Quality of life improves in patients with chronic heart failure and Cheyne‐Stokes respiration treated with adaptive servo‐ventilation in a nurse‐led heart failure clinic

Olseng, Margareth; Olsen, Brita Fosser; Hetland, Arild; Fagermoen, May Solveig; Jacobsen, Morten

doi:10.1111/jocn.13416

Cited by 9 publications

(5 citation statements)

References 27 publications

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“…Prior research has demonstrated that nurse-led heart failure clinics can contribute to the reduction of unplanned heart failure hospitalizations. 10,15,17,34,35 Coupling this strategy with nurse-performed ultrasound of the pleural space and lungs to monitor pulmonary congestion has the potential to further improve outcomes and possibly decrease costs.…”

Section: Discussionmentioning

confidence: 99%

“…7,8 Both in the US and Europe, nurses are managing heart failure patients in conjunction with physicians. [9][10][11][12] Furthermore, in resource-limited settings, nurses and community health workers may represent the primary providers for both acute and chronic heart failure patients. LUS performed by these providers may allow for lower-cost and more effective management of these patients.…”

Section: Introductionmentioning

confidence: 99%

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Ability of non-physicians to perform and interpret lung ultrasound: A systematic review

Swamy

Brainin

Platz

2019

European Journal of Cardiovascular Nursing

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Background: Lung ultrasound is a useful tool in the assessment of pulmonary congestion in heart failure that is typically performed and interpreted by physicians at the point-of-care. Aims: To investigate the ability of nurses, students, and paramedics to accurately identify B-lines and pleural effusions for the detection of pulmonary congestion in heart failure and to examine the training necessary. Methods and results: We conducted a systematic review and searched online databases for studies that investigated the ability of nurses, students, and paramedics to perform lung ultrasound and detect B-lines and pleural effusions. Of 979 studies identified, 14 met our inclusion criteria: five in nurses, eight in students, and one in paramedics. After 0–12 h of didactic training and 58–62 practice lung ultrasound examinations, nurses were able to identify B-lines and pleural effusions with a sensitivity of 79–98% and a specificity of 70–99%. In image adequacy studies, medical students with 2–9 h of training were able to acquire adequate images for B-lines and pleural effusions in 50–100%. Only one eligible study investigated paramedic-performed lung ultrasound which did not support the ability of paramedics to adequately acquire and interpret lung ultrasound images after 2 h of training. Conclusions: Our findings suggest that nurses and students can accurately acquire and interpret lung ultrasound images after a brief training period in a majority of cases. The examination of heart failure patients with lung ultrasound by non-clinicians appears feasible and warrants further investigation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ability of non-physicians to perform and interpret lung ultrasound: A systematic review

Swamy

Brainin

Platz

2019

European Journal of Cardiovascular Nursing

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“…Patients were followed up via telephone call by nurse-specialists at 12 weeks (±5 days) after discharge. Study endpoints include the following domains: 1) the rate of medications adherence; in specific, during the follow-up, patients were asked by investigators how often they missed taking their medications, and medication adherence was defined as taking medications during >80% of the follow-up period, and medications refilled in the electronic healthcare system were used to confirm medications adherence; 2) the differences in QoL as assessed by the Short Form-12 (SF-12) physical and mental component scores (PCS and MCS) [17]; and 3) the incident rate of rehospitalization due to CHF exacerbation and all-cause mortality.…”

Section: Study Follow-up and Endpointsmentioning

confidence: 99%

Usefulness of a Nurse-Led Program of Care for Management of Patients with Chronic Heart Failure

You

Wang²,

et al. 2020

Med Sci Monit

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Departmental sources Background: The aims of the present study were to determine whether a nurse-led program of care can improve medication adherence, quality of life (QoL), rates of rehospitalization, and all-cause mortality for chronic heart failure (CHF) patients. Material/Methods: CHF patients were randomly assigned into either a control group or an intervention group. At 12 weeks, patients were followed up to evaluate the rate of medication adherence, QoL (as assessed by SF-12 physical and mental component score [PCS and MCS]), rehospitalization, and all-cause mortality. Results: We recruited 152 patients. No significant differences in demographics, comorbidities, CHF severity, or etiology at baseline were observed. At discharge, no significant differences in medications prescription, PCS (46 vs. 45), or MCS (55 vs. 56) were observed. However, at 12-week follow-up, compared to the control group, patients in the intervention group were more likely to keep on medications therapy, with a significantly higher use of angiotensin-converting enzyme inhibitor/angiotensin receptor blocker [73.8% vs. 59.7%], beta-blocker (62.5% vs. 51.4%), and aldosterone receptor antagonist (60% vs. 54.2%). Both PCS (35 vs. 40) and MCS (42 vs. 49) were also significantly lower in the control group versus the intervention groups (P<0.05). Patients in the control group had higher incident rate of rehospitalization (8.0% vs. 5.2% per person-week) than in the intervention group, with an incident rate ratio of 1.54 (95% confidence interval [CI]: 1.06-2.23). Conclusions: A nurse-led discharge program of care can be a cost-effective and feasible approach for management of CHF patients in China.

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“…In total, 51 HF patients were enrolled and thereafter received adaptive servo-ventilation for trial evaluation. Results show that this treatment may improve the QOL of HF patients ( 13 ).…”

Section: Roles Of Nursing In the Management Of Geriatric Cvdmentioning

confidence: 98%

Roles of Nursing in the Management of Geriatric Cardiovascular Diseases

et al. 2021

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The nursing field occupies the largest secion of the cardiovascular healthcare services. Despite this, the roles of nursing within the cardiovascular healthcare system has not been well displayed. The authors searched PubMed and Embase (between January 1, 1950, and June 17, 2021) and created a narrative review of recent publications regarding the role of nursing in the management of geriatric cardiovascular disease (CVD). Patients with geriatric CVD, which includes mainly myocardial ischemia and heart failure, were enrolled. Nursing can improve the outcomes of myocardial ischemia and heart failure. It plays a pivotal role in the recovery, rehabilitation, and outcomes of geriatric CVD, especially for chronic heart diseases. Taken together, this paper compiled is focused on the current status of cardiovascular nursing and may facilitate future treatment and rehabilitation in geriatric CVD.

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Quality of life improves in patients with chronic heart failure and Cheyne‐Stokes respiration treated with adaptive servo‐ventilation in a nurse‐led heart failure clinic

Abstract: Chronic heart failure patients come regularly to the nurse-led heart failure clinic. The heart failure nurses' competency has to include knowledge of equipment to provide support and continuity of care to the patients.

Cited by 9 publications

References 27 publications

Ability of non-physicians to perform and interpret lung ultrasound: A systematic review

Ability of non-physicians to perform and interpret lung ultrasound: A systematic review

Usefulness of a Nurse-Led Program of Care for Management of Patients with Chronic Heart Failure

Roles of Nursing in the Management of Geriatric Cardiovascular Diseases

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