Assessment of the effectiveness of teaching patients with heart failure in hospital settings

  • Received 22.04.2025

  • Revised 15.07.2025

  • Accepted 02.09.2025



  • 531 Views

  • Retrieved from Vol. 7, No. 3, 2025

  • Pages 63-72

Heart failure is one of the leading causes of hospitalisation, disability and mortality among elderly people. Effective secondary prevention requires adequate patient education, and nurses play a key role in implementing educational measures at a professional level. The aim of the study was to comprehensively evaluate the effectiveness of an educational programme in improving the knowledge of patients with heart failure in hospital settings. The study involved 62 patients with stage IIA,B heart failure aged 33 to 82 (56.3±11.7) years, 76% men and 24% women. All patients underwent a knowledge assessment at the beginning of hospitalisation and on the day of discharge after receiving training in a hospital setting. Information on the effectiveness of training was collected over a period of 6 months. The main results showed that patients who participated in the training programme improved their knowledge of heart failure (from 72.58% to 82.25%), symptom recognition (from 36.51% to 78.06%), behaviour (from 44.89% to 58.86%), nutrition (from 31.12% to 69.34%), and recommended treatment (from 35.24% to 58.51%). Most realised the importance of daily weighing (64.51%), limited their consumption of table salt (77.41%), fluids (74.19%) and alcohol (77.41%). A significant proportion gave up smoking during hospitalisation (91.93%) and partially maintained this trend after discharge (67.74%). Patients visited their cardiologist more often (61.29%), kept a symptom monitoring diary (96.77%), independently adjusted their intake of diuretics (72.58%) and potassium-containing drugs (59.67%), and did not miss any doses of medication (80.64%). It has been proven that higher patient knowledge was associated with the educational information received from a nurse during hospitalisation. The practical value of the results was to justify the need to master the skills of weighing, determining the degree of oedema, and keeping a diary of monitoring symptoms of heart failure in outpatient settings

