Significant improvements were observed in the restorative, ingestive, eliminative, aggressive/protective, dependency, and achievement subsystems (p < .05) in the experimental group.
- No significant differences were found in the sexual and affiliative subsystems (p > .05).
- The findings indicate targeted nursing interventions can positively impact specific behavioral domains in HF patients.
Conclusions:
- A nurse-led care program grounded in Johnson's Behavioral System Model can effectively improve behavioral system balance in heart failure patients.
- The intervention demonstrated efficacy in addressing critical behavioral subsystems, suggesting a valuable approach for holistic HF care.
- Further research may explore strategies to enhance the sexual and affiliative subsystems within this patient population.
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