Cargando…

Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial

OBJECTIVE: to evaluate the effectiveness of the behavioral intervention of discharge guidance and telephone follow-up in the therapeutic adherence, re-hospitalization and mortality of patients with heart failure. METHOD: randomized clinical trial without blinding, including 201 patients diagnosed wi...

Descripción completa

Detalles Bibliográficos
Autores principales: Oscalices, Monica Isabelle Lopes, Okuno, Meiry Fernanda Pinto, Lopes, Maria Carolina Barbosa Teixeira, Campanharo, Cassia Regina Vancini, Batista, Ruth Ester Assayag
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6703101/
https://www.ncbi.nlm.nih.gov/pubmed/31432915
http://dx.doi.org/10.1590/1518-8345.2484.3159
_version_ 1783445369548439552
author Oscalices, Monica Isabelle Lopes
Okuno, Meiry Fernanda Pinto
Lopes, Maria Carolina Barbosa Teixeira
Campanharo, Cassia Regina Vancini
Batista, Ruth Ester Assayag
author_facet Oscalices, Monica Isabelle Lopes
Okuno, Meiry Fernanda Pinto
Lopes, Maria Carolina Barbosa Teixeira
Campanharo, Cassia Regina Vancini
Batista, Ruth Ester Assayag
author_sort Oscalices, Monica Isabelle Lopes
collection PubMed
description OBJECTIVE: to evaluate the effectiveness of the behavioral intervention of discharge guidance and telephone follow-up in the therapeutic adherence, re-hospitalization and mortality of patients with heart failure. METHOD: randomized clinical trial without blinding, including 201 patients diagnosed with heart failure admitted to the emergency room, who were randomized in Control Group and Intervention Group. Intervention was carried out with specific discharge guidance in the Intervention Group, who were contacted for solving doubts via phone calls after 7 and 30 days, and the adherence to treatment was evaluated after 90 days with the Morisky test, the Brief Medical Questionnaire and the non-drug adherence test in both groups. The Generalized Estimating Equations Model was used (p<0.05%). RESULTS: One-hundred and one patients were randomly sorted in the Control Group and in the Intervention Group, their average age being 62.6±15.2. The Intervention Group had higher drug and non-drug therapeutic adherence compared to the Control Group (p<0.001) and there were lower re-hospitalization and death rates in the Intervention Group after 90 days. CONCLUSION: discharge guidance with telephone follow-up was effective and resulted in greater therapeutic adherence, as well as in decrease of re-hospitalization and death rates in patients with heart failure. Clinical Trial Registration (REBEC): RBR- 37n859
format Online
Article
Text
id pubmed-6703101
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
record_format MEDLINE/PubMed
spelling pubmed-67031012019-08-27 Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial Oscalices, Monica Isabelle Lopes Okuno, Meiry Fernanda Pinto Lopes, Maria Carolina Barbosa Teixeira Campanharo, Cassia Regina Vancini Batista, Ruth Ester Assayag Rev Lat Am Enfermagem Artigo Original OBJECTIVE: to evaluate the effectiveness of the behavioral intervention of discharge guidance and telephone follow-up in the therapeutic adherence, re-hospitalization and mortality of patients with heart failure. METHOD: randomized clinical trial without blinding, including 201 patients diagnosed with heart failure admitted to the emergency room, who were randomized in Control Group and Intervention Group. Intervention was carried out with specific discharge guidance in the Intervention Group, who were contacted for solving doubts via phone calls after 7 and 30 days, and the adherence to treatment was evaluated after 90 days with the Morisky test, the Brief Medical Questionnaire and the non-drug adherence test in both groups. The Generalized Estimating Equations Model was used (p<0.05%). RESULTS: One-hundred and one patients were randomly sorted in the Control Group and in the Intervention Group, their average age being 62.6±15.2. The Intervention Group had higher drug and non-drug therapeutic adherence compared to the Control Group (p<0.001) and there were lower re-hospitalization and death rates in the Intervention Group after 90 days. CONCLUSION: discharge guidance with telephone follow-up was effective and resulted in greater therapeutic adherence, as well as in decrease of re-hospitalization and death rates in patients with heart failure. Clinical Trial Registration (REBEC): RBR- 37n859 Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2019-08-19 /pmc/articles/PMC6703101/ /pubmed/31432915 http://dx.doi.org/10.1590/1518-8345.2484.3159 Text en Copyright © 2019 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Artigo Original
Oscalices, Monica Isabelle Lopes
Okuno, Meiry Fernanda Pinto
Lopes, Maria Carolina Barbosa Teixeira
Campanharo, Cassia Regina Vancini
Batista, Ruth Ester Assayag
Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial
title Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial
title_full Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial
title_fullStr Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial
title_full_unstemmed Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial
title_short Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial
title_sort discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial
topic Artigo Original
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6703101/
https://www.ncbi.nlm.nih.gov/pubmed/31432915
http://dx.doi.org/10.1590/1518-8345.2484.3159
work_keys_str_mv AT oscalicesmonicaisabellelopes dischargeguidanceandtelephonefollowupinthetherapeuticadherenceofheartfailurerandomizedclinicaltrial
AT okunomeiryfernandapinto dischargeguidanceandtelephonefollowupinthetherapeuticadherenceofheartfailurerandomizedclinicaltrial
AT lopesmariacarolinabarbosateixeira dischargeguidanceandtelephonefollowupinthetherapeuticadherenceofheartfailurerandomizedclinicaltrial
AT campanharocassiareginavancini dischargeguidanceandtelephonefollowupinthetherapeuticadherenceofheartfailurerandomizedclinicaltrial
AT batistaruthesterassayag dischargeguidanceandtelephonefollowupinthetherapeuticadherenceofheartfailurerandomizedclinicaltrial