Evaluating the Effect of Monitoring through Telephone (Tele-Monitoring) on Self-Care Behaviors and Readmission of Patients with Heart Failure after Discharge.

Authors:
Reza Negarandeh
Reza Negarandeh
Nursing and Midwifery Care Research Center
Mitra Zolfaghari
Mitra Zolfaghari
Nursing and Midwifery Care Research Center
Nazli Bashi
Nazli Bashi
Australian eHealth Research Centre
Floreat | Australia
Maryam Kiarsi
Maryam Kiarsi
School of Nursing and Midwifery

Appl Clin Inform 2019 Mar 17;10(2):261-268. Epub 2019 Apr 17.

Department of Nursing & Emergency Medicine, Dezful University of Medical Sciences, Dezful, Iran.

Background:  Heart failure is one of the serious cardiovascular diseases, which poses a global pandemic and places a heavy burden on health care systems worldwide. The incidence of this disease in Iran is higher than in other Asian countries. To reduce patients' complications, readmission rates, and health care expenditures, it is necessary to design interventions, which are culturally appropriate and based on community needs.

Methods:  In 2016, a randomized clinical trial (IRCT2017010731804N1) was initiated to compare tailored tele-monitoring intervention with usual care. In total, 80 patients completed the study after a follow-up period of 8 weeks. The primary end point was heart failure self-care, which was measured using the Iranian version of the European Heart Failure self-care questionnaire. Secondary end points were heart failure related readmission rates.

Results:  The mean scores for self-care behaviors of the two groups showed significant difference at the baseline ( = 0.045). The results of the analysis of covariance that was used to control the differences in the pretest scores of self-care behaviors showed that the difference between both groups after the intervention was still significant ( < 0.001). The percentage of patients' readmissions in the intervention group (20%) was less than that in the control group (42.2%); however, the results were not statistically significant ( = 0/066).

Conclusion:  This study showed that tele-monitoring improved self-care behaviors in Iranian patients with heart failure but did not reduce their readmission rates.

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1685167
Publisher Site
http://dx.doi.org/10.1055/s-0039-1685167DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469982PMC
March 2019
5 Reads

Publication Analysis

Top Keywords

heart failure
16
self-care behaviors
12
scores self-care
8
failure self-care
8
health care
8
self-care
5
failure
5
complications readmission
4
patients' complications
4
readmission rates
4
 the scores
4
ratesresults  the
4
expenditures design
4
usual care
4
care expenditures
4
rates health
4
reduce patients'
4
total patients
4
higher asian
4
iran higher
4

Similar Publications