{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:30:09Z","timestamp":1772253009985,"version":"3.50.1"},"reference-count":35,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Patients with heart failure have difficulty in self-care management, as daily monitoring and recognition of symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate the longitudinal effect of a nursing-led complex intervention on self-care management and quality-of-life changes in patients with heart failure and assessed by a pilot study performed on sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p &lt; 0.001) and emergency admission (IRR 4.24; p &lt; 0.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (\u03b2Slope. Assignment_group = \u22120.881; p &lt; 0.001) and in the quality of life (\u03b2Slope. Assignment_group = 1.739; p &lt; 0.001). This study supports that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure. This randomised controlled trial was retrospectively registered (NCT04892004).<\/jats:p>","DOI":"10.3390\/nursrep11020040","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T23:07:03Z","timestamp":1622588823000},"page":"418-429","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled Trial"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5515-0696","authenticated-orcid":false,"given":"Joana","family":"Pereira Sousa","sequence":"first","affiliation":[{"name":"Institute of Health Sciences, Universidade Cat\u00f3lica Portuguesa, 4169-005 Porto, Portugal"},{"name":"School of Health Sciences, Polytechnic of Leiria, 2411-901 Leiria, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6843-6228","authenticated-orcid":false,"given":"Hugo","family":"Neves","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing\u2014UICISA:E, Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal"},{"name":"Center for Innovative Care and Health Technology\u2014CiTechCare, 2411-901 Leiria, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1398-9060","authenticated-orcid":false,"given":"Miguel","family":"Pais-Vieira","sequence":"additional","affiliation":[{"name":"Institute of Biomedicine\u2014iBiMED, Department of Medical Sciences, University of Aveiro, 3810-193 Aveiro, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1097\/ANS.0b013e318261b1ba","article-title":"A Middle-Range Theory of Self-Care of Chronic Illness","volume":"35","author":"Riegel","year":"2012","journal-title":"Adv. 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