تاثیر آموزش به روش بازخوردمحور بر خودمراقبتی بیماران مبتلا به نارسایی قلبی

Background and purpose: Heart failure is one of the most common chronic diseases with high mortality rate. Self-care training is effective in reducing the number of hospitalizations and improves the quality of life in these patients. However, the influence of such training was not found to be viable in previous interventions. This study was conducted to determine the effect of training based on teach back method on self-care in patients with heart failure. Materials and methods: In this clinical trial, 62 hospitalized patients with heart failure in Imam Reza and Ghaem hospitals in Mashhad (2014-2015) were randomly allocated into experimental and control groups. Subjects in the experimental group received individual self-care training for 3-4 days based on teach back method and the control group received usual self-care training. Self-care was measured using the European Heart Failure Self-Care Behaviour Scale (EHFScB Scale) before and one month after discharge. Data was analyzed using independent-samples t-test and paired t-test. Results: Before the intervention no significant difference was seen in the mean score for self-care between the two groups, but after intervention, it significantly increased in the experimental group (P<0.001). This increase was also significant compared to that of the experimental group before the intervention (P<0.001); but in the control group this difference was not significant (P = 0.138). Conclusion: Training based on teach back method was found to be more effective than usual training in promoting self-care among patients with heart failure. Therefore, it is recommended in care planning for these patients. (Clinical Trials Registry Number: IRCT2015070423053N1)