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Empowering Patients with Heart Failure Through Health Coaching: A Quasi-Experimental Study.
Beatriz Paloma-Mora1, Ana María Quesada-Melero, Maddi Olano-Lizarraga
1Beatriz Paloma-Mora is an inpatient nurse director, Clínica Universidad de Navarra, and a researcher at the University of Navarra Innovation for Person-Centred Care (ICCP-UNAV), Ana María Quesada-Melero is a cardiology unit nursing supervisor, Clínica Universidad de Navarra, Maddi Olano-Lizarraga is a professor, Universidad de Navarra School of Nursing, and a researcher at the ICCP-UNAV and the Navarra Institute for Health Research (IdiSNA), Carmen Rumeu-Casares is chief nursing officer, Clínica Universidad de Navarra, and a researcher at the ICCP-UNAV, and Mónica Vázquez-Calatayud is a nurse director, Clínica Universidad de Navarra, and a professor and researcher at the ICCP-UNAV and the IdiSNA, all in Pamplona, Navarra, Spain. Funding for ongoing research was provided by the María Egea Research Chair of the Faculty of Nursing, Universidad de Navarra. Contact author: Maddi Olano-Lizarraga, molizarraga@unav.es. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Health coaching effectively empowers hospitalized patients with chronic heart failure (CHF), improving their sense of control and decision-making. This strategy enhances patient engagement and self-management for better health outcomes.
Area of Science:
- Cardiology
- Health Sciences
- Patient Empowerment
Background:
- Chronic heart failure (CHF) necessitates patient self-management and lifestyle adjustments.
- Patient empowerment is crucial for active participation in care.
- Health coaching is a key strategy to enhance patient engagement in managing CHF.
Purpose of the Study:
- Evaluate the RE-AIM elements of a health coaching program (H-Coaching).
- Assess the impact of H-Coaching on empowering hospitalized patients with CHF.
Main Methods:
- Exploratory study with 55 CHF patients in a Spanish university hospital.
- Intervention: Nurse-led H-Coaching during hospitalization and pre-discharge.
- Empowerment measured using the Patient Empowerment in Long-Term Conditions questionnaire (pre- and post-intervention).
Main Results:
- Statistically significant improvement in 'positive attitude and sense of control' (mean increase 0.58).
- Significant improvement in shared decision-making regarding understanding condition and treatment.
- No significant change in information seeking and peer sharing, though scores trended upward.
Conclusions:
- Health coaching is effective in empowering hospitalized CHF patients.
- Nurse training, supportive environment, and caregiver involvement are vital for successful implementation.
- Findings inform future interventions for hospitalized CHF patients.
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