Effect of A Designed Nursing Teach Back Strategy and Individualized Patient’s Self-Care Nutrition on Daily Livings Activity of Heart Failure Patients

Abd El Fatah, Dalia M.; Attia, Nagwa R.; El Masry, Magdy M.; Ibrahim, Reda A.

doi:10.21608/tsnj.2024.348532

Effect of A Designed Nursing Teach Back Strategy and Individualized Patient’s Self-Care Nutrition on Daily Livings Activity of Heart Failure Patients

Document Type : Original Article

Authors

¹ Assistant Lecturer of Medical Surgical Nursing, Faculty of Nursing, Damietta University, Egypt.

² Professor of Medical Surgical Nursing, , Faculty of Nursing, Tanta University, Egypt.

³ Professor of Cardiology Disease t, Faculty of Medicine, Tanta University, Egypt.

⁴ Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt.

10.21608/tsnj.2024.348532

Abstract

Background: - Heart failure consider a major healthcare burden and there is a growing need
to develop strategies to maintain health and sustain quality of life in persons with heart
failure. Aim: - determine the effectiveness of a designed nursing teach back strategy and
patient’s self-care nutrition on daily livings activity of heart failure patients. Subject and
methods: - Randomized controlled trial design was utilized. A simple random sample of
sixty adult Patients with heart failure seeking treatment at cardiology department at Tanta
University were chosen, allocated, and split into two equal groups randomly. Group I:
control group were given regular nursing care by hospital nurses and under prescribed
treatment by physician. Whereas a designed nursing teach back strategy and individualized
patient’s self-care nutrition as calculated and implemented by researcher and under prescribed
nutrition by physician was provided to group II (study group). Tools: Three tools were used
to gather relevant data for the investigation, Tool (I) included Assessment questionnaire, Tool
(II) included Nutritional assessment sheet and Tool (III) was clinical outcomes assessment
sheet. Result: The main result revealed that slightly more than half of the control group I and
the minority of the study group II still had moderate functional impairment two one month
after implementing individualized teaching nursing strategy about nutrition. Conclusion:
Individualized patient’s self-care nutrition to maintain healthy and safe food intake based on
patients’ needs had positive effect on improvement of activity of daily livings of study group
II.
Recommendations: It is recommended that teach back strategy and individualized
patient’s self-care nutrition should be given to patients upon admission and followed after
patient discharge by cardiology nurse.