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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Analysis of the Application Effect of Multidisciplinary Team Cooperation Model in Chronic Heart Failure under WeChat
Jieyu Huang1, Yu Su2, Xiucai Mao3
1Department of Cardiovascular Medicine, Hezhou People's Hospital, Second Ward, Hezhou, China.
Insights
A WeChat-based multidisciplinary nursing model improved self-care and quality of life for heart failure patients. This approach also significantly reduced hospital readmissions within three months.
Area of Science:
- Cardiology
- Digital Health
- Nursing Science
Background:
- Chronic heart failure (CHF) management requires continuous patient support post-discharge.
- Traditional nursing interventions may not fully address the complex needs of CHF patients.
- Integrating technology can enhance patient engagement and adherence to self-care.
Purpose of the Study:
- To evaluate the effectiveness of a WeChat-based multidisciplinary nursing model for CHF patients.
- To compare patient outcomes between a novel intervention group and a control group receiving standard care.
- To assess improvements in self-care ability, quality of life, and hospital readmission rates.
Main Methods:
- A randomized controlled trial involving 56 CHF patients over 3 months.
- Experimental group received WeChat-based multidisciplinary nursing care; control group received conventional care.
- Outcomes measured using Self-Care of Heart Failure Index (SCHFI v6.2), Minnesota Living with Heart Failure Questionnaire (MLHFQ), and 6-minute walking test (6MWT).
Main Results:
- The experimental group showed significantly higher SCHFI and MLHFQ scores at 3 months post-discharge compared to the control group.
- Patients in both groups improved from admission to discharge, but the experimental group's improvements were more pronounced.
- The 6-minute walking distance was significantly greater, and the readmission rate was significantly lower in the experimental group.
Conclusions:
- A multidisciplinary teamwork model utilizing the WeChat platform effectively enhances self-care capacity in CHF patients.
- This innovative nursing approach improves the quality of life for individuals with chronic heart failure.
- The WeChat-based intervention demonstrates a significant reduction in hospital readmission rates for CHF patients.
Methods:
From April 2020 to May 2021, 56 patients with CHF who were discharged from the cardiology department of our hospital after treatment were randomly divided into two groups: experimental group (n = 28) and control group (n = 28). The control group was given conventional nursing measures and health education and discharge instructions, while the experimental group received collaborative multidisciplinary team nursing care based on the WeChat platform on the basis of the control group, all for 3 months. All enrolled patients underwent the Self-Care of Heart Failure Index Version 6.2 (SCHFI v6.2), the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and the 6-minute walking test (6MWT test). The SCHFI v6.2 and MLHFQ scores, 6 MWT test results, and readmission rates within 3 months were observed and compared between the two groups.
Results:
There was no significant difference between the SCHFIv6.2 and MLHFQ scores of the two patients at admission and at discharge, and the scores of the experimental group were significantly higher than the scores of the control group at the end of 3 months after discharge. On the other hand, the SCHFIv6.2 and MLHFQ scores of the two groups were significantly higher at discharge compared to admission; the 6-minute walking distance of the experimental group was significantly higher than that of the control group at the end of 3 months. The readmission rate in the experimental group was significantly lower than that in the control group.
Conclusion:
The multidisciplinary teamwork model based on the WeChat platform can significantly improve the self-care ability and quality of life of CHF patients and reduce the readmission rate.
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