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Follow-up study for a disease management program for chronic heart failure 24 months after program commencement
Haruka Otsu1, Michiko Moriyama
1Graduate School of Health Sciences, Hirosaki University, Aomori, Japan. h_otsu@cc.hirosaki-u.ac.jp
Japan Journal of Nursing Science : JJNS
|November 28, 2012
Summary
A 6-month self-management educational program for chronic heart failure (CHF) patients in Japan demonstrated sustained benefits for 24 months. The program improved self-management skills and prevented symptom deterioration in CHF patients.
Area of Science:
- Cardiology
- Public Health
- Health Education
Background:
- Limited studies exist on comprehensive chronic heart failure (CHF) self-management programs in Japan.
- A 6-month educational intervention was developed to enhance self-management and prevent CHF deterioration in outpatients.
Purpose of the Study:
- To assess the long-term effectiveness of a CHF self-management program.
- To determine if self-management skills acquired during the program persisted for 24 months.
Main Methods:
- A 6-month educational program targeting CHF outpatients was implemented.
- Participants were followed up for 24 months post-intervention.
- Intervention and control groups were analyzed at 7-12 months; intervention group analyzed at 13-24 months.
Main Results:
- Self-management skills and activities were maintained by the intervention group up to 24 months.
- No significant deterioration in CHF symptoms was observed in the intervention group.
- Improvements in smoking and drinking cessation were limited by individual preferences.
Conclusions:
- The educational program proved effective long-term for CHF self-management.
- The program is valuable for busy clinical settings lacking extensive follow-up support.
- Further development of regular interventions with lasting effects is recommended.
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