nurse; educational programme; awareness; effectiveness; diary; continuous care

https://doi.org/10.63341/bmbr/3.2025.63
  1. World heart report 2023: Confronting the world’s number one killer [Internet]. 2023 [cited 2025 February 20]. Available from: https://knowledge-action-portal.com/sites/default/files/2025-04/World-Heart-Report-2023.pdf
  2. Montalto M, D’ Ignazio F, Camilli S, Di Francesco S, Fedele M, Landi F, et al. Heart failure in older patients: An update. J Clin Med. 2025;14(6):1982. DOI: 10.3390/jcm14061982
  3. Chong B, Jayabaskaran J, Jauhari SM, Chan SP, Goh R, Kueh MTW, et al. Global burden of cardiovascular diseases: Projections from 2025 to 2050. Eur J Prev Cardiol. 2025;32(11):1001–15. DOI: 10.1093/eurjpc/zwae281
  4. Bozkurt B, Ahmad T, Alexander K, Baker WL, Bosak K, Breathett K, et al. HF STATS 2024: Heart failure epidemiology and outcomes statistics. An updated 2024 report from the Heart Failure Society of America. J Card Fail. 2025;31(1):66–116. DOI: 10.1016/j.cardfail.2024.07.001
  5. Slabkiy HО, Koshelia ІІ. Mortality of the population of Ukraine due to diseases of the circulatory system. Ukr Natl Health. 2022;4(70):5–10. DOI: 10.24144/2077-6594.4.1.2022.277015
  6. Jaarsma T, Hill L, Bayes-Genis A, La Rocca HB, Castiello T, Čelutkienė J, et al. Self-care of heart failure patients: Practical management recommendations from the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2021;23(1):157–74. DOI: 10.1002/ejhf.2008
  7. Marques CRG, de Menezes AF, Ferrari YAC, Oliveira AS, Tavares ACM, Barreto AS, et al. Educational nursing intervention in reducing hospital readmission and the mortality of patients with heart failure: A systematic review and meta-analysis. J Cardiovasc Dev Dis. 2022;9(12):420. DOI: 10.3390/jcdd9120420
  8. Stahlman S, Huizar-Garcia S, Lipscomb J, Frei C, Oliver A. Implementation of a heart failure educational intervention for patients with recent admissions for acute decompensated heart failure. Front Cardiovasc Med. 2023;10:1133988. DOI: 10.3389/fcvm.2023.1133988
  9. Metts AV, Roy-Byrne P, Stein MB, Sherbourne CD, Bystritsky A, Craske MG. Reciprocal and indirect effects among intervention, perceived social support, and anxiety sensitivity within a randomized controlled trial for anxiety disorders. Behav Ther. 2024;55(1):80–92. DOI: 10.1016/j.beth.2023.05.008
  10. Palibroda N, Chornenka Zh, Pontyk M, Molchaniuk D, Filatova I, Nikolaichuk I. Use of prevention programs and analysis of their efficiency among patients with arterial hypertension. Bukovyn Med Herald. 2024;28(2(110)):118–25. DOI: 10.24061/2413-0737.28.2.110.2024.18
  11. Voronkov LG, Dolzhenko MM, Zharinov OJ, Zaichenko HV, Ivanov DD, Koval OA, et al. Consensus of experts of the All-Ukrainian Association of Cardiology and the All-Ukrainian Association of Heart Failure Specialists regarding a new individualized approach to treatment of patients with a progressive course of chronic heart failure. Ukr J Cardiol. 2024;31(3):50–7.
  12. Butts B, Higgins M, Dunbar S, Reilly C. The third time's a charm: Psychometric testing and update of the Atlanta Heart Failure Knowledge Test. J Cardiovasc Nurs. 2018;33(1):13–21. DOI:10.1097/JCN.0000000000000413
  13. Ivanchuk MA. Statistical analysis in medical research. Chernivtsi: Bukovinian State Medical University; 2022. 121 Р.
  14. The World Medical Association. Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects [Internet]. [cited 2025 February 20]. Available from: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/
  15. Universal Declaration on Bioethics and Human Rights [Internet]. 2005 October 19 [cited 2025 February 20]. Available from: https://www.unesco.org/en/legal-affairs/universal-declaration-bioethics-and-human-rights
  16. Zare-Kaseb A, Emami Zeydi A, Bakhtiari-Dovvombaygi H, Nazari AM. Effects of education based on teach-back methods on self-care and quality of life of the patients with heart failure: A systematic review. BMC Cardiovasc Disord. 2024;24:591. DOI: 10.1186/s12872-024-04264-5
  17. Borovyk K. Modern strategies for lipid-lowering therapy in patients with ischaemic heart failure and concomitant metabolic pathology. Ukr J Med Biol Sport. 2025;10(2):37–44. DOI: 10.63341/ujmbs/2.2025.37
  18. Longhini J, Gauthier K, Konradsen H, Palese A, Kabir, ZN, Waldréus N. The effectiveness of nursing interventions to improve self-care for patients with heart failure at home: A systematic review and meta-analysis. BMC Nurs. 2025;24:286. DOI: 10.1186/s12912-025-02867-7
  19. Lee YW, Tseng CN. Review the factors associated with dietary sodium adherence in patients with heart failure from selected research-based literatures. BMC Nutr. 2022;8:41. DOI: 10.1186/s40795-022-00536-5
  20. Ding N, Shah AM, Blaha MJ, Chang PP, Rosamond WD, Matsushita K. Cigarette smoking, cessation, and risk of heart failure with preserved and reduced ejection fraction. J Am Coll Cardiol. 2022;79(23):2298–305. DOI:10.1016/j.jacc.2022.03.377
  21. Andersson C, Schou M, Gustafsson F, Torp-Pedersen C. Alcohol intake in patients with cardiomyopathy and heart failure: Consensus and controversy. Circ Heart Fail. 2022;15(8):e009459. DOI:10.1161/CIRCHEARTFAILURE.121.009459
  22. Yang SH, Mu PF, Wu HL, Curia M. Fluid balance monitoring in congestive heart failure patients in hospital: A best practice implementation project. JBI Database System Rev Implement Rep. 2019;17(10):2202–11. DOI: 10.11124/JBISRIR-2017-004021
  23. Baudry G, Pereira O, Roubille F, Villaceque M, Damy T, Duarte K, et al. Cardiologist follow-up and improved outcomes of heart failure: A French nationwide cohort. Eur Heart J. 2025;46(31):3050–65. DOI:10.1093/eurheartj/ehaf218
  24. Uslu N, Akça Sümengen A. Empowering heart failure patients: The role of education in self-management. Electronic J Gen Med. 2025;22(4):em663. DOI: 10.29333/ejgm/16372
  25. He Y, Huang L, Yan S, Li Y, Lu L, Wang H, et al. Awareness, understanding and use of sodium information labelled on pre-packaged food in Beijing: A cross-sectional study. BMC Public Health. 2018;18:509. DOI:10.1186/s12889-018-5396-7
  26. Taha NM, Mohammed FA, Sakr MDS, Salama SEEH. Knowledge and self-care practices and skills regarding congestive heart failure: A study in Japan. Int J Cardiovasc Med. 2023;2(6):116–25. 
  27. Nozawa M, Hotta S, Tanaka M. Actual status of pre-discharge knowledge of hospitalised patients with heart failure and measurement tools to assess said knowledge: A scoping review. Heart Lung. 2024;64:46–54. DOI:10.1016/j.hrtlng.2023.11.009
  28. Bagyawantha NMYK, Dangahage IN, Mayurathan G, Pushpika WMS. Evaluation of medication adherence and appropriateness among heart failure patients attending the cardiac clinic at a tertiary care hospital: A cross-sectional observational study. Pharmacy. 2025;13(4):101. DOI: 10.3390/pharmacy13040101
  29. Wondesen A, Berha AB, Woldu M, Mekonnen D, Engidawork E. Impact of medication therapy management interventions on drug therapy problems, medication adherence and treatment satisfaction among ambulatory heart failure patients at Tikur Anbessa Specialised Hospital, Addis Ababa, Ethiopia: A one-group pre-post quasi-experimental study. BMJ Open. 2022;12(4):e054913. DOI: 10.1136/bmjopen-2021-054913
  30. Hryhorets DK, Plesh IA. Evaluation of the effectiveness of a symptom monitoring diary in outpatient heart failure management. Med Perspect. 2025;30(1):39–46. DOI: 10.26641/2307-0404.2025.1.325241