Protocol to Test the Effectiveness of Individual Planned Nursing Rehabilitation on Self-care Behavior and Hs in Patients with Heart Failure - a Quasi-experimental Study

Patients with heart failure are living with a serious progressive disease and need long-term rehabilitation and care in hospital as well as in primary and community care settings. The elements of the non-pharmacological rehabilitation are based on recommendations from the European Society of Cardiology and focus on self-care and compliance with the recommendations in general. Most research is done in hospital settings and therefore the knowledge of rehabilitation in the rural setting is limited. The aim of the planned study therefore is to test a protocol for rehabilitation of patients after completing rehabilitation in the outpatient clinic. The protocol is based on the principles of Evidence Based Health Care and will test the effect of systematic involvement of patients in their rehabilitation in their own home by stimulating increased self-care. Outcomes of the Interventions will be functional level, health status and self-care ability. Design: The study is designed as a controlled longitudinal study with an intervention and control group, including 144 patients. Based on the findings of our literature review, this is the first study that focuses on the relationship between the individualized needs of the patient's knowledge and the impact on individuals' self-care behavior as the basis for rehabilitation after heart failure.