1228: Implementation of the TrazoHeart Model in General Practice: Role of the General Practice Nurse Specialist

Abstract

instruments namely 12 generic, seven disease-specific and 13 domain-specific Hr-QoL questionnaires. Barely half of the analysed studies conceptualised Hr-QoL, and extensive differences in the conceptions of Hr-QoL also existed. Three main objectives in the used Hr-QoL instruments were found; to assess and describe Hr-QoL in CHF, to describe the impact of interventions on Hr-QoL in CHF, and to examine relationsypredictors of Hr-QoL in CHF. In approximately half of the analysed studies a single generic instrument was used to evaluate the main outcome. In studies evaluating the impact of interventions, the foremost disease-specific questionnaires were used both as a single instrument as well as together with a generic instrument. Both generic and disease-specific instruments were used to examine relations and predictors of Hr-QoL in CHF. Another option consists of a battery of mixed Hr-QoL domainspecific instruments to cover the different domains of Hr-QoL. Studies using this approach were spread among the three main objectives. In some of the articles using a battery approach, disease-specific instruments were mixed together with both generic andyor disease-specific instruments. The many instruments available, the different aspects of how to implement them, the absence of and the divergent conceptions about Hr-QoL may cause difficulties in the interpretation and understanding of the results. Implications: The focus for future nursing research in patients with CHF should be on developing guidelines on how to measure Hr-QoL and the refinement of existing instruments, instead of developing new ones.