A Randomized Trial of Telemonitoring and Self-Care Education in Heart Failure Patients Following Home Care Discharge

被引:25
作者
Delaney, Colleen [1 ]
Apostolidis, Beka [2 ]
Bartos, Susan [1 ]
Morrison, Heather [1 ]
Smith, Liane [2 ]
Fortinsky, Richard [3 ]
机构
[1] Univ Connecticut, Sch Nursing, 231 Glenbrook Rd, Storrs, CT 06269 USA
[2] VNA Healthcare Inc, Hartford, CT USA
[3] Univ Connecticut, Ctr Hlth, Farmington, CT USA
关键词
failure; home care; telemonitoring; self-care; cardiovascular; research;
D O I
10.1177/1084822312475137
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Patients with heart failure (HF) who have been discharged from a home care agency are a particularly vulnerable group at risk for poor outcomes and high rehositalization rates. The primary aim of this experimental study was to determine the efficacy of a telemonitoring and self-care education intervention in reducing hospitalization and improving quality of life and patient's knowledge of HF after home care discharge. Ninety-three participants completed the study. The primary outcome of 90-day post-home care discharge hospitalization was significantly reduced in the intervention group compared to controls (9 vs. 18, p - .046). HF knowledge (p = .013) and QOL (p = .004) were significantly increased in intervention group patients in comparison to control group patients' at the study endpoint.
引用
收藏
页码:187 / 195
页数:9
相关论文
共 34 条
[1]   Impact of telemonitoring at home on the management of elderly patients with congestive heart failure [J].
Antonicelli, Roberto ;
Testarmata, Paolo ;
Spazzafumo, Liana ;
Gagliardi, Cristina ;
Bilo, Grzegorz ;
Valentini, Mariaconsuelo ;
Olivieri, Fabiola ;
Parati, Gianfranco .
JOURNAL OF TELEMEDICINE AND TELECARE, 2008, 14 (06) :300-305
[2]   Discriminant properties of commonly used quality of life measures in heart failure [J].
Bennett, SJ ;
Oldridge, NB ;
Eckert, GJ ;
Embree, JL ;
Browning, S ;
Hou, N ;
Deer, M ;
Murray, MD .
QUALITY OF LIFE RESEARCH, 2002, 11 (04) :349-359
[3]  
Bixby M B, 2000, J Cardiovasc Nurs, V14, P53
[4]   Telemonitoring in Patients with Heart Failure [J].
Chaudhry, Sarwat I. ;
Mattera, Jennifer A. ;
Curtis, Jeptha P. ;
Spertus, John A. ;
Herrin, Jeph ;
Lin, Zhenqiu ;
Phillips, Christopher O. ;
Hodshon, Beth V. ;
Cooper, Lawton S. ;
Krumholz, Harlan M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2010, 363 (24) :2301-2309
[5]   Comparison of cardiac and pulmonary-specific quality-of-life measures in pulmonary arterial hypertension [J].
Chen, H. ;
De Marco, T. ;
Kobashigawa, E. A. ;
Katz, P. P. ;
Chang, V. W. ;
Blanc, P. D. .
EUROPEAN RESPIRATORY JOURNAL, 2011, 38 (03) :608-616
[6]  
Chen HF, 2011, AM J MANAG CARE, V17, pE224
[7]   Evaluating the Evidence Base for the Use of Home Telehealth Remote Monitoring in Elderly with Heart Failure [J].
Dang, Stuti ;
Dimmick, Susan ;
Kelkar, Geetanjali .
TELEMEDICINE JOURNAL AND E-HEALTH, 2009, 15 (08) :783-796
[8]   Managing Heart Failure Patients After Formal Homecare [J].
Dansky, Kathryn ;
Vasey, Joseph .
TELEMEDICINE JOURNAL AND E-HEALTH, 2009, 15 (10) :983-991
[9]  
Dansky Kathryn H, 2008, Clin Nurs Res, V17, P182, DOI 10.1177/1054773808320837
[10]   Pilot Testing of a Multicomponent Home Care Intervention for Older Adults With Heart Failure An Academic Clinical Partnership [J].
Delaney, Colleen ;
Apostolidis, Beka .
JOURNAL OF CARDIOVASCULAR NURSING, 2010, 25 (05) :E27-E40