Evaluation of the effect of nursing intervention on perceived social support of patients with heart failure
Keywords:
Education, Heart Failure, Nursing Intervention Social Support, Telephone Follow-upAbstract
The aim of the present study was to evaluate the effect of a dual nursing intervention, with an educational approach at the discharge of patients with HF and subsequent structured telephone follow-up, on perceived SS and its effect on the rate of readmissions, the total number of days of hospitalization and mortality. Material - Method: This is a RCT with an intervention and control group, which was carried out at the Cardiology Clinic of the General Hospital of Serres. A total of 186 hospitalized patients with HF (NYHA I-IV), who met the admission criteria and were scheduled for discharge, were randomized. The assessment of perceived SS was carried out using the Multidimensional Scale of Perceived Social Support (MSPSS). T Results: From the correlation of the level of perceived SS with the number of readmissions, the total number of days of hospitalization and the outcome of death, it was found that the total perceived SS and support from Friends, were associated with the lowest number of readmissions, in all time periods (1st year, Friends, p=0.033, total SS, p=0.019). Also, support from Friends was found to be associated with the total number of days of hospitalization (3-5 days), (1st year, Friends, p=0.001).
Downloads
References
AbuRuz, M. E., Alaloul, F., Saifan, A., Masa’Deh, R., & Abusalem, S. (2015). Quality of life for Saudi patients with heart failure: a cross-sectional correlational study. Global journal of health science, 8(3), 49.
Aggelopoulou, Z., Fotos, N. V., Chatziefstratiou, A. A., Giakoumidakis, K., Elefsiniotis, I., & Brokalaki, H. (2017). The level of anxiety, depression and quality of life among patients with heart failure in Greece. Applied Nursing Research, 34, 52-56. https://doi.org/10.1016/j.apnr.2017.01.003
Allemann, H., Strömberg, A., & Thylén, I. (2018). Perceived social support in persons with heart failure living with an implantable cardioverter defibrillator: a cross-sectional explorative study. Journal of Cardiovascular Nursing, 33(6), E1-E8.
Audi, G., Korologou, A., Koutelekos, I., Vasilopoulos, G., Karakostas, K., Makrygianaki, K., & Polikandrioti, M. (2017). Factors affecting health related quality of life in hospitalized patients with heart failure. Cardiology research and practice, 2017(1), 4690458.
Baert, A., De Smedt, D., De Sutter, J., De Bacquer, D., Puddu, P. E., Clays, E., & Pardaens, S. (2018). Factors associated with health-related quality of life in stable ambulatory congestive heart failure patients: Systematic review. European journal of preventive cardiology, 25(5), 472-481.
Barutcu, C. D., & Mert, H. (2013). The relationship between social support and quality of life in patients with heart failure. JPMA. The Journal of the Pakistan Medical Association, 63(4), 463-467.
Bélanger, E., Ahmed, T., Vafaei, A., Curcio, C. L., Phillips, S. P., & Zunzunegui, M. V. (2016). Sources of social support associated with health and quality of life: a cross-sectional study among Canadian and Latin American older adults. BMJ open, 6(6), e011503.
Browder, S. E., & Rosamond, W. D. (2023). Preventing heart failure readmission in patients with low socioeconomic position. Current cardiology reports, 25(11), 1535-1542.
Buck, H. G., Stromberg, A., Chung, M. L., Donovan, K. A., Harkness, K., Howard, A. M., ... & Evangelista, L. S. (2018). A systematic review of heart failure dyadic self-care interventions focusing on intervention components, contexts, and outcomes. International journal of nursing studies, 77, 232-242. https://doi.org/10.1016/j.ijnurstu.2017.10.007
Bui, A. L., Horwich, T. B., & Fonarow, G. C. (2011). Epidemiology and risk profile of heart failure. Nature reviews cardiology, 8(1), 30-41.
Carlson, B., Pozehl, B., Hertzog, M., Zimmerman, L., & Riegel, B. (2013). Predictors of overall perceived health in patients with heart failure. Journal of Cardiovascular Nursing, 28(3), 206-215.
Cesaroni, G., Mureddu, G. F., Agabiti, N., Mayer, F., Stafoggia, M., Forastiere, F., ... & Boccanelli, A. (2021). Sex differences in factors associated with heart failure and diastolic left ventricular dysfunction: a cross-sectional population-based study. BMC Public Health, 21(1), 415.
