Components of hospital-to-home care interventions for patients with heart failure in Japan: An integrative review

Abstract

Hospital-to-home care is important for improving the quality of life (QOL) of patients with heart failure (HF). However, there is little evidence of outcomes regarding hospital-to-home care interventions in Japan. Thus, this integrative review aimed to identify the components and outcomes of hospital-to-home care interventions for patients with HF in Japan. Electronic databases, such as MEDLINE, CINAHL, and Ichushi-Web, were systematically searched, and all forms of hospital-to-home care interventions in Japan were examined. Studies regarding transitional care, discharge planning, home care, and disease management were included. The characteristics and results of the intervention studies were summarized. Furthermore, we analyzed the components of hospital-to-home care interventions and considered the effective interventions for patients with HF, based on statistically significant results. Ten articles including nine interventions were reviewed. The average age of intervention participants ranged from 64 to 77.5 years old, and the sample sizes in the intervention groups ranged from 11 to 192 participants. The intervention components were categorized as follows: "hospital-based components," "home-and outpatient-based components," and "both hospital-and home-based components." The main intervention components comprised structured education, lifetime counseling, and follow-ups via telephone and video calls. The clinical outcomes included readmission, mortality, and QOL, measured up to 24 months after the interventions. There was limited evidence of interventions being continued from the hospital to home, follow-up immediately after discharge, and nurse home visits in Japan. Further studies are necessary to evaluate the outcomes of patients' experiences immediately after discharge and the quality of care transition.

Transitional Care Based e-Health Program for Older Muslim Thai Adults with Chronic Obstructive Pulmonary Disease After Hospital Discharge: A Feasibility Study

“…23 The different transitional care intervention components used by each included structure assessment, 24 predischarge education, 25 a structured care plan, 26 a home visit program, 27 and telephone follow-up. 28 However, those interventions did not consider the entire transition pathway. This study is more beneficial regarding a comprehensive transitional care intervention since it prepared OAW-COPD before they were discharged from the hospital to home.…”

“…The total score ranges from 1-30, with a higher score indicating higher feasibility. The total feasibility score was divided into three levels: low (1-10), moderate (11)(12)(13)(14)(15)(16)(17)(18)(19)(20), and high (21)(22)(23)(24)(25)(26)(27)(28)(29)(30). An example of a question for the participant is, "Do you think the application is very suitable and feasible to use?"…”

Development and validation of the Care Transitions Scale for Patients with Heart Failure: A tool for nurses to assess patients' readiness for hospital discharge

“…First, we developed the conceptual framework to measure patients' readiness for hospital discharge through a systematic review of patient‐reported scales of transitional care and reports of patients with heart failure (Yoshimura & Sumi, 2022a, 2022b). We reviewed 47 reports and seven different existing measures; then, we developed an initial item pool with a conceptual framework of six categories to assess patients' readiness for hospital discharge.…”