The efficacy of a nursing care and follow-up program for patients with heart failure

Abstract

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.

Clinical Application Effect of Cluster Management in Noninvasive Ventilator Nursing Care of Patients with Severe Heart Failure

“…HF management interventions are constantly being updated, which also lead to a better understanding of the economic or social burden of HF, thus providing more refined interventions for the treatment of this patient population [ 8 ]. Nursing is one of the indispensable management means, which can provide a certain degree of care for hospitalized patients and help them recover and discharge smoothly [ 9 ].…”

Hyponatremia and lower normal serum sodium levels are associated with an increased risk of all‐cause death in heart failure patients

“…A systematic review focusing on effectiveness of nursing interventions showed that advanced practice nurse interventions imply a reduction in the number of hospital readmissions and an improvement in the quality of life of HF patients (Ordóñez‐Piedra et al, 2021 ). A randomized controlled study showed that nursing care conducted for the HF patients may improve the life quality (Zhang et al, 2020 ). More importantly, outpatient nursing support in HF patients has gradually been valued recently (Kitagawa et al, 2022 ; Østergaard et al, 2021 ; Taniguchi et al, 2021 ).…”

“…Data from the China Hypertension Survey (CHS) show that 1.3% of the Chinese adult population aged ≥35 years had HF. It has been emphasized that nurses play an important role in assessing, monitoring, and providing patient care as well as improving outcomes in HF (Bjornsdottir et al, 2021 ; Ordóñez‐Piedra et al, 2021 ; Sezgin et al, 2017 ; Yang et al, 2020 ; Zhang et al, 2020 ). However, more advanced and intensive care means greater burdens on nurses and other care‐givers.…”

How to care for patients with heart failure – A systematic review of nursing interventions

“…Symptoms related to cardiac changes, such as arrhythmia and dyspnea, compromise oxygenation, and HF patients encounter great difficulties regarding what is termed Basic Human Needs (BHN)-breathing, moving, rest and sleep (Pereira et al, 2016). As treatment options for HF have evolved, patients have a better understanding of the overall burden of HF; as such, this has contributed to the development of care methods more adjusted to the needs of these individuals (Zhang, Bai & Huang, 2020). Nursing care is important for people who experience illness; nurses provide patients assistance for making changes in their behavior to achieve good health.…”

“…Nurses are part of the professional health team who are responsible for helping patients to develop skills to manage their symptoms (e.g., recognize relevant symptoms) and the therapeutic regimen; they promote empowerment, thereby enhancing a patient's well-being and reducing readmissions (Vilas-Boas & Follath, 2006;Zhang et al, 2020). The aim of this study was to identify the most common nursing interventions for assisting with and improving the BHN of patients with HF, including those that promote relief of their symptoms, as well as facilitate their safe care transition from hospital to home.…”