December 10, 2012Journal of Nursing Education and PracticeOpen Access

Randomized controlled trial of comprehensive nursing intervention on readmission, mortality and quality of life among Egyptian heart failure patients: A 12 month follow up study

Q: What is the clinical evidence from this study?

Study design: RCT. Population: Heart failure (n=60). Intervention: Comprehensive nursing intervention vs. Usual care and written HF management instructions. Primary outcome: Readmission at 12 months (ARR 66.67%, p=0.001).

View Full Paper

Ask AI

Bookmark

Key result

A comprehensive nursing intervention significantly reduced hospital readmissions by an absolute 66.67% and decreased mortality compared to usual care in patients with heart failure.

Why the study?

Does a comprehensive nursing intervention including education and follow-up reduce readmission and mortality, and improve quality of life in hospitalized heart failure patients?

Population

60 adults admitted to the hospital with chronic heart failure, residing in Shebine-El-Kome, Egypt…

Comparison

Comprehensive nursing intervention including… vs Usual care during hospitalization and at…

Design

RCT, Randomly assigned to either intervention group or a control group…

Follow-up

12 months

Authors

AEAmal Mohamed El-BadawyMenoufia University KHKhadia Ahmed El Hefina

Discussion

Member takes

Implication

Supports integration of comprehensive nursing interventions into heart failure care; confirms randomized benefits on readmissions and mortality.

Study Design

Type

RCT (n=60)

Blinding

Single-blind

Randomization

Random number table

Multicenter

Structured PICO

Does a comprehensive nursing intervention including education and follow-up reduce readmission and mortality, and improve quality of life in hospitalized heart failure patients?

Population

60 adults (18-80 years) admitted to the hospital with chronic heart failure (NYHA class I-III), residing in Shebine-El-Kome, Egypt. Exclusions: dementia, planned surgical correction for HF within 12 months, cor-pulmonale, chronic renal failure on dialysis, psychiatric illness, visual or auditory impairment, severe alcohol or drug abuse, terminal illness with life expectancy less than 6 months.

Intervention

Comprehensive nursing intervention including pre-discharge face-to-face education (40-60 minutes over 2-3 sessions), post-discharge outpatient nursing intervention (first visit 1-4 weeks post-discharge lasting 1.5 hours), monthly telephone calls (5-15 minutes) for 9 months starting the third month, and a written HF management booklet.

Comparator

Usual care during hospitalization and at discharge, a written HF management booklet, and monthly phone calls to match the frequency of contact (but not duration) with the intervention group.

Outcome

Re-admission, mortality, and quality of life (measured by the Minnesota Living with HF Questionnaire) at 12 months follow-up.hard clinical

Main Result

Effect estimate: ARR 66.67%

Absolute Event Rate: 16.67% vs 83.33%

p-value: p=0.001

A comprehensive nursing intervention consisting of pre-discharge education and post-discharge follow-up significantly reduces readmissions and mortality while improving quality of life in heart failure patients.

Limitations

Small sample size from a single hospital
Selection bias due to convenience sampling
Research assistants were not blinded to group assignment during the assessment of self-reported outcomes

Cite This Study

El-Badawy et al. (2012) conducted an RCT in Heart failure (n=60). Comprehensive nursing intervention vs. Usual care and written HF management instructions was evaluated on Readmission at 12 months (ARR 66.67%, p=0.001). A comprehensive nursing intervention significantly reduced hospital readmissions by an absolute 66.67% and decreased mortality compared to usual care in patients with heart failure.

synapsesocial.com/papers/6a125262ea48cb855a3496f1 https://doi.org/10.5430/jnep.v3n5p14

Topics

HFrEF treatment Heart failure Heart failure hospitalization HFpEF management

View Full Paper

Ask AI

Bookmark

Implication

Supports integration of comprehensive nursing interventions into heart failure care; confirms randomized benefits on readmissions and mortality.

Randomized controlled trial of comprehensive nursing intervention on readmission, mortality and quality of life among Egyptian heart failure patients: A 12 month follow up study

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Topics

Randomized controlled trial of comprehensive nursing intervention on readmission, mortality and quality of life among Egyptian heart failure patients: A 12 month follow up study

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Also Consider

Topics

Also Consider