Effects of a family centered program on perceived social support in patients with congestive heart failure: An interventional study

Mohsen Shahriari, .; Nasrollah Alimohammadi, .; Maryam Ahmadi, .

Effects of a family centered program on perceived social support in patients with congestive heart failure: An interventional study

Authors

. Mohsen Shahriari

. Nasrollah Alimohammadi

. Maryam Ahmadi

Imam Khomeini Hospital, Felavarjan, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background and Objectives: Congestive heart failure is one of the most common
cardiovascular diseases that have a progressive and chronic trend and influences individuals’
and their families’ various dimensions. Social support is one of the psychosocial factors that
can have a positive effect on individuals’ physical, mental and social status. Despite the
existence of evidences, revealing the importance of family’s support on patients’ condition,
family centered supportive interventions with goal of clinical outcomes improvement have
been less conducted among these patients. Therefore, the present study aimed to investigate
the effect of family supportive intervention on the level of the support, received among heart
failure patients. Materials and Methods: This is a two‑group two‑stage clinical trial, conducted
on 64 patients with cardiac failure, referring to selected educational centers and meeting the
inclusion criteria, who were selected through convenient sampling. They were assigned to
study (n = 32) and control (n = 32) groups through random allocation. Data were collected
by questioning through a two‑section medical records questionnaire and were analyzed by
SPSS. Results: Results of the study showed that mean scores of received support score were
13.7 (3.8) in the study and 0.8 (2.4) in the control group. Independent t‑test showed a significant
difference in mean changes of perceived support scores after the intervention between study
and control groups (P < 0.001). Conclusions: Based on familial dimension in social support
have a positive effect on patients’ perceived support. Nurses, as professional members of
health care team, and with an important role in education and care of cardiac failure patients,
can support, educate and guide these patients through designing appropriate care plans and
educating their family members.

