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Association Between Nurse-Led Multidisciplinary Education and Cardiac Events in Patients With Heart Failure: A
1Department of Nursing, University of Ulsan, Ulsan, Republic of Korea.
Asian Nursing Research
|February 4, 2024
Summary
Nurse-led heart failure (HF) education during hospitalization significantly reduced cardiac events in South Korean patients. This highlights the value of multidisciplinary nursing care in improving patient outcomes and reducing adverse prognoses.
Area of Science:
- Cardiology
- Nursing Science
- Public Health
Background:
- Heart failure (HF) poses a significant burden on healthcare systems globally.
- Identifying modifiable factors to predict and prevent cardiac events in HF patients is crucial.
- South Korea faces challenges in managing HF patient outcomes.
Purpose of the Study:
- To investigate the impact of nurse-led multidisciplinary education and rehabilitation on cardiac events in South Korean HF patients.
- To identify predictive factors for adverse cardiac events in heart failure.
- To assess the role of in-hospital and post-discharge interventions.
Main Methods:
- Retrospective analysis of 342 heart failure patient records (June 2021-April 2022).
- Collection of data on HF education, cardiac rehabilitation, demographics, and clinical characteristics.
- Multivariate Cox proportional hazard regression to analyze associations with composite cardiac events (ED visits, readmissions, deaths).
Main Results:
- 123 patients (36.0%) experienced at least one cardiac event during a median 823-day follow-up.
- Nurse-led multidisciplinary HF education during hospitalization was associated with a reduced risk of cardiac events (HR: 0.487; 95% CI: 0.239-0.993).
- Elevated NT-pro BNP levels correlated with an increased risk of cardiac events.
Conclusions:
- Nurse-led heart failure education is a significant factor in reducing adverse prognoses.
- A multidisciplinary, nurse-led approach during hospitalization is vital for improving heart failure patient outcomes.
- Further research into optimizing rehabilitation and education strategies is warranted.
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