📖 ABSTRACT/OVERVIEW
Background: Heart failure self-management is suboptimal in Nigerian patients, contributing to high readmission rates and poor quality of life. Nurse-led education represents a cost-effective strategy for bridging this gap, yet rigorous evaluation from Nigerian contexts is scarce. Aim: This study evaluated the effectiveness of a nurse-led structured education programme on self-management and quality of life among heart failure patients in Ibadan, South West Nigeria. Methods: A randomised controlled trial design allocated 100 heart failure outpatients to intervention and control arms at University College Hospital. The Self-Care of Heart Failure Index and the Minnesota Living with Heart Failure Questionnaire were administered at baseline and at three and six months. Data were analysed using mixed ANOVA. Results: The intervention group showed significant improvements in self-care maintenance, monitoring, and management scores at three months (p < 0.01), sustained at six months. Quality of life scores improved significantly compared with controls. Readmission rates were 18% lower in the intervention group. Conclusion: Nurse-led heart failure education is effective in improving self-management and quality of life. The programme should be adopted as standard outpatient cardiac nursing practice across Nigerian teaching hospitals. Keywords: heart failure, nurse-led education, self-management, quality of life, Ibadan.
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