Since mental health is an important determining factor to grade the associated comorbidities and hence outcomes related to quality of life in individuals with heart failure, interventions to improve mental health would also influence the quality of life in these patients. The problem in this study therefore to investigate the effects of nursing interventions directed to this area and to know whether these mental health nursing interventions improves the outcome. The problem is sufficiently narrow, since this asks a specific question about the management of heart failure problems, where the psychological distress part of the causative factors for heart failure is in question. This does not make this question trivial, since even though narrow, this addresses a very important comorbidity which has been hypothesized to have significant impact on the outcome of care in these patients over and above the conventional means of symptom management and palliative measure. The study highlights an area of focus where reduction of morbidity and mortality is important part of care, which tends to identify the nursing strategies in this context, in order to improve the perceptions of wellbeing and quality of life in these patients. ...
This purpose hence narrows down and clarifies the aim of the study that has been designed to examine the effectiveness of these nursing strategies for intervention. The research variables have been thus identified, which are psychological comorbidities of heart failure, outcomes such as perceptions about symptoms and quality of life, and nursing interventions to enhance mental health. The population has been identified to the patients having heart failure, and the research setting has been identified to the heart failure patients who receive home care.
The problem is significant, since research has acknowledged the importance of influence of mental health in determining comorbidity in heart failure patients. Improvement of quality of life and satisfaction is a nursing forte, since they are more closely related to care of the patients. If nursing mental health interventions are really proved to be improving health outcomes in these patients in home care, this can serve as evidence for care interventions in future nursing practice.
This is a very feasible research in terms of money commitment, since although the design is experimental, this authors planned to utilize the existing system of home care nursing interventions, since many patients with heart failure are treated by home care agencies. They made arrangements made with home care agencies, where already baseline data were available. The rest of the design involves interventions, which are priceless, and analysis cost is nominal. The researchers are experienced professors, and this study was supported by American Heart Association, and they possess the expertise to undertake a research of this magnitude. As has been mentioned earlier, the