Ruff Joseph Cajanding
King’s College Hospital NHS Foundation Trust, UK
Ruff Joseph Cajanding finished his Bachelor of Science in Nursing degree from the University of Santo Tomas in Manila, the Philippines, magna cum laude. He took up Master of Arts in Nursing from the University of the Philippines, Manila; Master of Science in Biology from De La Salle University, Manila, and Master of Health Professions Education from the University of Santo Tomas Graduate School, Manila. He currently works as an Intensive Care Unit nurse in the Liver Intensive Therapy Unit of King’s College Hospital, London, and is taking up Master of Science in Genomic Medicine from St. George’s University, London.
AIMS/OBJECTIVES: The diagnosis and complications associated with heart failure (HF) have been very well established to adversely impact an individual’s physical and psychosocial well-being, and interventions such as cognitive behavioral techniques have demonstrated potential positive benefits among patients with HF. However, the effects of such interventions among Filipino HF patients have not been studied. This study aimed to determine the effectiveness of a nurse-led cognitive behavioral intervention program on the quality of life, self-esteem and mood among Filipino patients with HF. METHODS: A randomized control two-group design with repeated measures and collected data before and after the intervention was used in this study. Participants were assigned to either the control (n=48) or the intervention group (n=52). Control group participants received traditional care. Intervention participants underwent a twelve-week nurse-led cognitive behavioral intervention program focusing on patient education, self-monitoring, skills training, cognitive restructuring and spiritual development. Measures of quality of life, self-esteem and mood were obtained at baseline and after the intervention. RESULTS: At baseline, participants in both groups have poor quality of life, low self-esteem, and moderate depressive symptom scores. After the 12-week intervention period, participants in the intervention group had significant improvement in their quality of life, self-esteem and mood scores compared with those who received only standard care. CONCLUSION: Nurse-led cognitive behavioral intervention is a feasible, disease-appropriate and effective strategy in improving the quality of life, self-esteem and mood among Filipino patients living with HF. It is recommended that this intervention be incorporated in the optimal care of patients with this cardiac condition.