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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Escola de Enfermagem de Ribeirão Preto / Universidade de São
Paulo
2019
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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 |
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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 |
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