Perceived learning needs of patients with heart failure in China : A cross-sectional questionnaire survey
Mingming Yu
The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, P.R. China
Sek Ying Chair
Associate Professor, The Nethersole School of Nursing, The Chinese University of Hong Kong, Sha Tin, NT, Hong Kong, P.R. China
Carmen WH Chan
Professor, The Nethersole School of Nursing, The Chinese University of Hong Kong, Sha Tin, NT, Hong Kong, P.R. China
Xiaomei Li
Associate Professor, Faculty of Nursing, College of Medicine, Xi’an Jiaotong University, Xi’an, Shaanxi, P.R. China
Kai Chow Choi
The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, P.R. China
PP: 70 - 77
Abstract
Aim: To identify the learning needs of patients with heart failure (HF) in China and to examine the relationships between learning needs and patients' characteristics.
Background: Little information on the learning needs of patients with HF in China is known. Besides, it is important to identify the potential characteristics that may influence patients' perceived learning needs.
Methods: This cross-sectional questionnaire survey was conducted in three university affiliated hospitals in Xi'an, Mainland China. A total of 347 HF patients selected by convenience sampling were investigated using the Chinese version of the Heart Failure Learning Needs Inventory. Descriptive statistics, independent t-test, Pearson correlation, and one-way analysis of variance were used for data analysis.
Results: The mean scores rated by Chinese patients with HF were lower than the corresponding scores rated by patients of Western countries. Information on risk factors, prognosis, general HF information and medications were identified as the most important topics while lifestyle modification and psychological factors were regarded as the least important ones. Age negatively correlated with the learning needs on activity (r=-0.125) and prognosis information (r=-0.141). Educational level was significantly related with the learning needs on risk factors. No other characteristics consistently predicted learning needs.
Conclusion: Patients with HF in China considered most of the topics important for them to learn. Age and educational level were related with the learning needs on only three topics of activity, prognosis information and risk factors. The incorporation of the study findings is critical to efficiently achieve the education goals in the limited hospitalization period.
Relevance to clinical practice: Differences of the study findings could be attributed to the special culture and healthcare practices in China. Health professionals can be informed by the study findings to develop the tailored educational programme for patients with HF in China.
Keywords
Health education, heart failure, learning needs, relationship, China
Article Text
Heart failure (HF) is a major and increasing public health problem in most parts of the world (Hodges 2009) including China (Gu et al. 2003). It imposes heavy physical, psychological and financial burdens upon patients (Lee et al. 2004, Friedmann et al. 2006). Numerous studies have shown that disease management programmes were effective in lightening the burdens of people with HF (Naylor et al. 2004, Yu et al. 2006). Moreover, health education has been regarded as the essential component of these management programmes to achieve positive results such as decreased readmission rate and improved self-care ability (Berkowitz et al. 2005, Shearer et al. 2007). However, time for HF education is diminishing as the length of hospitalization decreases due to the advanced management strategies (Chen et al. 2002). To improve the effectiveness and efficiency of education in the limited time, targeting patients' learning needs becomes crucial especially in China (Chan 2006). However, little information regarding the learning needs of Chinese patients with HF can be identified from the available literature. Hence, it is important to understand the perceived learning needs of patients with HF in China.
References
Berkowitz R, Blank LJ & Powell SK (2005) Strategies to reduce hospitalization in the management of heart failure. Lippincott's Case Management 10, s1-s15.
Brezynskie H, Pendon E, Lindsay P & Adam M (1998) Identification of the perceived learning needs of balloon angioplasty patients. Canadian Journal of Cardiovascular Nursing 9 (2), 8-14.
Chan ADF, Reid GJ, Farvolden P, Deane ML & Bisaillon S (2003) Learning needs of patients with congestive heart failure. Canadian Journal of Cardiology 19 (4), 413-417.
Chan CWH (2006) Psychoeducational intervention: a critical review of systematic analyses. Clinical Effectiveness in Nursing 9, 101-111.
Chen XP, Zhu Y, Cui KJ, Li KH, Huang DJ, Hu HD & Zheng MX (2002) Analysis of inpatient with chronic heart failure in West China Hospital in 1980, 1990 and 2000. West China Medical Journal 17, 523-524.
Chen Y (2001) Chinese values, health and nursing. Journal of Advanced Nursing 36 (2), 270-273.
