title: The effect of heart failure nurse consultations on heart failure patients' illness beliefs, mood and quality of life over a six-month period.
abstract: OBJECTIVE
  To explore the effect contact with a heart failure nurse can have on patients' illness beliefs, mood and quality of life.
  
  
  BACKGROUND
  There is growing interest in patients' illness beliefs and the part they play in a patients understanding of chronic disease.
  
  
  METHODS
  Secondary analysis on two independent datasets. Patients were recruited from five UK hospitals, four in London and one in Sussex. Patients were recruited from an inpatient and outpatient setting. The first dataset recruited 174 patients with newly diagnosed heart failure, whilst the second dataset recruited 88 patients with an existing diagnosis of heart failure.
  
  
  METHODS
  Patients completed the Minnesota Living with Heart Failure Questionnaire, Hospital Anxiety and Depression Scale, Illness Perception Questionnaire and the Treatment Representations Inventory at baseline and six months. We used a linear regression model to assess the association that contact with a heart failure nurse had on mood, illness beliefs and quality of life over a six-month period.
  
  
  RESULTS
  Patients who had contact with a heart failure nurse were more satisfied with their treatment and more likely to believe that their heart failure was treatable. Contact with a heart failure nurse did not make a statistically significant difference to mood or quality of life.
  
  
  CONCLUSIONS
  This study has shown that contact with a heart failure nurse can improve patient satisfaction with treatment decisions but has less influence on a patient's beliefs about their personal control, treatment control and treatment concerns. With appropriate support, skills and training, heart failure nurses could play an important role in addressing individual patient's beliefs. There is a need to further investigate this.
  
  
  CONCLUSIONS
  Exploring patients' illness beliefs and mood could help to enhance person-centred care. Heart failure nurses would need additional training in the techniques used.
authors.affiliation: Royal Brompton and Harefield NHS Foundation Trust, London, UK.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Lucas
authors.forename: Jillian P
authors.initials: JP
authors.lastname: Riley
authors.forename: Paresh A
authors.initials: PA
authors.lastname: Mehta
authors.forename: Helen
authors.initials: H
authors.lastname: Goodman
authors.forename: Winston
authors.initials: W
authors.lastname: Banya
authors.forename: Kathleen
authors.initials: K
authors.lastname: Mulligan
authors.forename: Stanton
authors.initials: S
authors.lastname: Newman
authors.forename: Martin R
authors.initials: MR
authors.lastname: Cowie
mesh_terms: D000339:Affect; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003469:Culture; D005260:Female; D006333:Heart Failure / Q000451:nursing* / Q000523:psychology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D017060:Patient Satisfaction; D011788:Quality of Life; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D006113:United Kingdom
keywords: anxiety; heart failure; heart failure nurse; illness beliefs; person-centred care; quality of life