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Effectiveness of a multidisciplinary disease management program on outcomes in patients with heart failure in China:
Yiyin Chen1, Marjorie Funk2, Jia Wen3
1Department of Geriatrics, The Second Xiangya Hospital of Central South University, Middle Renmin Rd., Furong District, Changsha, Hunan, 410011, China.
Insights
Multidisciplinary disease management programs (MDMP) significantly improved quality of life, depressive symptoms, and self-care behaviors in heart failure (HF) patients in China. Further research is needed to assess impact on physical performance and rehospitalization rates.
Area of Science:
- Cardiology
- Public Health
- Health Management
Background:
- Limited evidence exists on the effectiveness of multidisciplinary disease management programs (MDMP) for heart failure (HF) patients in China.
- HF management requires comprehensive strategies to address patient well-being and adherence.
Purpose of the Study:
- To evaluate the impact of an MDMP on quality of life (QoL), physical performance, depressive symptoms, self-care behaviors, and clinical outcomes (mortality/rehospitalization) in Chinese HF patients.
- To provide evidence for the implementation of effective HF management programs in China.
Main Methods:
- A randomized controlled trial was conducted involving 62 HF patients.
- Patients were assigned to either an 180-day MDMP (including discharge education, physical training, follow-up visits, and telephone calls) or standard care (SC).
Main Results:
- The MDMP group showed significant improvements in QoL (37% vs 66%), depressive symptoms (20% vs 61%), and self-care behaviors (8% vs 33%) compared to SC (all p < 0.001).
- No significant differences were observed between groups in physical performance or mortality/rehospitalization rates during the follow-up period.
Conclusions:
- A multidisciplinary disease management program (MDMP) is effective in enhancing QoL, reducing depressive symptoms, and improving self-care behaviors among heart failure patients in China.
- The findings support the integration of MDMPs into routine HF care in China to improve patient-reported outcomes and self-management.
Background:
Multidisciplinary disease management programs (MDMP) for patients with heart failure (HF) have been delivered, but evidence of their effectiveness in China is limited.
Objective:
To determine if a MDMP improves quality of life (QoL), physical performance, depressive symptoms, self-care behaviors and mortality or rehospitalization in patients with HF in China.
Methods:
This is a randomized controlled single center trial in which patients with HF received either MDMP with discharge education, physical training, follow-up visits and telephone calls for 180 days (n = 31) or standard care (SC, n = 31).
Results:
Compared with SC, QoL, depressive symptoms, and self-care behaviors were significantly improved by MDMP from baseline to 180 days (37% vs 66%, 20% vs 61%, and 8% vs 33%, respectively, all p < 0.001). There were no differences in physical performance and mortality or rehospitalization during follow-up.
Conclusions:
A HF MDMP can improve QoL, depressive symptoms and self-care behaviors in China.
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