Chamberlin, T., Thompson, V., Hillers‐Ziemer, L. E., Walton, B. N., & Arendt, L. M. (2020). Obesity reduces mammary epithelial cell TGFβ1 activity through macrophage‐mediated extracellular matrix remodeling. The FASEB Journal, 34(6), 8611-8624.
Chamberlain, L. (2017). Perceived social support and self-care in patients hospitalized with heart failure. European Journal of Cardiovascular Nursing, 16(8), 753-761.
Marques, C. R. D. G., de Menezes, A. F., Ferrari, Y. A. C., Oliveira, A. S., Tavares, A. C. M., Barreto, A. S., ... & Santana-Santos, E. (2022). Educational nursing intervention in reducing hospital readmission and the mortality of patients with heart failure: a systematic review and meta-analysis. Journal of cardiovascular development and disease, 9(12), 420.
De Vecchis, R., Manginas, A., Noutsias, E., Tschöpe, C., & Noutsias, M. (2017). Comorbidity “depression” in heart failure—Potential target of patient education and self-management. BMC cardiovascular disorders, 17(1), 48.
Deek, H., Noureddine, S., Allam, D., Newton, P. J., & Davidson, P. M. (2021). A single educational intervention on heart failure self-care: extended follow-up from a multisite randomized controlled trial. European Journal of Cardiovascular Nursing, 20(3), 212-219.
Dinatolo, E., Sciatti, E., Anker, M. S., Lombardi, C., Dasseni, N., & Metra, M. (2018). Updates in heart failure: what last year brought to us. ESC heart failure, 5(6), 989.
Enard, K. R., Coleman, A. M., Yakubu, R. A., Butcher, B. C., Tao, D., & Hauptman, P. J. (2023). Influence of social determinants of health on heart failure outcomes: a systematic review. Journal of the American Heart Association, 12(3), e026590.
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods, 39(2), 175-191.
Freak-Poli, R., Hu, J., Phyo, A. Z. Z., & Barker, S. F. (2023). Social isolation and social support influence health service utilisation and survival after a cardiovascular disease event: a systematic review. International Journal of Environmental Research and Public Health, 20(6), 4853.
Fry, M., McLachlan, S., Purdy, S., Sanders, T., Kadam, U. T., & Chew-Graham, C. A. (2016). The implications of living with heart failure; the impact on everyday life, family support, co-morbidities and access to healthcare: a secondary qualitative analysis. BMC family practice, 17(1), 139.
Fuertes, J. N., Mislowack, A., Bennett, J., Paul, L., Gilbert, T. C., Fontan, G., & Boylan, L. S. (2007). The physician–patient working alliance. Patient education and counseling, 66(1), 29-36. https://doi.org/10.1016/j.pec.2006.09.013
Gabet, A., Juillière, Y., Lamarche‐Vadel, A., Vernay, M., & Olié, V. (2015). National trends in rate of patients hospitalized for heart failure and heart failure mortality in France, 2000–2012. European journal of heart failure, 17(6), 583-590.
Gardiner, F. W., Gale, L., Foreman, R., Potter, J., & Laverty, M. (2019). Cardiovascular disease prevention and rehabilitation in rural and remote populations. Royal Flying Doctor Service https://www. flyingdoctor. org. au/what-we-do/research/. Published.
Cené, C. W., Haymore, L. B., Dolan-Soto, D., Lin, F. C., Pignone, M., DeWalt, D. A., ... & Corbie-Smith, G. (2013). Self-care confidence mediates the relationship between perceived social support and self-care maintenance in adults with heart failure. Journal of cardiac failure, 19(3), 202-210. https://doi.org/10.1016/j.cardfail.2013.01.009
Graven, L. J., & Grant, J. (2013). The impact of social support on depressive symptoms in individuals with heart failure: update and review. Journal of Cardiovascular Nursing, 28(5), 429-443.
Gronewold, J., Engels, M., Van De Velde, S., Cudjoe, T. K. M., Duman, E. E., Jokisch, M., ... & Hermann, D. M. (2021). Effects of life events and social isolation on stroke and coronary heart disease. Stroke, 52(2), 735-747.
Gorji, M. H., Fatahian, A., & Farsavian, A. (2019). The impact of perceived and objective social isolation on hospital readmission in patients with heart failure: a systematic review and meta-analysis of observational studies. General Hospital Psychiatry, 60, 27-36. https://doi.org/10.1016/j.genhosppsych.2019.07.002
Heo, S., Moser, D. K., Chung, M. L., & Lennie, T. A. (2012). Social status, health-related quality of life, and event-free survival in patients with heart failure. European Journal of Cardiovascular Nursing, 11(2), 141-149.
