The effects of nurse-led health coaching on health-related quality of life and clinical health outcomes among frequent attenders : a quasi-experimental study
Kivelä, Kirsi; Elo, Satu; Kyngäs, Helvi; Kääriäinen, Maria (2020-02-19)
Kirsi Kivelä, Satu Elo, Helvi Kyngäs, Maria Kääriäinen, 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, Volume 103, Issue 8, 2020, Pages 1554-1561, ISSN 0738-3991, https://doi.org/10.1016/j.pec.2020.02.026
© 2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/.
https://creativecommons.org/licenses/by-nc-nd/4.0/
https://urn.fi/URN:NBN:fi-fe20201222102532
Tiivistelmä
Abstract
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 significant 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.
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