GROUP

I Kadek Suryana
Siti Fatimah
Winda Rizky A
Veronica Herawati
Toni susanto
Yani Octaviyani
Abstrack

At Dr. Moch Anshari Saleh Hospital is more concerned with independent and
collaborative action. In the hospital itself is still very lack of psychological
approaches, especially in patients with chronic heart failure
 The effectiveness of psychological interventions on self-care,
psychological and health outcomes in patients with chronic heart
failure - A systematic review and meta-analysis

P : Study participants were adult patients who had been diagnosed with
chronic heart failure.
I : Five types of interventions were identified in the reviewed studies,
including cognitive behavioral therapy, motivational interviewing,
multicomponent intervention program, stress management, and supportive
counseling intervention
C : Studies separated participants into at least one group receiving
psychological interventions and one group receiving usual care or with no
intervention
O : Our meta-analyses showed that psychological interventions improve
HRQoL, as measured by MLHFQ,
 Effects of hope promoting interventions based on
religious beliefs on quality of life of patients with
congestive heart failure and their families

P : patients with heart failure class I and II

I : This intervention consisted of two stages of creating hope (including two
steps of finding hope and strengthening it) and increasing hope (two steps of
enrichment and maintenance of hope)
C : control groups and treatment groups
O : Independent t-test results showed no significant differences before the
intervention between the two groups in terms of the mean QOL score in the
performance and health, socioeconomic, psychological, spiritual, and familial
dimensions and areas of satisfaction and importance. Immediately after and 1
month after the intervention, a significant difference was observed between
the groups in terms of mean QOL score in the four dimensions and areas of
satisfaction and importance, and the overall QOL score (P < 0.05)
Implications for nursing
Nurses play an important role in patient education and promote self-management in
clinical settings.
Compared to other professionals, nurses have more patient-contact opportunities and
are more holistic in all aspects of disease management (such as medication and
lifestyle-risk modification).
To improve on patients self-care, it is important to recognize that symptoms are not
only reflected as part of the physical aspects of the disease, they can also be portrayed
as personal and social experiences of the condition, or as other psychological factors,
such as depresion, which may interfere with ones self-care behavior.
Being open and empathic towards patients view on heart failure management through
communication, understanding their expectation of treatment, creating a non-
judgmental atmosphere may be the first few steps to set the stage for subsequent
behavioral change. Incorporating psychological techniques focusing on not only
knowledge, but also on skills and behaviors may be helpful in tackling some of the
barriers to self-care.
Routine screening for depression and anxiety could be another strategy to identify and
target individuals at risk for poor self-care.
References

https://www.ncbi.nlm.nih.gov/pubmed/?term=Effects+of+hope+promoting+in
terventions+based+on+religious+beliefs+on+quality+of+life+of+patients+with+
congestive+heart+failure+and+their+families
https://www.ncbi.nlm.nih.gov/pubmed/28935393