Khaledi, G.H., Eslami, A.A., Afza, H.R., Mostafavi, F., Hassanzadth, A., Mahboudi, M. (2014). Social Support and Self-care Behaviour among Heart Failure: Ιs there any Relationship? Journal of Biology and Today’s World, 3(9):194-197.
Klindtworth, K., Oster, P., Hager, K., Krause, O., Bleidorn, J., & Schneider, N. (2015). Living with and dying from advanced heart failure: understanding the needs of older patients at the end of life. BMC geriatrics, 15(1), 125.
Lahoz, R., Fagan, A., McSharry, M., Proudfoot, C., Corda, S., & Studer, R. (2020). Recurrent heart failure hospitalizations are associated with increased cardiovascular mortality in patients with heart failure in Clinical Practice Research Datalink. ESC heart failure, 7(4), 1688-1699.
Li, F., Luo, S., Mu, W., Li, Y., Ye, L., Zheng, X., ... & Chen, X. (2021). Effects of sources of social support and resilience on the mental health of different age groups during the COVID-19 pandemic. BMC psychiatry, 21(1), 16.
Li, M., Li, Y., Meng, Q., Li, Y., Tian, X., Liu, R., & Fang, J. (2021). Effects of nurse-led transitional care interventions for patients with heart failure on healthcare utilization: A meta-analysis of randomized controlled trials. PloS one, 16(12), e0261300.
Lin, T. K., Hsu, B. C., Li, Y. D., Chen, C. H., Lin, J. W., Chien, C. Y., & Weng, C. Y. (2022). The impact of sources of perceived social support on readmissions in patients with heart failure. Journal of Psychosomatic Research, 154, 110723. https://doi.org/10.1016/j.jpsychores.2022.110723
Manemann, S. M., Chamberlain, A. M., Roger, V. L., Griffin, J. M., Boyd, C. M., Cudjoe, T. K., ... & Finney Rutten, L. J. (2018). Perceived social isolation and outcomes in patients with heart failure. Journal of the American Heart Association, 7(11), e008069.
McDonagh, T. A., Metra, M., Adamo, M., Gardner, R. S., Baumbach, A., Böhm, M., ... & Kathrine Skibelund, A. (2021). ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) With the special contribution of the Heart Failure Association (HFA) of the ESC. European heart journal, 42(36), 3599-3726.
McMurray, B., Horst, J. S., & Samuelson, L. K. (2012). Word learning emerges from the interaction of online referent selection and slow associative learning. Psychological review, 119(4), 831.
Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., ... & Turner, M. B. (2016). Heart disease and stroke statistics—2016 update: a report from the American Heart Association. circulation, 133(4), e38-e360.
Negarandeh, R., Zolfaghari, M., Bashi, N., & Kiarsi, M. (2019). Evaluating the effect of monitoring through telephone (tele-monitoring) on self-care behaviors and readmission of patients with heart failure after discharge. Applied clinical informatics, 10(02), 261-268.
Nicholson, C. (2014). Chronic heart failure: pathophysiology, diagnosis and treatment. Nursing older people, 26(7).
Noori, A., Shokoohi, M., Baneshi, M. R., Naderi, N., Bakhshandeh, H., & Haghdoost, A. A. (2014). Impact of socio-economic status on the hospital readmission of Congestive Heart Failure patients: a prospective cohort study. International journal of health policy and management, 3(5), 251.
Obiegło, M., Uchmanowicz, I., Wleklik, M., Jankowska-Polańska, B., & Kuśmierz, M. (2016). The effect of acceptance of illness on the quality of life in patients with chronic heart failure. European journal of cardiovascular nursing, 15(4), 241-247.
Olano‐Lizarraga, M., Wallström, S., Martín‐Martín, J., & Wolf, A. (2022). Causes, experiences and consequences of the impact of chronic heart failure on the person´ s social dimension: a scoping review. Health & social care in the community, 30(4), e842-e858.
Otsu, H., & Moriyama, M. (2014). 36-Month Follow-Up Study of Post-Intervention Chronic Heart Failure Patients. Health, 6(7), 559-575.
