title: Home-based nursing interventions improve knowledge of disease and management in patients with heart failure.
abstract: OBJECTIVE
  to assess patient knowledge of heart failure by home-based measurement of two NOC Nursing Outcomes over a six-month period and correlate mean outcome indicator scores with mean scores of a heart failure Knowledge Questionnaire.
  
  
  METHODS
  in this before-and-after study, patients with heart failure received four home visits over a six-month period after hospital discharge. At each home visit, nursing interventions were implemented, NOC outcomes were assessed, and the Knowledge Questionnaire was administered.
  
  
  RESULTS
  overall, 23 patients received home visits. Mean indicator scores for the outcome Knowledge: Medication were 2.27±0.14 at home visit 1 and 3.55±0.16 at home visit 4 (P<0.001); and, for the outcome Knowledge: Treatment Regimen, 2.33±0.13 at home visit 1 and 3.59±0.14 at home visit 4 (P<0.001). The correlation between the Knowledge Questionnaire and the Nursing Outcomes Classification scores was strong at home visit 1 (r=0.7, P<0.01), but weak and non significant at visit 4.
  
  
  CONCLUSIONS
  the results show improved patient knowledge of heart failure and a strong correlation between Nursing Outcomes Classification indicator scores and Knowledge Questionnaire scores. The NOC Nursing Outcomes proved effective as knowledge assessment measures when compared with the validated instrument.
authors: Escola de Enfermagem, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors: Karina de Oliveira
authors: Kde O
authors: Azzolin
authors: Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors: Dayanna Machado
authors: DM
authors: Lemos
authors: Escola de Enfermagem, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors: Amália de Fátima
authors: Ade F
authors: Lucena
authors: Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors: Eneida Rejane
authors: ER
authors: Rabelo-Silva
mesh_terms: D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006333:Heart Failure / Q000451:nursing*; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D058996:Quality Improvement; D000072917:Standardized Nursing Terminology