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The efficacy of a nursing care and follow-up program for patients with heart failure: Study protocol for a randomized
Zhimin Zhang1, Jincheng Bai1, Yongmei Huang2
1Department of Cardiovascular Medicine.
Insights
This study investigated a nursing care program for heart failure (HF) patients. The program aims to improve quality of life and self-care, potentially reducing hospital readmissions.
Area of Science:
- Cardiology
- Nursing Science
- Public Health
Background:
- Heart failure (HF) significantly contributes to public health costs, incidence, and mortality.
- Evolving treatment options and a better understanding of HF burden necessitate updated nursing care models.
- This study addresses the need for updated nursing interventions in managing chronic heart failure patients.
Purpose of the Study:
- To evaluate the impact of a structured nursing care and follow-up program on heart failure patients.
- To assess the program's effects on patients' quality of life and self-care abilities.
- To determine the program's influence on rehospitalization rates in heart failure patients.
Main Methods:
- A randomized controlled study conducted between November 2020 and March 2021.
- Inclusion criteria: patients aged 18+ with NYHA functional class II or III heart failure.
- Exclusion criteria: recent bypass surgery, active cancer treatment, severe renal failure, COPD requiring ventilation, or sensory impairments.
Main Results:
- The study utilized the Left Ventricular Dysfunction Scale and Self-Care of HF Index for assessments.
- Impact of the experimental nursing program on patient outcomes will be detailed.
Conclusions:
- The nursing care program is hypothesized to enhance the quality of life for heart failure patients.
- Improved self-care capabilities are anticipated as a result of the nursing interventions.
Background:
Heart failure (HF) is one of the primary causes of the increasing public health costs, incidence rate and mortality of heart disease. As treatment options for the HF have evolved, people have a better understanding of overall burden of HF, resulting a more centralized method for the treatment of these patients with chronic diseases. At present, with the rapid progress of medical technology, the nursing mode must be updated accordingly. The objective of this trial is to investigate the effects of the program of nursing care and follow-up on life quality, self-care, and the rehospitalization of patients with HF.
Method:
This is a randomized controlled study to be carried out from November 2020 to March 2021 and was granted through the Ethics Committee of Changshan County People's Hospital (CCPH002376). The patients meet the following criteria will be included: the age of the patients is 18 years and above, and the functional classification is NYHA II or NYHA III. The patients with the following criteria will be excluded: patients who have received the by-pass surgery in the last 6 months; cancer patients are given radiotherapy or chemotherapy; patients with severe renal failure requiring dialysis; patients with chronic obstructive pulmonary disease who need ventilation; and patients with hearing or visual impairment. In our experiment, patient information scale, the life quality scale (The Left Ventricular Dysfunction Scale) and Self-Care of HF Index are utilized for the assessment. All the analyses are implemented with SPSS for Windows Version 20.0.
Results:
Impact of experimental programs on outcomes will be illustrated in the Table.
Conclusion:
We hypothesize that the nursing care conducted for the HF patients may improve the life quality and self-care.
Trial Registration Number:
researchregistry 6129.
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