Effects of Peer Education and Nurse Education Methods on Self-efficacy in Patients with Congestive Heart Failure: A Comparative Study

Abstract

Background and Aim Congestive heart failure is one of the most common cardiovascular disorders and is considered as a chronic, progressive and debilitating disorder. The self-efficacy of these patients may be impaired. This study was performed with the aim of determining effect of peer education and nurse education methods on self-efficacy in patients with Congestive Heart Failure (CHF).

Method: In this semi experimental during 2018-9, 72 patients with CHF were selected and allocated to the intervention and control groups (n = 36 each) using randomly. After preparing the peer group, four peer to peer training sessions were conducted during one month. A translation of Sulivan the self-efficacy questionnaire was used for data collection, which was completed by both groups for evaluating the self-efficacy of the patients before, just and one month after the intervention. SPSS-21 software was used in this study and P values less than 0.05 were considered significant.

Findings: No significant difference was observed between two groups in overall self-efficacy score before the intervention. The mean scores of self-efficacies, immediately after the intervention, were 50.3±7.21 and 24.9 ±1.7, in the case and control groups respectively. The mean scores of self-efficacy L, one month after the intervention, were 48/8 ±1/2 and 23.4 ±4.6 in the case and control groups, after intervention, Paired t - tests showed tests showed that peer education had a significant relationship with self-efficacy of the heart failure patients (P<0001).

Conclusion: The effect of peer education on the self-efficacy of patients with CHF has been greater than nursing education.