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Usefulness of a Nurse-Led Program of Care for Management of Patients with Chronic Heart Failure

BACKGROUND: The aims of the present study were to determine whether a nurse-led program of care can improve medication adherence, quality of life (QoL), rates of rehospitalization, and all-cause mortality for chronic heart failure (CHF) patients. MATERIAL/METHODS: CHF patients were randomly assigned...

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Autores principales: You, Jinyan, Wang, Suping, Li, Jing, Luo, Yuanping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047924/
https://www.ncbi.nlm.nih.gov/pubmed/32068197
http://dx.doi.org/10.12659/MSM.920469
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author You, Jinyan
Wang, Suping
Li, Jing
Luo, Yuanping
author_facet You, Jinyan
Wang, Suping
Li, Jing
Luo, Yuanping
author_sort You, Jinyan
collection PubMed
description BACKGROUND: The aims of the present study were to determine whether a nurse-led program of care can improve medication adherence, quality of life (QoL), rates of rehospitalization, and all-cause mortality for chronic heart failure (CHF) patients. MATERIAL/METHODS: CHF patients were randomly assigned into either a control group or an intervention group. At 12 weeks, patients were followed up to evaluate the rate of medication adherence, QoL (as assessed by SF-12 physical and mental component score [PCS and MCS]), rehospitalization, and all-cause mortality. RESULTS: We recruited 152 patients. No significant differences in demographics, comorbidities, CHF severity, or etiology at baseline were observed. At discharge, no significant differences in medications prescription, PCS (46 vs. 45), or MCS (55 vs. 56) were observed. However, at 12-week follow-up, compared to the control group, patients in the intervention group were more likely to keep on medications therapy, with a significantly higher use of angiotensin-converting enzyme inhibitor/angiotensin receptor blocker [73.8% vs. 59.7%], beta-blocker (62.5% vs. 51.4%), and aldosterone receptor antagonist (60% vs. 54.2%). Both PCS (35 vs. 40) and MCS (42 vs. 49) were also significantly lower in the control group versus the intervention groups (P<0.05). Patients in the control group had higher incident rate of rehospitalization (8.0% vs. 5.2% per person-week) than in the intervention group, with an incident rate ratio of 1.54 (95% confidence interval [CI]: 1.06–2.23). CONCLUSIONS: A nurse-led discharge program of care can be a cost-effective and feasible approach for management of CHF patients in China.
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spelling pubmed-70479242020-03-12 Usefulness of a Nurse-Led Program of Care for Management of Patients with Chronic Heart Failure You, Jinyan Wang, Suping Li, Jing Luo, Yuanping Med Sci Monit Public Health BACKGROUND: The aims of the present study were to determine whether a nurse-led program of care can improve medication adherence, quality of life (QoL), rates of rehospitalization, and all-cause mortality for chronic heart failure (CHF) patients. MATERIAL/METHODS: CHF patients were randomly assigned into either a control group or an intervention group. At 12 weeks, patients were followed up to evaluate the rate of medication adherence, QoL (as assessed by SF-12 physical and mental component score [PCS and MCS]), rehospitalization, and all-cause mortality. RESULTS: We recruited 152 patients. No significant differences in demographics, comorbidities, CHF severity, or etiology at baseline were observed. At discharge, no significant differences in medications prescription, PCS (46 vs. 45), or MCS (55 vs. 56) were observed. However, at 12-week follow-up, compared to the control group, patients in the intervention group were more likely to keep on medications therapy, with a significantly higher use of angiotensin-converting enzyme inhibitor/angiotensin receptor blocker [73.8% vs. 59.7%], beta-blocker (62.5% vs. 51.4%), and aldosterone receptor antagonist (60% vs. 54.2%). Both PCS (35 vs. 40) and MCS (42 vs. 49) were also significantly lower in the control group versus the intervention groups (P<0.05). Patients in the control group had higher incident rate of rehospitalization (8.0% vs. 5.2% per person-week) than in the intervention group, with an incident rate ratio of 1.54 (95% confidence interval [CI]: 1.06–2.23). CONCLUSIONS: A nurse-led discharge program of care can be a cost-effective and feasible approach for management of CHF patients in China. International Scientific Literature, Inc. 2020-02-18 /pmc/articles/PMC7047924/ /pubmed/32068197 http://dx.doi.org/10.12659/MSM.920469 Text en © Med Sci Monit, 2020 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Public Health
You, Jinyan
Wang, Suping
Li, Jing
Luo, Yuanping
Usefulness of a Nurse-Led Program of Care for Management of Patients with Chronic Heart Failure
title Usefulness of a Nurse-Led Program of Care for Management of Patients with Chronic Heart Failure
title_full Usefulness of a Nurse-Led Program of Care for Management of Patients with Chronic Heart Failure
title_fullStr Usefulness of a Nurse-Led Program of Care for Management of Patients with Chronic Heart Failure
title_full_unstemmed Usefulness of a Nurse-Led Program of Care for Management of Patients with Chronic Heart Failure
title_short Usefulness of a Nurse-Led Program of Care for Management of Patients with Chronic Heart Failure
title_sort usefulness of a nurse-led program of care for management of patients with chronic heart failure
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047924/
https://www.ncbi.nlm.nih.gov/pubmed/32068197
http://dx.doi.org/10.12659/MSM.920469
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