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Application of Haddon strategy training on self-care behavior and disease consequences in heart failure

Seyedeh Afsaneh Hosseini1, Arezou Karampourian2, Morteza Shamsizadeh3

  • 1School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
|June 25, 2023
PubMed

Insights

The Haddon strategy significantly improved self-care behaviors and reduced disease consequences in heart failure patients. This educational approach offers a promising method for enhancing patient outcomes and quality of life.

Area of Science:

  • Cardiology
  • Public Health
  • Nursing Education

Background:

  • Heart failure significantly impacts patients' physical, physiological, social well-being, and daily activities.
  • Effective self-care behaviors and management of disease consequences are crucial for improving the quality of life for individuals with heart failure.

Purpose of the Study:

  • To evaluate the effectiveness of the Haddon strategy in teaching preventive behaviors for self-care and managing heart failure consequences.
  • To assess the impact of Haddon strategy-based education on self-care behavior and disease outcomes in heart failure patients.

Main Methods:

  • A clinical trial involving 96 heart failure patients randomly assigned to either a control or Haddon strategy education group.
  • The Haddon group received education sessions three times weekly for 60 minutes, with data collected via questionnaires and checklists at baseline, discharge, and one month post-intervention.
  • Statistical analyses included independent t-test, paired t-test, chi-square, Fisher, analysis of covariance, Friedman, and Cochran Q tests using SPSS version 23.

Main Results:

  • Patients in the Haddon group demonstrated a statistically significant increase in self-care behavior (p < 0.001).
  • A significant reduction in heart failure disease consequences was observed in the Haddon group (p < 0.05).
  • The positive effects on disease consequences in the Haddon group were sustained and showed significant improvement over a 4-week monitoring period (p < 0.001).

Conclusions:

  • The Haddon strategy is an effective educational method for enhancing self-care behavior in heart failure patients.
  • Implementing this educational approach can lead to reduced hospitalizations, fewer symptoms, and an improved quality of life for individuals with heart failure.
  • Nurses can utilize the Haddon strategy to identify and manage risk factors associated with heart disease, thereby improving patient care.
Abstract

Keywords:
Disease outcomeHaddon strategyHeart failureSelf-care

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