Oyanguren, J., García, P. M. L., Laguna, J. T., Goya, I. L., Martín, S. R., Lafuente, E. M., & Grandes, G. (2016). Effectiveness and factors determining the success of management programs for patients with heart failure: a systematic review and meta-analysis. Revista Española de Cardiología (English Edition), 69(10), 900-914. https://doi.org/10.1016/j.rec.2016.05.012
Parissis, J., Athanasakis, K., Farmakis, D., Boubouchairopoulou, N., Mareti, C., Bistola, V., ... & Lekakis, J. (2015). Determinants of the direct cost of heart failure hospitalization in a public tertiary hospital. International journal of cardiology, 180, 46-49. https://doi.org/10.1016/j.ijcard.2014.11.123
Paturzo, M., Petruzzo, A., Bertò, L., Mottola, A., Cohen, M. Z., Alvaro, R., & Vellone, E. (2016). The lived experience of adults with heart failure: a phenomenological study. Ann Ig, 28(4), 263-273.
Pavlovic, N. V., Gilotra, N. A., Lee, C. S., Ndumele, C., Mammos, D., Dennisonhimmelfarb, C., & AbshireSaylor, M. (2022). Fatigue in persons with heart failure: a systematic literature review and meta-synthesis using the biopsychosocial model of health. Journal of cardiac failure, 28(2), 283-315. https://doi.org/10.1016/j.cardfail.2021.07.005
Ponikowski, P., Voors, A. A., Anker, S. D., Bueno, H., Cleland, J. G., Coats, A. J., ... & Van Der Meer, P. (2016). 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Polish Heart Journal (Kardiologia Polska), 74(10), 1037-1147.
Pontisidis, G., & Bellali, T. (2015). The Concept of Social Support and the Impact on Chronic Diseases Management. Hellenic Journal of Nursing Science, 8(4), 6-16.
Rahimi, K., Bennett, D., Conrad, N., Williams, T. M., Basu, J., Dwight, J., ... & MacMahon, S. (2014). Risk prediction in patients with heart failure: a systematic review and analysis. JACC: Heart Failure, 2(5), 440-446.
Regitz-Zagrosek, V. (2020). Sex and gender differences in heart failure. International journal of heart failure, 2(3), 157.
Rowlands, G., Shaw, A., Jaswal, S., Smith, S., & Harpham, T. (2017). Health literacy and the social determinants of health: a qualitative model from adult learners. Health promotion international, 32(1), 130-138.
Şahin, E. T., Öztekin, G. M. Y., Genç, A., & Şahin, A. (2024). Living with Family and Clinical, Demographic, and Laboratory Characteristics in Patients with Heart Failure. Cumhuriyet Medical Journal, 46(1), 35-40.
Saito, H., Kagiyama, N., Nagano, N., Matsumoto, K., Yoshioka, K., Endo, Y., ... & Matsue, Y. (2019). Social isolation is associated with 90-day rehospitalization due to heart failure. European Journal of Cardiovascular Nursing, 18(1), 16-20.
Sarala, R. M., Junni, P., Cooper, C. L., & Tarba, S. Y. (2016). A sociocultural perspective on knowledge transfer in mergers and acquisitions. Journal of management, 42(5), 1230-1249.
Savarese, G., Becher, P. M., Lund, L. H., Seferovic, P., Rosano, G. M., & Coats, A. J. (2022). Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovascular research, 118(17), 3272-3287.
Seid, M. A. (2020). Health-related quality of life and extent of self-care practice among heart failure patients in Ethiopia. Health and Quality of Life Outcomes, 18(1), 27.
Shahriari, M., Alimohammadi, N., & Ahmadi, M. (2016). Effects of a family centered program on perceived social support in patients with congestive heart failure: An interventional study. Journal of Education and Health Promotion, 5(1), 6.
Shakuta, S., Yamashita, M., Kamiya, K., Hamazaki, N., Ueno, K., Nozaki, K., ... & Ako, J. (2023). Relationship between the spread of COVID-19, social frailty, and depressive symptoms in patients with heart failure. Heart and Vessels, 38(7), 992-996.
Shumaker, S. C., Frazier, S. K., Moser, D. K., & Misook, L. C. (2017). Psychometric properties of the multidimensional scale of perceived social support in patients with heart failure. Journal of nursing measurement, 25(1).
Sok, S. R., & Yun, E. K. (2011). A comparison of physical health status, self‐esteem, family support and health‐promoting behaviours between aged living alone and living with family in Korea. Journal of Clinical Nursing, 20(11‐12), 1606-1612.
