title: [Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure].
abstract: OBJECTIVE
  The purpose of this study was to develop a heart health diary to promote self-care ability among patients with heart failure (HF), and to identify the diary's effect on self-care adherence, self-efficacy, and physical activity.
  
  
  METHODS
  A randomized control-group pretestposttest design was adopted using block randomization. A calender-typed health diary was developed and it included a self-care checklist and education information on HF management. The experimental group were given guided counseling and education for 8 weeks and wrote a daily health diary during that period. Data were collected from the outpatient department of a tertiary medical center from February to April 2016. To verify the hypotheses, data for the experimental group (n=28) and control group (n=33) were analysed using the independent t-test with SPSS/WIN 21.0.
  
  
  RESULTS
  At the end of 8 weeks the experimental group had significantly higher scores for self-care adherence (t=-2.48, p=.016) and exercise related self-efficacy (t=-3.44, p=.001) compared to the control group.
  
  
  CONCLUSIONS
  The findings show that the application of a patient-directed heart health diary is an effective nursing intervention for improving HF patients' self-care adherence and exercise self-efficacy. Strategies to promote dietary self-efficacy are necessary along with further studies including repeated research with an increasing intervention period. Healthcare providers need to encourage the utilization of a health diary for HF patients as a tool for evaluation and for implementation that leads to self-care.
authors.affiliation: School of Nursing, Hanyang University, Seoul, Korea.
authors.forename: Jae Lan
authors.initials: JL
authors.lastname: Shim
authors.affiliation: School of Nursing, Hanyang University, Seoul, Korea. seon9772@hanyang.ac.kr.
authors.forename: Seon Young
authors.initials: SY
authors.lastname: Hwang
mesh_terms: D000368:Aged; D003376:Counseling; D015444:Exercise; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006333:Heart Failure / Q000523:psychology*; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D009732:Nursing Care; D010349:Patient Compliance; D016730:Program Development; D015397:Program Evaluation; D012648:Self Care; D020377:Self Efficacy
keywords: Health Diary; Heart Failure; Nursing Care; Self-Care; Self-Efficacy