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Effect of Home Care Program on Re-hospitalization in Advanced Heart Failure: A Clinical Trial
BACKGROUND: Heart failure is the leading cause of readmission in all medical and surgical patients. Home care studies have reduced hospitalization in heart failure. This study aimed to investigate the effect of home care program on readmission in advanced heart failure. MATERIALS AND METHODS: The st...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580576/ https://www.ncbi.nlm.nih.gov/pubmed/36275336 http://dx.doi.org/10.4103/ijnmr.ijnmr_123_21 |
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author | Shabani, Fidan Maleki, Majid Noohi, Feridoun Taghavi, Sepideh Khalili, Yasaman Shahboulaghi, Farahnaz Mohammadi Nayeri, Nahid Dehghan Amin, Ahmad Nakhaei, Zahra Naderi, Nasim |
author_facet | Shabani, Fidan Maleki, Majid Noohi, Feridoun Taghavi, Sepideh Khalili, Yasaman Shahboulaghi, Farahnaz Mohammadi Nayeri, Nahid Dehghan Amin, Ahmad Nakhaei, Zahra Naderi, Nasim |
author_sort | Shabani, Fidan |
collection | PubMed |
description | BACKGROUND: Heart failure is the leading cause of readmission in all medical and surgical patients. Home care studies have reduced hospitalization in heart failure. This study aimed to investigate the effect of home care program on readmission in advanced heart failure. MATERIALS AND METHODS: The study was a randomized clinical trial conducted at the Rajaie Cardiovascular, Medical and Research Center from September 2017 to March 2018. Ninety-eight patients with advanced heart failure were selected using census method and were randomly divided into experimental and control groups. For the experimental group, the home care program was implemented for 6 months. The date and frequency of hospitalization were recorded during 30, 90, and 180 days before and after the home care program. The quantitative data analysis was performed using Mann–Whitney and Wilcoxon's signed-rank tests and qualitative data analysis was performed using the Chi-square test. RESULTS: The number of hospitalization and length of hospital stay 30, 90, and 180 days after implementation of the home care program in the experimental group was significantly less than the control group (p < 0.001). The number of hospitalizations and length of stay in the experimental group decreased significantly after the program (p < 0.001). In the control group, 90 days after the intervention, the number of hospitalizations (p = 0.013) and length of stay increased significantly (p < 0.001), and 180 days after the intervention, increased significantly (p < 0.001). CONCLUSIONS: The implementation of a designed home care program reduces readmission and the length of hospital stay in advanced heart failure. |
format | Online Article Text |
id | pubmed-9580576 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-95805762022-10-20 Effect of Home Care Program on Re-hospitalization in Advanced Heart Failure: A Clinical Trial Shabani, Fidan Maleki, Majid Noohi, Feridoun Taghavi, Sepideh Khalili, Yasaman Shahboulaghi, Farahnaz Mohammadi Nayeri, Nahid Dehghan Amin, Ahmad Nakhaei, Zahra Naderi, Nasim Iran J Nurs Midwifery Res Original Article BACKGROUND: Heart failure is the leading cause of readmission in all medical and surgical patients. Home care studies have reduced hospitalization in heart failure. This study aimed to investigate the effect of home care program on readmission in advanced heart failure. MATERIALS AND METHODS: The study was a randomized clinical trial conducted at the Rajaie Cardiovascular, Medical and Research Center from September 2017 to March 2018. Ninety-eight patients with advanced heart failure were selected using census method and were randomly divided into experimental and control groups. For the experimental group, the home care program was implemented for 6 months. The date and frequency of hospitalization were recorded during 30, 90, and 180 days before and after the home care program. The quantitative data analysis was performed using Mann–Whitney and Wilcoxon's signed-rank tests and qualitative data analysis was performed using the Chi-square test. RESULTS: The number of hospitalization and length of hospital stay 30, 90, and 180 days after implementation of the home care program in the experimental group was significantly less than the control group (p < 0.001). The number of hospitalizations and length of stay in the experimental group decreased significantly after the program (p < 0.001). In the control group, 90 days after the intervention, the number of hospitalizations (p = 0.013) and length of stay increased significantly (p < 0.001), and 180 days after the intervention, increased significantly (p < 0.001). CONCLUSIONS: The implementation of a designed home care program reduces readmission and the length of hospital stay in advanced heart failure. Wolters Kluwer - Medknow 2022-08-09 /pmc/articles/PMC9580576/ /pubmed/36275336 http://dx.doi.org/10.4103/ijnmr.ijnmr_123_21 Text en Copyright: © 2022 Iranian Journal of Nursing and Midwifery Research https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Shabani, Fidan Maleki, Majid Noohi, Feridoun Taghavi, Sepideh Khalili, Yasaman Shahboulaghi, Farahnaz Mohammadi Nayeri, Nahid Dehghan Amin, Ahmad Nakhaei, Zahra Naderi, Nasim Effect of Home Care Program on Re-hospitalization in Advanced Heart Failure: A Clinical Trial |
title | Effect of Home Care Program on Re-hospitalization in Advanced Heart Failure: A Clinical Trial |
title_full | Effect of Home Care Program on Re-hospitalization in Advanced Heart Failure: A Clinical Trial |
title_fullStr | Effect of Home Care Program on Re-hospitalization in Advanced Heart Failure: A Clinical Trial |
title_full_unstemmed | Effect of Home Care Program on Re-hospitalization in Advanced Heart Failure: A Clinical Trial |
title_short | Effect of Home Care Program on Re-hospitalization in Advanced Heart Failure: A Clinical Trial |
title_sort | effect of home care program on re-hospitalization in advanced heart failure: a clinical trial |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580576/ https://www.ncbi.nlm.nih.gov/pubmed/36275336 http://dx.doi.org/10.4103/ijnmr.ijnmr_123_21 |
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