The effects of nurse -led health coaching on health -related quality of life and clinical health outcomes among frequent attenders: A quasi -experimental study

PATIENT EDUCATION AND COUNSELING

卷:103

Article

Kivela, Kirsi¹  Elo, Satu²  Kyngas, Helvi³  Kaariainen, Maria⁴ 

[1] Univ Oulu, Res Unit Nursing Sci & Hlth Management, Univ Oulu Finland, POB 5000, Oulu 90014, Finland

[2] Lapland Univ Appl Sci, Kemi, Finland

[3] Univ Oulu, Med Res Ctr Oulu, Univ Hosp, Oulu, Finland

[4] Univ Oulu, Oulu Univ Hosp, Res Unit Nursing Sci & Hlth Management, Oulu, Finland

关键词: Chronic diseases;    Coaching;    Health promotion;    Nurse;    Patient;    Primary health care;    Quality of life;   

DOI  :  10.1016/j.pec.2020.02.026

来源: Elsevier

【 摘 要 】

A B S T R A C T Objective: To evaluate the effects of the nurse -led health coaching on health -related quality of life and clinical health outcomes among frequent attenders in primary healthcare. Methods: A quasi -experimental study design. A total of 110 patients were enrolled in the study. The experimental group (n = 52) received nurse -led health coaching and the control group (n = 58) received the usual care at primary health care centres in Finland. The data were collected before the intervention and 12 months via a questionnaire of health -related quality of life and clinical health outcomes as measured by health -coaching nurses. Results: This study found frequent attenders have low health -related quality of life. The nurse -led health coaching showed no differences in health -related quality of life between the experimental and control groups. However, the nurse -led health coaching had statistically signi ficant effects on the blood pressure and health -related quality of life among the experimental participants, especially in emotional role limitation and energy. Conclusions: This study suggests that nurse -led health coaching may lead to an improvement in the health -related quality of life and blood pressure among frequent attenders. Practice Implications: The health -coaching sessions with own health -coaching nurses and action plans support the frequent attenders'health promotion goals and implementation.

【 授权许可】

Free