The Effect of Self-Management Training Using CD on the Quality of Life in Patients with Chronic Heart Failure

Background: Chronic heart failure (CHF) can have negative effects on the quality of life (QoL).&nbsp;Self-management education is one of the approaches that can be adopted to increase the QoL&nbsp;of these patients. This study aimed to determine the effect of self-management training using&nbsp;compact disc (CD) on the QoL in patients with CHF. Methods: This study was a non-randomized controlled clinical trial which was conducted on&nbsp;74 patients with CHF hospitalized in Shahid Rajaie Cardiovascular medical and research center&nbsp;in 2015. Research samples were selected with convenience sampling method and randomly&nbsp;assigned to intervention (training with CD) and control (conventional training) groups. To collect&nbsp;data, Iranian questionnaire to assess QoL in patients with heart failure (IHF-QoL) was completed&nbsp;in both groups before and 3 months after the intervention. Data analysis was done using statistical&nbsp;tests of the Independent t test and paired t-test using SPSS version 21. Results: According to the findings, there was no significant difference between two groups before&nbsp;the intervention with regard to QoL scores (P=0.58). Statistical tests showed that 3 months after&nbsp;the intervention, self-management education promoted QoL subscales including psychological&nbsp;status (t=-2.578, P=0.012), self-care (t=-3.633, P=0.001), as well as total QoL (t=-2.01, P=0.048)&nbsp;in patients in the intervention group as compared with the control group. Also in CD method&nbsp;group, themean scores of total QOL and its subscales before the intervention were significantly&nbsp;different from that mean scores 3 months after the intervention., i.e. their total QOL and its all&nbsp;subscales improved after intervention. (P<0.0001). Conclusion: As self-management training with CD can improve QoL in patients with CHF&nbsp;compared with conventional training method, it is suggested that this training method be considered&nbsp;as a part of patients&rsquo; self-management education by nurses with the aim of improving QoL.