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Marie-Soleil Hardy, Clémence Dallaire

    Recherche En Soins Infirmiers
    |June 20, 2022
    PubMed
    Summary

    Elderly patients with chronic heart failure face adaptation challenges transitioning home. Understanding these physical, psychological, and social factors can improve nursing interventions and quality of life.

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    Area of Science:

    • Nursing Science
    • Gerontology
    • Health Psychology

    Context:

    • Heart failure is a leading cause of hospitalization in older adults.
    • The transition from hospital to home is often challenging for these patients.
    • Current care programs often lack theoretical grounding and focus narrowly on physiological aspects.

    Purpose:

    • To understand adaptation difficulties and influencing factors for elderly patients with chronic heart failure during the hospital-to-home transition.
    • To develop a theoretically-based nursing intervention program using Roy's adaptation model.

    Summary:

    • A qualitative descriptive study employed deductive and inductive approaches with semi-structured interviews.
    • Participants included older adults with chronic heart failure (n=7), caregivers (n=6), and healthcare professionals (n=14).
    • Data triangulation revealed physical, psychological, and social adaptation challenges and facilitators.

    Impact:

    • Provides a holistic understanding of the hospital-to-home transition experience for elderly heart failure patients.
    • Informs the development of targeted nursing interventions for better chronic disease management.
    • Aims to enhance the quality of life for elderly individuals with chronic heart failure.

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