The Effect of Continuous Care Model Implementation on the Quality of Life of Patients with Heart Failure: A Randomized Controlled Trial
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Heart failure is an important chronic and progressive disease worldwide. Patients are faced with several stressors that decrease their quality of life (QoL). The present study aimed to determine the effectiveness of implementing a continuous care model on improving the QoL of patients with heart failure. Methods: In the present randomized controlled trial, 72 patients with heart failure admitted to Shahid Chamran Hospital of Isfahan (in Central Iran) were randomly divided into 36-individual two groups: the experimental (continuous care model) and control (normal care) groups. In the experimental group, the continuous care model was implemented for 3 months. Data were collected using the standard Minnesota Living with Heart Failure Questionnaire for patients with heart failure. Subsequently, the collected data were entered into the IBM SPSS ver. 20.0 (IBM Corp., Armonk, NY, USA) and analyzed using the Mann-Whitney U-test, chi-square test, and independent and paired t-test at a significance level of α≤0.05. Results: The results indicated that the mean scores of QoL before the implementation of continuous care model were 43.3±6.1 in the experimental group and 42.7±5.1 in the control group, indicating no statistically significant difference between the two groups. After the implementation of continuous care model, the mean score of QoL of the experimental group was significantly higher than that of the control group. Conclusion: Considering the results obtained in the present study, model implementation could improve the overall scores of QoL in patients with chronic heart failure.
Abstract
Background: Heart failure is an important chronic and progressive disease worldwide. Patients are faced with several stressors that decrease their quality of life (QoL). The present study aimed to determine the effectiveness of implementing a continuous care model on improving the QoL of patients with heart failure. Methods: In the present randomized controlled trial, 72 patients with heart failure admitted to Shahid Chamran Hospital of Isfahan (in Central Iran) were randomly divided into 36-individual two groups: the experimental (continuous care model) and control (normal care) groups. In the experimental group, the continuous care model was implemented for 3 months. Data were collected using the standard Minnesota Living with Heart Failure Questionnaire for patients with heart failure. Subsequently, the collected data were entered into the IBM SPSS ver. 20.0 (IBM Corp., Armonk, NY, USA) and analyzed using the Mann-Whitney U-test, chi-square test, and independent and paired t-test at a significance level of α≤0.05. Results: The results indicated that the mean scores of QoL before the implementation of continuous care model were 43.3±6.1 in the experimental group and 42.7±5.1 in the control group, indicating no statistically significant difference between the two groups. After the implementation of continuous care model, the mean score of QoL of the experimental group was significantly higher than that of the control group. Conclusion: Considering the results obtained in the present study, model implementation could improve the overall scores of QoL in patients with chronic heart failure.
참고문헌 (26)
- Bagherian-Sararoudi R, "Factors in relation with fatigue and illness perception in patients with myocardial infarction and the changes in fatigue due to intervention on illness perception: research design, methodology, and preliminary results", ARYA Atheroscler, 15, pp.74~81 (2019)
- Sadeghi Akbari A, "Effect of illness perception correction-based educational program on quality of life and self-care in patients with heart failure: a randomized controlled trial", J Caring Sci, 8, pp.89~93 (2019)
- Thulasimani M, "Suggestions to improve the quality of life in heart failure", Eur Heart J, 24, pp.1700~ (2003)
- Hadaegh F, "Prevalence of coronary heart disease among Tehran adults: Tehran lipid and glucose study", East Mediterr Health J, 15, pp.157~166 (2009)
- Xuan J, "The economic burden of congestive heart failure in a managed care population", Am J Manag Care, 6, pp.693~700 (2000)
- Wu JR, "Testing the psychometric properties of the Medication Adherence Scale in patients with heart failure", Heart Lung, 37, pp.334~343 (2008)
- Annema C, "Reasons for readmission in heart failure: perspectives of patients, caregivers, cardiologists, and heart failure nurses", Heart Lung, 38, pp.427~434 (2009)
- Comin-Colet J, "The effect of intravenous ferric carboxymaltose on health-related quality of life in patients with chronic heart failure and iron deficiency: a subanalysis of the FAIR-HF study", Eur Heart J, 34, pp.30~38 (2013)
- Kinney MR, "Quality of life research: rigor or rigor mortis", Cardiovasc Nurs, 31, pp.25~28 (1995)
- The World Health Organization Quality of Life assessment, "position paper from the World Health Organization", Soc Sci Med, 41, pp.1403~1409 (1995)
- Paul S, "Hospital discharge education for patients with heart failure:what really works and what is the evidence?", Crit Care Nurse, 28, pp.66~82 (2008)
- Seto E, "Cost comparison between telemonitoring and usual care of heart failure: a systematic review", Telemed J E Health, 14, pp.679~686 (2008)
- Mistiaen P, "Telephone follow-up, initiated by a hospital-based health professional, for postdischarge problems in patients discharged from hospital to home", Cochrane Database Syst Rev, 2006, pp.CD004510~ (2006)
- Clark RA, "Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis", BMJ, 2007(334), pp.942~
- Abedi H, "Effect of continuous consultation care model on re hospitalization and chest pain in patients with coronary artery disease", J Qazvin Univ Med Sci, 35, pp.99~103 (2005)
- Poorgholami F, "Effect of self care education with and without telephone follow-up on the level of hope in renal dialysis patients: a single-blind randomized controlled clinical trial", Int J Community Based Nurs Midwifery, 4, pp.256~264 (2016)
- Razmjoee N, "Does a “continuous care model” affect the quality of life of patients undergoing coronary artery bypass grafting?", J Vasc Nurs, 35, pp.21~26 (2017)
- Harrison MB, "Quality of life of individuals with heart failure: a randomized trial of the effectiveness of two models of hospital-to-home transition", Med Care, 40, pp.271~282 (2002)
- Jaarsma T, "Selfcare and quality of life in patients with advanced heart failure: the effect of a supportive educational intervention", Heart Lung, 29, pp.319~330 (2000)
- Rector TS, "Assessment of patient outcome with the Minnesota Living with Heart Failure Questionnaire: reliability and validity during a randomized, double-blind, placebo-controlled trial of pimobendan", Am Heart J, 124, pp.1017~1025 (1992), Pimobendan Multicenter Research Group
- West JA, "A comprehensive management system for heart failure improves clinical outcomes and reduces medical resource utilization", Am J Cardiol, 79, pp.58~63 (1997)
- Rodriguez KL, "“They diagnosed bad heart”: a qualitative exploration of patients’ knowledge about and experiences with heart failure", Heart Lung, 37, pp.257~265 (2008)
- Baghaei R, "The effect of applying continuous care model on the quality of life in heart failure patients", J Urmia Nurs Midwifery Fac, 13, pp.666~675 (2015)
- Evangelista LS, "Examining the effects of an outpatient palliative care consultation on symptom burden, depression, and quality of life in patients with symptomatic heart failure", J Card Fail, 18, pp.894~899 (2012)
- Bekelman DB, "Outpatient palliative care for chronic heart failure: a case series", J Palliat Med, 14, pp.815~821 (2011)
- Gelfman LP, "Does palliative care improve quality?: a survey of bereaved family members", J Pain Symptom Manage, 36, pp.22~28 (2008)