Patients with heart failure experience system imbalance and have multiple symptoms. A nurse-led care program based on Johnson’s behavioral system model was used to improve the balance of the behavioral system of heart failure patients. One hundred and fifty patients were randomly assigned into two groups. In the experimental group, the patient’s status was evaluated by a behavioral subsystem assessment tool related to the level of imbalance. The patients in the intervention group received care individually based on their worst subsystem scores over a period of 2 weeks. The results showed significant improvement in restorative, ingestive, eliminative, aggressive/protective, dependency, and achievement (p < .05) subsystems in the experimental group. However, no significant difference was seen in sexual and affiliative (p > .05) subsystems.
AgarwalJ. (2013). Predicting risk of re-hospitalization for congestive heart failure patients [unpublished master’s thesis]. University of Washington.
2.
AllaF.AgrinierN.LavielleM.RossignolP.GonthierD.BoivinJ.- M.ZannadF. (2018). Impact of the interruption of a large heart failure regional disease management program on hospital admission rate: A population-based study. European Journal of Heart Failure, 20(6), 1066-1068. https://doi.org/10.1002/ejhf.1193
3.
AzadN.LemayG. (2014). Management of chronic heart failure in the older population. Journal of Geriatric Cardiology: JGC, 11(4), 329.
4.
BagheriI.MemarianR.HajizadehE.PakcheshmB. (2014). The effect of sex education on patients and their spouses satisfaction after myocardial infarction. Jorjani Biomedicine Journal, 2(1), 46-40.
5.
BakanG.AkyolA. D. (2008). Theory-guided interventions for adaptation to heart failure. Journal of Advanced Nursing, 61(6), 596-608.
6.
BytyçiI.BajraktariG. (2015). Mortality in heart failure patients. Anatolian Journal of Cardiology, 15(1), 63.
7.
CowieM. R.KomajdaM.Murray-ThomasT.UnderwoodJ.TichoB. (2006). Prevalence and impact of worsening renal function in patients hospitalized with decompensated heart failure: Results of the prospective outcomes study in heart failure (POSH). European Heart Journal, 27(10), 1216-1222.
8.
DerdiananA. K.SchobelD. (1990). Comprehensive assessment of AIDS patients using the behavioural systems model for nursing practice instrument. Journal of Advanced Nursing, 15(4), 436-446.
9.
GillilanR.QawiS.WeymillerA. J.PuchalskiC. (2017). Spiritual distress and spiritual care in advanced heart failure. Heart Failure Reviews, 22(5), 581-591.
10.
HasaniS. S.VaeziA. (2017). Study of the effect of yoga exercises on anxiety and sleep quality of patients with chronic heart failure in Kerman city in 2015. Daneshvar Medicine, 24(126), 35-45.
11.
HwangR.ChuanF.PetersR.KuysS. (2013). Frequency of urinary incontinence in people with chronic heart failure. Heart & Lung: The Journal of Acute and Critical Care, 42(1), 26-31.
12.
JobraniH.AghebatiN.ShahriyariS.Behnam VashaniH.SehatbakhshS.EsfahanizadehJ. (2016). Introduction and use of an education-notification application for patients undergoing heart valve replacement. Evidence Based Care, 6(3), 31-36.
13.
Khajian GelogahiZ.AghebatiN.MazloumS. R.MohajerS. (2018). Effectiveness of nurse’s intentional presence as a holistic modality on depression, anxiety, and stress of cardiac surgery patients. Holistic Nursing Practice, 32(6), 296-306.
14.
LennieT. A.Worrall-CarterL.HammashM.Odom-ForrenJ.RoserL. P.TruppR.ChungM. L.MoserD. K. (2008). Relationship of heart failure patients’ knowledge, perceived barriers, and attitudes regarding low-sodium diet recommendations to adherence. Progress in Cardiovascular Nursing, 23(1), 6-11.
15.
PihlE.FridlundB.MårtenssonJ. (2011). Patients’ experiences of physical limitations in daily life activities when suffering from chronic heart failure; a phenomenographic analysis. Scandinavian Journal of Caring Sciences, 25(1), 3-11.
16.
PosterE. C.BelizL. (1992). The use of the Johnson Behavioral System Model to measure changes during adolescent hospitalization. International Journal of Adolescence and Youth, 4(1), 73-84.
17.
PurezaV.FloreaV. G. (2013). Mechanisms for cachexia in heart failure. Current Heart Failure Reports, 10(4), 307-314.
18.
RiegelB. (1989). Social support and psychological adjustment to chronic coronary heart disease: Operationalization of Johnson’s behavioral system model. Advances in Nursing Science, 11(2), 74-84. https:///dol.org/10.1097/00012272-198901000-00011
19.
Rodríguez-GázquezM. d. l. Á.Arredondo-HolguínE.Herrera-CortésR. (2012). Effectiveness of an educational program in nursing in the self-care of patients with heart failure: Randomized controlled trial. Latin American Journal of Illness [Revista Latino-Americana de Enfermagem], 20(2), 296-306.
20.
SmithM. C.ParkerM. E. (2015). Nursing theories and nursing practice. FA Davis.
21.
TaghadosiM.RohollahF.AghajaniM.RayganF. (2014). Effect of cognitive therapy on mental health in patients with heart failure. Feyz, Journal of Kashan University of Medical Sciences, 18(1), 52-59.
