The Effect of Mental Health Education on the Resilience and Psychosocial Adjustment in Patients with Heart Failure under the Care of Home Counseling and Nursing Services: A Randomized Controlled Trial.
Ramin Avazpour, Ladan Zarshenas, Shahrzad Yektatalab and 1 others
PMID 42058541WHAT IT FOUND
Patients with heart failure who received home care, weekly mental-health education, and follow-up calls showed better resilience and psychosocial adjustment than routine care.
The study cannot separate which part helped.
Key findings
01After the intervention, the intervention group had significantly lower total psychosocial adjustment scores than the control group, which means better adjustment.
02Resilience scores increased in the intervention group after the intervention and were significantly higher than the control group after the intervention.
03Resilience scores did not change significantly in the control group after the intervention.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was small, with 24 patients from one hospital, so the results may not apply to other heart failure populations. The intervention group received home care, face-to-face education, and phone follow-up together, so the contribution of mental health education alone cannot be separated. The authors did not determine the decline in readmission rate after the intervention, so the study does not show whether this reduced hospital readmission. The study was done in Tehran, Iran, and the authors say this may limit generalizability to all heart failure patients in Iran.
The easy way to misread this
Do not conclude that mental health education alone improved resilience and psychosocial adjustment. The intervention group received home care, face-to-face training, and follow-up calls together, and the study cannot separate the contribution of any single component.