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July 18, 2026European Journal of Cardiovascular Nursing

Structured nurse-led self-management is linked to improved HR-QoL versus standard care.

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Why the study?

Does a structured nurse-led educational intervention and telephone follow-up improve quality of life, self-management, and depression in patients with acute and chronic heart failure compared to standard care?

Population

200 patients, comprising 100 with chronic heart failure attending a heart failure clinic and 100 with acute…

Comparison

Structured nurse-led educational intervention… vs Standard care

Design

Cohort

Key result

A structured nurse-led self-management program significantly improved health-related quality of life compared to standard care (b = -0.084, p<0.001).

Authors

IDI Dimou2M2 Lk Michalis3L3 E Lambrinou

Discussion

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Overview

May support nurse-led programs for HR-QoL gains in chronic HF; leaves open need for randomized confirmation.

Key Points

  • To assess the impact of a structured nurse-led educational intervention on quality of life and self-management in chronic and acute heart failure patients.
  • Evaluated 100 chronic heart failure patients from a clinic and 100 acute heart failure patients visiting an emergency department over a year.
  • Utilized European Heart Failure Self-Care Behavior Scale, Minnesota Living with Heart Failure Questionnaire, and Zung Self-Assessment of Depression scale for assessment.
  • Applied descriptive statistics and parametric/non-parametric statistical methods.
  • Nurse-led interventions improved health-related quality of life (HR-QoL) in chronic heart failure patients compared to standard care (b = -0.084, p<0.001).
  • Acute heart failure patients showed larger HR-QoL gains over time (b = -0.078, p<0.001).
  • Depression scores remained unchanged over time in both groups (b = -0.005, p<0.441).

Study Design

Type

Observational (n=200)

Multicenter

No

Structured PICO

Does a structured nurse-led educational intervention and telephone follow-up improve quality of life, self-management, and depression in patients with acute and chronic heart failure compared to standard care?

P
Population
200 patients with chronic heart failure attending a clinic or acute heart failure visiting the emergency department, evaluated over a one-year period.
E
Exposure
Structured nurse-led educational intervention and telephone follow-up
C
Comparator
Standard care
O
Outcome
Health-related quality of life (HR-QoL) measured by the Minnesota Living with Heart Failure Questionnaire, self-management of HF measured by the European Heart Failure Self-Care Behavior Scale, and depression measured by the Zung Self-Assessment of Depression scalepatient reported

Main Result

Effect estimate: b = -0.084

p-value: p=<0.001

A structured nurse-led educational intervention and telephone follow-up significantly improves health-related quality of life and self-care, particularly in patients with acute heart failure.

Cite This Study

Dimou et al. (2026) conducted an observational in Chronic and acute heart failure (n=200). Structured nurse-led educational intervention and telephone follow-up vs. Standard care was evaluated on Health-related quality of life (HR-QoL) (b = -0.084, p=<0.001). A structured nurse-led self-management program significantly improved health-related quality of life compared to standard care (b = -0.084, p<0.001).

synapsesocial.com/papers/6a5b38f68167787360d24e6fhttps://doi.org/10.1093/eurjcn/zvag155.044
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