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Uncertainty in illness among patients with chronic heart failure can be reduced by person-centered care.


Background

Many patients with chronic heart failure (CHF) experience uncertainty regarding the treatment and characteristics of their illness. Person- centered care (PCC) emphasizes patient involvement in care. It is still unknown how PCC impacts self-reported uncertainty of illness in patients hospitalized for CHF.

Purpose

To evaluate if PCC reduces self-reported uncertainty in illness among patients with CHF. 

Method

Patients with worsening CHF admitted for hospital care was eligible for the study, which had a controlled before and after design. The control group received conventional care and the intervention group received PCC. Uncertainty in illness was measured by the Cardiovascular Population Scale (CPS). CPS consists of two domains: 1) ambiguity; patients ́ perception concerning severity of illness, 2) complexity; patients’ perceptions on treatment and system of care. 

Results

248 patients were included in the study. Ambiguity was less prevalent (mean 27.8 (SD 6.6)) in the PCC-group compared to the usual care group (mean 29.8 (SD 6.9)), the difference was significant (p 0.041). The PCC-group scored less regarding complexity (15.2 (SD 4.7)) than the usual care group (16.8 (SD 4.7)). 

Conclusions

These findings suggest that PCC is associated with improved self-reported uncertainty in illness among patients with CHF.

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