First in-hospital (n = 16) | After hospital discharge | |||
---|---|---|---|---|
1st week (n = 13) | 2nd week (n = 14) | 3rd week (n = 13) | ||
Assessment (11 items) | ||||
Questions about perceived competence | ||||
How do you assess your ability to manage your heart failure symptoms? | 100 | 92 | 100 | 92 |
What tells you that you have managed your heart failure well/badly? | 94 | 85 | 93 | 85 |
Questions about autonomous motivation | ||||
Describe your heart problem and the context of your first diagnosis. | 100 | 8 | 0 | 0 |
What are you doing to manage the symptoms of heart failure? | 100 | 92 | 100 | 92 |
Why are you doing this? | 88 | 92 | 100 | 92 |
In your opinion, what caused your hospitalization? | 94 | 54 | 64 | 39 |
How could you avoid another hospitalization, in your opinion? | 88 | 69 | 71 | 62 |
Questions about relatedness | ||||
What do you do when you need help? | 100 | 100 | 100 | 100 |
What kind of help do you need most? | 100 | 92 | 57 | 62 |
Does the help you receive correspond to your needs? | 100 | 77 | 64 | 46 |
Do you receive help that you feel is useless? What? | 82 | 54 | 64 | 31 |
Intervention (9 items) | ||||
Discuss the impact of heart failure on the patient’s life. | 100 | 69 | 36 | 23 |
Empathize with respect to the patient’s real-life limitations and complexity of his self-care practice. | 93 | 85 | 86 | 100 |
Provide information to the patient on potential benefits of performing self-care activities. | 93 | 77 | 79 | 92 |
Discuss actions taken by the patient towards his self-care practice. | 100 | 100 | 100 | 100 |
If the patient expresses interest in practicing self-care, congratulate him on his choice and discuss with him the measures it will take to achieve his self-care goals. | 100 | 92 | 100 | 100 |
If the patient expresses an interest in applying his self-care but stresses certain obstacles, suggest strategies. Example: In the case of thirst, sucking an ice cube instead of drinking water. | 0 | 0 | 7 | 15 |
If the patient expresses his disinterest in practicing self-care, express respect for his current position and request permission to return to the issue later. | 0 | 0 | 0 | 0 |
Discuss health behaviors successfully adopted (unique to heart failure or not) and provide positive reinforcement. | 87 | 62 | 79 | 54 |
Normalize failures and invite the patient to think about their cause. | 93 | 92 | 86 | 54 |