Effects of education and support on self-care and resource utilization in patients with heart failure
Why the study?
Does intensive education and support by a nurse improve self-care behaviour and reduce resource utilization in patients hospitalized with heart failure?
Population
179 patients hospitalized with heart failure (mean age 73, 58% male, NYHA III-IV)
Comparison
Intensive, systematic and planned education and… vs Care as usual
Design
RCT, Randomized to the study intervention or to 'care as usual'
Follow-up
9 months
Authors
Discussion
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Member takes
Implication
Supports nurse-led education to improve self-care in hospitalized HF patients; confirms sustained behavioral gains but challenges reductions in resource utilization.
Structured PICO
Does intensive education and support by a nurse improve self-care behaviour and reduce resource utilization in patients hospitalized with heart failure?
P
Population
179 patients hospitalized with heart failure (mean age 73, 58% male, NYHA III-IV)
I
Intervention
Intensive, systematic and planned education and support by a study nurse during hospital stay and at a home visit within a week of discharge
C
Comparator
Care as usual
O
Outcome
Self-care abilities, self-care behaviour, readmissions, visits to the emergency heart centre and use of other health care resourcespatient reported
Nurse-led education and support improves self-care behavior in hospitalized heart failure patients but does not significantly reduce healthcare resource utilization.
Cite This Study
Tiny Jaarsma (1999) studied this question.