Keywords

Congestive heart failure

family oriented program

Iran

social support

1. Ghahramani A, Kamrani F, Mohamadzadeh SH. Effect of self‑care
education on knowledge, performance and readmission in patient
with heart failure. J Health Care 2010;12:11‑20.
2. Woods SL, Froelicher ES, Motzer SU, Bridges EJ. Cardiac Nursing.
5th ed. New York: Lippincott Williams & Wilkins; 2010. p. 555.
3. Hekmatpou D, Mohamadi E, Ahmadi F, Arefi SH, Rafie M. The
effectiveness of applying “Making Sensivity to Readmission Caring
Model” on controlling congestive heart failure complications among
hospitalized patients in Tehran cardiovascular centers. Med J Iran
Univ 2009;17:33‑49.
4. Luttik ML, Jaarsma T, Veeger N, Tijssen J, Sanderman R,
van Veldhuisen DJ. Caregiver burden in partners of Heart Failure
patients; limited influence of disease severity. Eur J Heart Fail
2007;9:695‑701.
5. Baker DW, Rown J, Chan K, Dracub K, Keeler EA. Telephone survey
to measure communication, education, self‑management and health
status for patients with heart failure: The improving chronic illness
care evaluation (ICICE). J Card Fail 2005;11:36‑42.
6. Rafiei F, Rambod M, Hosseini F. Perceived social support for patients
treated with Hemodialysis. Hayat J 2009;15:5‑12.
7. Sarrafino A. Psychology of Health, translation by Mirzaei E. Tehran:
Roushd Publication; 2004.
8. DiMatteo MR. Social support and patient adherence to medical
treatment: A meta‑analysis. Health Psychol 2004; 23:207‑18.
9. Yu DS, Lee DT, Woo J. Psychometric testing of the Chinese version
of the medical outcomes study social support survey (MOS‑SSS‑C).
Res Nurse Health 2004;27:135‑43.
10. Schaffer MA. Social support. In: Peterson SJ, Bredow TS, editors.
Application to Nursing Research. Philadelphia: Wolters Kluwer
Health; 2009.11. Riegel B, Moser DK, Anker SD, Appel LJ, Dunbar SB, Grady KL,
et al. State of the science: Promoting self‑care in persons with heart
failure: A scientific statement from the American Heart Association.
Circulation 2009;120:1141‑63.
12. Heidari A, Mazloom SR, Ildarabadi E. Nursing’s position in health
care delivery system in Iran. Iran J Nurs Res 2012;7:37‑44.
13. Rosland AN, Kieffer E, Israel B. When is social support important?
The association of family support and professional support with
specific diabetes self‑management behaviors. J Gen Intern Med
2008;23:1992‑9.
14. Keyvanara M. Evaluation of Economic and Social Factors Affecting
the Control of Diabetes in Patients Admitted to Hospital Dr. Gharazi
in Isfahan, Master Thesis, Isfahan Medical Sciences; 2011.
15. Hogana BE, Linden W, Najarian B. Social support interventions: Do
they work? Clin Psychol Rev 2002;22:381‑440.
16. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth’s
Text Book of Medical‑surgical Nursing. 12th ed. New York: Lippincott
Williams & Wilkins; 2010.
17. Brostrom A, Stromberg A, Dahlstrom U, Fridlund B. Congestive
heart failure, spouses’ support and the couple’s sleep situation: A
critical incident technique analysis. J Clin Nurs 2003;12:223‑33.
18. Gallagher R, Luttik ML, Jaarsma T. Social support and self‑care in
heart failure. J Cardiovasc Nurs 2011;26:439‑45.
19. Sayers SL, Riegel B, Pawlowski S, Coyne JC, Samaha FF. Social
support and self‑care of patients with heart failure. Ann Behav Med
2008;35:70‑9.
20. Clark AM, Margaret ER, Caroline EM, Simon C, Murdoch DL, John J.
The complex nature of informal care in home based heart failure
management. J Adv Nurs 2007;61:373‑83.
21. Campbell TL. Improving Health through Family Interventions,
Handbook of Families and Health; 2006. Available from: http://
www.books.google.com14. [Last accessed on 2014 Jul 04].
22. Kang X, Li Z, Nolan MT. Informal caregivers’ experiences of
caring for patients with chronic heart failure: Systematic review
and meta synthesis of qualitative studies. J Cardiovasc Nurs
2011;26:386‑94.
23. Dunbar SB, Clark PC, Deaton C, Smith AL, De AK, O’Brien MC.
Family education and support interventions in heart failure: A pilot
study. Nurs Res 2005;54:158‑66.
24. Piette JD, Gregor MA, Share D, Heisler M, Bernstein SJ, Koelling T,
et al. Improving heart failure self‑management support by actively
engaging out‑of‑home caregivers: Results of a feasibility study.
Congest Heart Fail 2008;14:12‑8.
25. Zimet GD, Powell SS, Farley GK, Werkman S, Berkoff KA.
Psychometric characteristics of the Multidimensional Scale of
Perceived Social Support. J Pers Assess 1990;55:610‑7.
26. Sherbourne CD, Stewart AL. The MOS social support survey. Soc
Sci Med 1991;32:705‑14.
27. Clark PC, Dunbar SB. Preliminary reliability and validity of a Family
Care Climate Questionnaire for heart failure. Fam Syst Health
2003;21:283‑93.
28. Davari A. The Effect of Social Support on Quality of Life in Patients
with Heart Failure Referring to Specialized Center of Cardiology,
Hamadan University of Medical Sciences, Master Thesis; 2011.
29. Duhamel F, Dupuis F, Reidy M, Nadon N. A qualitative evaluation
of a family nursing intervention. Clin Nurse Spec 2007;21:43‑9.
30. Agren S, Evangelista LS, Hjelm C, Stromberg A. Dyads affected
by chronic heart failure: A Randomized study evaluating effects of
education and psychosocial support to patients with heart failure
and their partners. J Card Fail 2012;18(5):359‑366.