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Effects of a PRECEDE-PROCEED Model-Based Intervention on Fatigue in Patients With Coronary Heart Disease: A Randomized Controlled Trial.
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- Author(s): Wen, Min; Chen, Yeshi; Yu, Juping; Li, Junyi; Wen, Xiaohui; OuYang, Xinping; He, Pingping
- Source:
Western Journal of Nursing Research. Feb2024, Vol. 46 Issue 2, p68-80. 13p. - Source:
- Additional Information
- Subject Terms: HEALTH education; SOCIAL support; ANALYSIS of variance; SELF-management (Psychology); TELEPHONES; MOBILE apps; CORONARY disease; COMMUNITY health services; FISHER exact test; MENTAL health; PATIENT satisfaction; TREATMENT effectiveness; COST benefit analysis; RANDOMIZED controlled trials; HEALTH literacy; T-test (Statistics); QUALITY of life; MEDICAL records; HEALTH; INFORMATION resources; QUESTIONNAIRES; DESCRIPTIVE statistics; CHI-squared test; REPEATED measures design; JOB satisfaction; INTERPERSONAL relations; RESEARCH funding; FATIGUE (Physiology); BODY mass index; STATISTICAL sampling; DATA analysis software; PATIENT compliance; EMOTIONS; SOCIAL skills; MENTAL fatigue; DISEASE management
- Subject Terms:
- Abstract: Objective: This research aimed to determine how a 12-week PRECEDE-PROCEED model-based intervention affected fatigue in patients with coronary heart disease. Methods: This cluster randomized controlled trial recruited participants diagnosed with coronary heart disease at 2 community health centers in China. Participants in the control group (n = 36) received routine health education, whereas those in the intervention group (n = 38) were given a 12-week PRECEDE-PROCEED model-based intervention and routine health education. The intervention consisted of 6 training sessions on coronary heart disease, fatigue, fatigue management, self-management skills and social support. A primary outcome (fatigue) and 4 secondary outcomes (knowledge of fatigue, self-management, quality of life and body mass index) were assessed using the Fatigue Scale-14, Fatigue Cognitive Questionnaire for Patients with Coronary Heart Disease, Coronary Artery Disease Self-Management Scale, Chinese Cardiovascular Questionnaire of Quality of Life, and electronic weighing scale, respectively. Data were collected 3 times over 12 weeks. Results: Compared with the control group, the intervention group showed a statistically significant improvement in the level of fatigue (8.72 vs 7.06, P <.001), knowledge of fatigue (P <.001), self-management skills (P <.001), and quality of life (P <.001). However, there was no significant difference in body mass index between the 2 groups (P =.504). Conclusions: The findings suggest that a well-designed intervention based on the PRECEDE-PROCEED model could alleviate fatigue symptoms and increase knowledge of fatigue, self-management skills and quality of life in patients with coronary heart disease. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Western Journal of Nursing Research is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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