Impact of nurse-led interprofessional work in older patients with heart failure and multimorbidity: A retrospective cohort study

被引：0

作者：

Saizen, Yuichiro ^{[1
]}

Ikuta, Kasumi ^{[2
]}

Katsuhisa, Mizuki ^{[1
]}

Takeshita, Yuko ^{[1
]}

Moriki, Yuki ^{[1
]}

Kasamatsu, Misaki ^{[1
]}

Onishi, Mai ^{[1
]}

Wada, Kiyoko ^{[3
]}

Honda, Chiharu ^{[3
]}

Nishimoto, Kyoko ^{[3
]}

Nabetani, Yoshiko ^{[4
]}

Iwasaki, Tomoyuki ^{[4
]}

Koujiya, Eriko ^{[1
]}

Yamakawa, Miyae ^{[1
]}

Takeya, Yasushi ^{[1
]}

机构：

[1] Osaka Univ, Grad Sch Med, Gerontol Nursing Lab, 1-7 Yamadaoka, Suita, Osaka 5650871, Japan

[2] Tokyo Med & Dent Univ, Grad Sch Hlth Care Sci, Dept Home Care Nursing, Tokyo, Japan

[3] Natl Hosp Org Osaka Natl Hosp, Osaka, Japan

[4] Osaka Univ Hosp, Nursing Dept, Osaka, Japan

来源：

AMERICAN HEART JOURNAL PLUS: CARDIOLOGY RESEARCH AND PRACTICE | 2024年 / 38卷

关键词：

Heart failure; Multimorbidity; Geriatrics; Patient-centered care; Nurse; HEALTH-CARE; PREVALENCE; MORBIDITY; ADULTS; INDEX; RISK;

D O I：

10.1016/j.ahjo.2024.100361

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: The number of patients with multimorbidity has increased due to the aging of the global population. Although the World Health Organization has indicated that multimorbidity will be a major medical problem in the future, the appropriate interventions for patients with multimorbidity are currently unknown. This study aimed to investigate whether nurse-led interprofessional work is associated with improved prognosis in heart failure patients with multimorbidity aged >= 65 years who were admitted in an acute care hospital. Methods: Patients who were admitted to the cardiovascular medicine ward of an acute care hospital in Osaka, Japan, and underwent nurse-led interprofessional work from April 1, 2017 to March 31, 2020, and from April 1, 2014 to March 31, 2016, were included in this retrospective cohort study. The patients were matched by age, sex, and New York Heart Association classification. The nurse-led interprofessional work was based on a three-step model that incorporates recommendations from international guidelines for multimorbidity. The primary outcome was all-cause mortality. Results: The mean age of the participants was 80 years, and 62 % were men. The nurse-led interprofessional work group showed a significant difference in all-cause mortality compared with the usual care group (hazard ratio, 0.45; 95 % confidence interval [CI], 0.29-0.69; P < 0.001). Compared with the usual care group, the nurse-led interprofessional work group exhibited a 7 % difference in mortality rate at 1-year post-discharge (P < 0.001). Conclusions: Nurse-led interprofessional work may reduce the all-cause mortality in older patients with heart failure and multimorbidity.

引用

页数：6

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