Collaborative care model improves self-care ability, quality of life and cardiac function of patients with chronic heart failure

Abstract

Chronic heart failure (CHF) is a common chronic disease that requires much care. This study aimed to explore the effects of collaborative care model (CCM) on patients with CHF. A total of 114 CHF patients were enrolled in this study, and were randomly and equally divided into two groups: control and experimental. Patients in the two groups received either usual care or CCM for 3 continuous months. The impacts of CCM on the self-care ability and quality of life were assessed using self-care of heart failure index and short form health survey 12, respectively. Further, cardiac function was assessed by measuring left ventricular ejection fraction (LVEF) and the level of N-terminal pro-B-type natriuretic peptide (NT-proBNP), and by the 6-min walking test. Clinical and demographic characteristics of patients in the control and CCM groups were statistically equivalent. Compared with usual care, CCM significantly enhanced self-care abilities of patients with CHF, including self-care maintenance, self-care management and self-care confidence (all P<0.05). The physical and mental quality of life was also significantly improved by CCM (P<0.01 or P<0.05). Compared with usual care, CCM significantly increased the LVEF (P<0.01), decreased the NT-proBNP level (P<0.01), and enhanced exercise capacity (P<0.001). In conclusion, CCM improved the self-care, quality of life and cardiac function of patients with CHF compared with usual care.

The experiences of care managers and rehabilitation coordinators of a primary care intervention to promote return to work for patients with common mental disorders: a qualitative study

“…The CM coordinates care by maintaining a close and regular contact with patients and aligns efforts for their individual needs [ 16 ]. Studies show that a CM provides improvements both for patients with depression [ 17 ] and for the physical health of patients with chronic heart failure [ 18 ]. The use of a CM for patients with depression was evaluated in the PRIM-CARE RCT and showed positive results concerning return to work (RTW) and reduced sick leave [ 19 ].…”

A retrospective study of traditional Chinese medicine as an adjunctive therapy for patients with chronic heart failure

“…However, in many patients, CHF cannot be controlled with a single type of intervention, and most patients still suffer from poorly controlled CHF symptoms and poor quality of life. [ 12 , 13 ] It has been reported that regular treatment can effectively control CHF. However, it still has limited effectiveness.…”

Investigando el autocuidado en una muestra de pacientes con insuficiencia cardiaca descompensada: un estudio transversal

“…En relación con la gestión del autocuidado, encontramos que era improbable o poco probable en una proporción significativa de pacientes que adoptaran medidas para mejorar su salud. Nuestros hallazgos están en consonancia con los expuestos por Jaarsma et al 26 , que llevaron a cabo un análisis de los comportamientos de autocuidado en 15 países Investigando el autocuidado en pacientes con insuficiencia cardíaca 7 15 , la clave para la toma de decisiones en pacientes con IC reside en su capacidad para reconocer sus propios síntomas, promovida mediante programas educativos y modelos de atención colaborativa [29][30][31] . Sin embargo, solo el 21% de nuestros pacientes dijeron que se sentían totalmente incapaces de reconocer sus síntomas de IC, o poco capaces de hacerlo rápidamente, lo que no explica la aparente falta de iniciativa en la autogestión de su enfermedad.…”