A client-centred programme focusing energy conservation for people with heart failure
Sammanfattning
Aim: The purpose of this study was to describe clients and occupational therapists (OTs) experiences
of a home-based programme focusing energy conservation strategies (ECS) for clients
with chronic heart failure (CHF).
Methods: The programme, based on occupational therapy intervention process model (OTIPM),
was led by two OTs in primary health care. Five clients’ self-reported activities of daily living
(ADL), fatigue, depression, goal achievements and use of ECS. Furthermore, both clients and OTs
were individually interviewed.
Results: The clients reported mild depression, severe fatigue and both increased and decreased
independence in ADL. Most goals were achieved, and multiple ECS were used. Clients perceived
that they worked collaboratively with the OTs and gained professional support to enhance daily
activities. The OTs experienced knowledge and structure and found benefits from the programme,
but doubted the possibility of using it in clinical practice.
Conclusions: This study, despite having few participants, indicates that both the OTs and the clients
experienced that the specialized programme gave structure to the OTs work, provided
knowledge about CHF and valuable energy conservation strategies. The programme supported
the OTs in working in a more comprehensive client-centred way. However, its feasibility needs
to be further evaluated.