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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
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Content validation of an heart failure self-care program for hospitalized patients: a modified e-Delphi study
Ivo Lopes1,2,3, Bruno Delgado4,5, Soraia Pereira1,6,7
1ICBAS - Instituto de Ciências Biomédicas Abel Salazar, University of Porto, Porto, Portugal.
European Journal of Cardiovascular Nursing
|June 27, 2025
Summary
This study validated a comprehensive self-care program for hospitalized heart failure patients. The program focuses on enhancing patient self-care skills through awareness, knowledge, and management strategies, empowering nurses for early intervention.
Area of Science:
- Cardiology
- Nursing Science
- Health Behavior
Background:
- Effective heart failure management necessitates pharmacological and non-pharmacological strategies, emphasizing patient self-care behaviors.
- Nurses are pivotal in promoting self-care during hospitalization, with early interventions improving patient outcomes.
- A lack of consensus exists regarding priority self-care aspects for hospitalized heart failure patients.
Purpose of the Study:
- To validate a tailored self-care program for hospitalized heart failure patients.
- To establish a consensus on essential objectives and interventions for a heart failure self-care program.
- To provide nurses with effective tools for promoting patient self-care during hospitalization.
Main Methods:
- A modified e-Delphi method was employed to achieve consensus among experts.
- A panel of 37 specialized rehabilitation nurses participated in two Delphi rounds.
- Consensus was reached on 23 objectives and 60 interventions for the self-care program.
Main Results:
- Consensus was achieved on 23 core objectives and 60 specific interventions.
- Two interventions related to physical exercise were excluded.
- The final validated program comprises 23 objectives and 60 interventions.
Conclusions:
- A validated, comprehensive self-care program for hospitalized heart failure patients was developed.
- Key components include awareness, engagement, hope, disease/treatment knowledge, self-care maintenance, monitoring, and management.
- The program aims to enhance nurses' ability to promote self-care and improve clinical effectiveness, with further studies planned.
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