Sousa, M. M. D., Oliveira, J. D. S., Soares, M. J. G. O., Bezerra, S. M. M. D. S., Araújo, A. A. D., & Oliveira, S. H. D. S. (2017). Association of social and clinical conditions to the quality of life of patients with heart failure. Revista gaucha de enfermagem, 38, e65885.
Stavrianopoulos, T. (2016). Impact of a nurses-led telephone intervention program on the quality of life in patients with heart failure in a district hospital of Greece. Health Science Journal, 10(4), 1.
Tong, C. Y. M., Koh, R. Y. V., & Lee, E. S. (2023). A scoping review on the factors associated with the lost to follow-up (LTFU) amongst patients with chronic disease in ambulatory care of high-income countries (HIC). BMC health services research, 23(1), 883.
Unsar, S., Erol, O., & Sut, N. (2016). Social support and qualıty of life among older adults. International Journal of Caring Sciences, 9(1), 249-257.
Valtorta, N. K., Kanaan, M., Gilbody, S., Ronzi, S., & Hanratty, B. (2016). Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies. Heart, 102(13), 1009-1016.
Valtorta, N. K., Moore, D. C., Barron, L., Stow, D., & Hanratty, B. (2018). Older adults’ social relationships and health care utilization: a systematic review. American journal of public health, 108(4), e1-e10.
Wan, L. H., Zhang, X. P., Mo, M. M., Xiong, X. N., Ou, C. L., You, L. M., ... & Zhang, M. (2016). Effectiveness of goal-setting telephone follow-up on health behaviors of patients with ischemic stroke: a randomized controlled trial. Journal of Stroke and Cerebrovascular Diseases, 25(9), 2259-2270.
Wang, Y., Wang, J. J., Zhou, H. F., Li, W. Y., Liao, Y. X., Xu, M. Y., ... & Lv, B. (2024). The protective effect of social support on all-cause and cardio-cerebrovascular mortality among middle-aged and older adults in the US. Scientific Reports, 14(1), 4758.
Watanabe, A., Katano, S., Yano, T., Nagaoka, R., Numazawa, R., Honma, S., ... & Furuhashi, M. (2022). Loss of perceived social role, an index of social frailty, is an independent predictor of future adverse events in hospitalized patients with heart failure. Frontiers in Cardiovascular Medicine, 9, 1051570.
Wazqar, D. Y., & Al-Saud, N. U. A. (2023). Effect of interventional follow-up phone calls on health-related quality of life in adult patients with heart failure in Saudi Arabia: a pilot study. Nursing in the 21st Century, 22(1 (82)), 20-25.
Wenn, P., Meshoyrer, D., Barber, M., Ghaffar, A., Razka, M., Jose, S., ... & Makaryus, A. N. (2022). Perceived social support and its effects on treatment compliance and quality of life in cardiac patients. Journal of Patient Experience, 9, 23743735221074170.
Yamada, M., Kimura, Y., Ishiyama, D., Otobe, Y., Suzuki, M., Koyama, S., ... & Arai, H. (2021). The influence of the COVID-19 pandemic on physical activity and new incidence of frailty among initially non-frail older adults in Japan: a follow-up online survey. The Journal of nutrition, health and aging, 25(6), 751-756. https://doi.org/10.1007/s12603-021-1634-2
Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey Jr, D. E., Colvin, M. M., ... & Westlake, C. (2017). 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Journal of the American college of cardiology, 70(6), 776-803.
Yu, M., Chair, S. Y., Chan, C. W., & Choi, K. C. (2015). A health education booklet and telephone follow-ups can improve medication adherence, health-related quality of life, and psychological status of patients with heart failure. Heart & Lung, 44(5), 400-407. https://doi.org/10.1016/j.hrtlng.2015.05.004
Zhai, S., Gardiner, F., Neeman, T., Jones, B., & Gawarikar, Y. (2017). The cost-effectiveness of a stroke unit in providing enhanced patient outcomes in an Australian teaching hospital. Journal of stroke and cerebrovascular diseases, 26(10), 2362-2368. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.05.025
Ziaeian, B., & Fonarow, G. C. (2016). The prevention of hospital readmissions in heart failure. Progress in cardiovascular diseases, 58(4), 379-385. https://doi.org/10.1016/j.pcad.2015.09.004
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of personality assessment, 52(1), 30-41.
Published
How to Cite
Issue
Section
Copyright (c) 2025 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