China Internet Network Information Center (2010) The 25th statistic report of China internet network development. Accessed at http://www.cnnic.cn/html/Dir/2010/01/15/5767.htm on 3 August 2010.
Clark JC & Lan VM (2004) Heart failure patient leaning needs after hospital discharge. Applied Nursing Research 17 (3), 150-157.
Czar ML & Engler MM (1997) Perceived learning needs of patients with coronary artery disease using a questionnaire assessment tool. Heart & Lung 26 (2), 109-115.
Davidson PM, Macdonald P, Moser D, Ang E, Paull G, Choucair S, Daly J, Gholizadeh L & Dracup K (2007) Cultural diversity in heart failure management: Findings from the DISCOVER study (part 2). Contemporary Nurse 5, 50-62.
Dong L (2008) Strategies and investigation on learning needs of heart failure patients. Qinghai Medical Journal 38 (3), 74-75.
Frattini E, Lindsay P, Kerr E & Park YJ (1998) Learning needs of congestive heart failure patients. Progress in Cardiovascular Nursing 13 (2), 11-16, 33.
Fredericks S (2009) The relationship between CABG patient characteristics and perceived learning needs: a second analysis. Canadian Journal of Cardiovascular Nursing 19 (1), 13-19.
Fredericks S, Guruge S, Sidani S & Wan T (2009) Patient demographics and learning needs: examination of relationship. Clinical Nursing Research 18 (4), 307-322.
Friedmann E, Thomas SA, Liu F, Morton PG, Chapa D & Gottlieb SS (2006). Sudden cardiac death in heart failure trial investigators: relationship of depression, anxiety, and social isolation to chronic heart faiure outpatient mortality. American Heart Journal 152, 940.e1- 940.e8.
Gerard PS & Peterson LM (1984) Learning needs of cardiac patients. Cardiovascular Nursing 20 (2), 7-11.
Gu DF, Huang GY, He J, Wu XG, Duan XF & MacMahon S (2003) Investigation of prevalence and distributing feature of chronic heart failure in Chinese adult population. Chinese Journal of Cardiology 31, 3-6.
Hagenoff BD, Feutz C, Conn VS, Sagehorn KK & Moranville-Hunziker MB (1994) Patient education needs as reported by congestive heart failure patients and their nurses. Jounal of Advanced Nursing 19, 685-690.
Hodges P (2009) Heart failure: epidemiologic update. Critical Care Nursing Quarterly 32 (1), 24-32.
Huang Y (2008) Nursing strategies and investigation on learning needs of 60 chronic heart failure patients. Attend to Practice and Research 5 (1), 73-74.
Karlik BA & Yarcheski A (1987) Learning needs of cardiac patients: A partial replication study. Heart & Lung 16 (5), 544-551.
Karlik BA, Yarcheski A, Braun J & Wu M (1990) Learning needs of patients with angina: An extension study. Journal of Cardiovascular Nursing 4 (2), 70-82.
Lee WC, Chavez YE, Baker T & Luce BR (2004) Economic burden of heart failure: A summary of recent literature. Heart & Lung 33, 362-371.
Li CH, Lu YZ & Wang SR (2006) Strategy and investigation on learning needs of Chinese heart failure patients. Journal of Practical Medical Techniques 13 (20), 3693-3694.
Naylor M, Brooten DA, Campbell RL, Maislin G, McCauley K & Schwartz JS (2004) Transitional care of older adults hospitalized with heart failure: a randomized controlled trial. Journal of the American Geriatrics Society 52, 675-684.
Rankin S (2001) Patients education: Issues, principles and practice. Lippincott Williams & Wilkins, New York.
Shearer NBC, Cisar N & Greenberg EA (2007) A telephone-delivered empowerment intervention with patients diagnosed with heart failure. Heart & Lung 36, I59-I69.
Wehby D & Brenner PS (1999) Perceived learning needs of patients with heart failure. Heart & Lung 28 (1), 31-40.
Xu YQ & Zhang FR (2006) Management and education for chronic heart failure patients. International Journal of Cardiovascular Disease 33 (5), 312-316.
Yu DSF, Thompson DR & Lee DTF (2006) Disease management programmes for older people with heart failure: crucial characteristics which improve post-discharge outcomes. European Heart Journal 27, 596-612.
Yu M, Chair SY, Chan CWH & Liu M (2010) Testing the psychometric properties of the Chinese version of the Heart Failure Learning Needs Inventory. Heart & Lung 39, 262-274.
eContent Home
