The Effect of Self-Management Training Using Cd on the Quality of Life in Patients With Chronic Heart Failure

Background: chronic heart failure (chf) can have negative effects on the quality of life (qol).self-management education is one of the approaches that can be adopted to increase the qolof these patients. this study aimed to determine the effect of self-management training usingcompact disc (cd) on the qol in patients with chf.methods: this study was a non-randomized controlled clinical trial which was conducted on74 patients with chf hospitalized in shahid rajaie cardiovascular medical and research centerin 2015. research samples were selected with convenience sampling method and randomlyassigned to intervention (training with cd) and control (conventional training) groups. to collectdata, iranian questionnaire to assess qol in patients with heart failure (ihf-qol) was completedin both groups before and 3 months after the intervention. data analysis was done using statisticaltests of the independent t test and paired t-test using spss version 21.results: according to the findings, there was no significant difference between two groups beforethe intervention with regard to qol scores (p=0.58). statistical tests showed that 3 months afterthe intervention, self-management education promoted qol subscales including psychologicalstatus (t=-2.578, p=0.012), self-care (t=-3.633, p=0.001), as well as total qol (t=-2.01, p=0.048)in patients in the intervention group as compared with the control group. also in cd methodgroup, themean scores of total qol and its subscales before the intervention were significantlydifferent from that mean scores 3 months after the intervention., i.e. their total qol and its allsubscales improved after intervention. (p<0.0001).conclusion: as self-management training with cd can improve qol in patients with chfcompared with conventional training method, it is suggested that this training method be consideredas a part of patients’ self-management education by nurses with the aim of improving qol.