Effectiveness of heart failure management programmes with nurse-led discharge planning in reducing re-admissions: A systematic review and meta-analysis

Lambrinou, Ekaterini; Kalogirou, Fotini; Lamnisos, Demetris; Sourtzi, Panayota

doi:10.1016/j.ijnurstu.2011.11.002

Cited by 106 publications

(75 citation statements)

References 45 publications

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“…Mimo postę-pu technologicznego wciąż głównymi problemami, które wpływają na odległe rokowanie w przypadku MCS, pozostają: krwawienia, powikłania zakrzepowo-zatorowe (jedne i drugie mogą prowadzić do udaru mózgu), wykrzepianie w obrębie urządzenia, zakażenia przewodów zasilających i dysfunkcje samego urządzenia [599,[603][604][605][606]. Zaleca się, aby tego typu urządzenia były wszczepiane jedynie w ośrodkach z odpowiednio przeszkolonym zespołem kardiologów i kardiochirurgów w dziedzinie HF oraz z dostępem do ambulatoryjnej opieki w zakresie LVAD, z odpowiednio przeszklonym zespołem pielęgniarskim [607]. Krótkoterminowe stosowanie MCS (np.…”

Section: Mechaniczne Wspomaganie Krążenia W Przewlekłej Schyłkowej Niunclassified

2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

Ponikowski

Voors

Anker³

et al. 2016

Kardiol Pol

384

406

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Section: Mechaniczne Wspomaganie Krążenia W Przewlekłej Schyłkowej Niunclassified

2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

Ponikowski

Voors

Anker³

et al. 2016

Kardiol Pol

384

406

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“…(1,2) Such interventions are mostly based on health education and on the provision of information regarding heart failure and the importance of self-care for its management. Some of the main topics approached by these interventions are hydrosaline restriction, physical activity, daily weight monitoring, as well as the early recognition of signs and symptoms of decompensation.…”

Section: Introductionmentioning

confidence: 99%

Adesão ao tratamento de pacientes com insuficiência cardíaca em acompanhamento domiciliar por enfermeiros

et al. 2015

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Objective: To assess treatment adherence in patients with heart failure receiving nurse-led home visits after hospital discharge. Methods: This was a before-and-after study involving patients who had been recently hospitalized for decompensated heart failure. Three home visits were conducted within 45 days of hospital discharge. Treatment adherence was assessed in the first and third visits through a 10-item questionnaire (cutoff point: 18 = 70% adherence). In the first and second visits, patients were educated as to their condition, treatment adherence and self-care. Results: There were 32 patients included, mean age 65±16 years, 18(58%) male. The 32 patients received a total of 96 home visits. Treatment adherence scores were of 16±2.6 vs 20.4±2.7 in the first and third visits, respectively (p=0,001). Weight monitoring and liquid restriction behaviors improved significantly following the intervention. Conclusion: The in-home educational intervention led to significant improvements in the treatment adherence of recently-hospitalized patients with heart failure. ResumoObjetivo: Verificar a adesão ao tratamento de pacientes com insuficiência cardíaca em acompanhamento domiciliar por enfermeiras após alta hospitalar. Método: Estudo tipo antes-depois realizado com pacientes recentemente internados por insuficiência cardíaca descompensada. Três visitas domiciliares foram realizadas após alta em um intervalo de 45 dias. Avaliou-se a adesão na primeira e terceira visitas através de um questionário validado (10 questões, ponto de corte 18 pontos=70%=adesão satisfatória). Durante a primeira e segunda visitas, os pacientes receberam educação quanto à doença, adesão e autocuidado. Resultados: Foram incluídos 32 pacientes, idade média 65±16 anos, 18(58%) masculinos. Os 32 pacientes receberam um total de 96 visitas domiciliares. Os escores de adesão foram 16±2.6 vs 20.4±2.7 na primeira e terceira visitas, respectivamente (p=0,001). Questões como peso e restrição hídrica aumentaram significativamente após a intervenção. Conclusão: A intervenção de educação no domicílio melhorou significativamente a adesão ao tratamento de pacientes com insuficiência cardíaca e internação recente.

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“…A systematic review of which the trials included multi-professional care with health care specialists in HF showed reduced mortality by 25%, HF hospitalizations by 26% and all-cause hospitalizations by 19% [55]. Also, multi-disciplinary programs which are led by nurses are found to be beneficial in terms readmissions [56]. Nurses who use holistic approach care are likely to identify patient's individual needs and are able to coordinate care among all health professionals in the best possible way.…”

Section: Multi-disciplinary and Non-pharmacologic Managementmentioning

confidence: 99%

“…All health professionals involved in the management programme have the opportunity to promote self-care management. Nurses who are involved in all stages of care have the opportunity to detect possible obstacles and promote self-management before patient's discharge from the hospital and make sure that the patient participates to a HF management programme [56]. Nurses who have a better understanding It is important for all health professionals in the HF team to learn how to work together, since they have parallel aims of care.…”

Section: Multi-disciplinary and Non-pharmacologic Managementmentioning

confidence: 99%

Heart failure: A challenging syndrome for health care professionals

Lambrinou¹,

Protopapas²,

Kalogirou³

2018

Cardiovasc Disord Med

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Research and evidence-based practice in heart failure (HF) have well been developed the latest years helping health professionals to cope with multiple care needs of patients with HF. The current review presents an overview of the challenging issues of health professionals who care for patients with HF. The review was based on the relevant databases of PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Cochrane Library (reviews and clinical trials). Mortality and impaired quality of life in patients with HF still rises. This is mainly due to the ageing of population and the fact that prevalence of HF is higher in older people. Often HF in order people exists with co-morbidities which make HF diagnosis and management more difficult and complex.

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Effectiveness of heart failure management programmes with nurse-led discharge planning in reducing re-admissions: A systematic review and meta-analysis

Cited by 106 publications

References 45 publications

2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

Adesão ao tratamento de pacientes com insuficiência cardíaca em acompanhamento domiciliar por enfermeiros

Heart failure: A challenging syndrome for health care professionals

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