Key result
Early initiation of a multidisciplinary self-management program resulted in a 3-month MLHFQ score of 5.77 compared to 17.95 in the control group, though the change from baseline was not significantly different between groups.
Why the study?
The study was conducted to explore the effect of early initiation of self-management based on multidisciplinary education in heart failure patients.
Does early initiation of a multidisciplinary self-management program improve quality of life, sleep quality, and reduce anxiety in hospitalized heart failure patients?
Cohort (n=91)
No
Does early initiation of a multidisciplinary self-management program improve quality of life, sleep quality, and reduce anxiety in hospitalized heart failure patients?
Early initiation of a multidisciplinary self-management program may improve quality of life and reduce anxiety in hospitalized heart failure patients, though it did not significantly reduce short-term MACE.
May support early HF self-management for QoL; hypothesis-generating and requires RCTs before practice change.
AIMS: To explore the effect of early initiation of self-management based on multidisciplinary education in heart failure (HF) patients. METHODS: HF patients in the Cardiology Department of Beijing Hospital were consecutively enrolled from June 2022 to February 2023. In-hospital HF patients from June 2022 to October 2022 were divided into the control group, and HF patients from November 2022 to February 2023 were divided into the cardiac rehabilitation (CR) group. A series of self-management education sessions with cardiologists, pharmacologists, nutritionists, and nurses was initiated early in the CR group. Continuous strengthening education was provided during the 3 months of discharge. Patients in the control group only received education twice during hospitalization. Minnesota Living with Heart Failure Questionnaire (MLHFQ), Pittsburgh sleep quality index (PSQI), anxiety Self-rating anxiety scale (SAS), and Self-rating depression scale (SDS) were compared between the two groups. Major cardiovascular adverse events (MACEs) were recorded during follow-up. RESULTS: A total of 91 HF patients were enrolled. There were 44 patients in the CR group and 47 in the control group. Compared with before the program, the MLHFQ and SAS scores significantly decreased at 3 months after discharge in both groups. PSQI also showed mild improvement without significant differences in both groups. Furthermore, SDS showed a significant increase in the CR group but within the normal range. MACE occurrences did not show a significant difference. CONCLUSION: Early initiation of self-management program based on multidisciplinary education may help improve quality of life, sleep quality, and reduce anxiety for hospitalized HF patients.
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Jia et al. (2024) conducted a cohort in Heart failure (n=91). Early multidisciplinary self-management program vs. Standard education twice during hospitalization, weekly WeChat articles, and biweekly phone follow-ups was evaluated on Minnesota Living with Heart Failure Questionnaire (MLHFQ) score at 3 months (p=< 0.001). Early initiation of a multidisciplinary self-management program resulted in a 3-month MLHFQ score of 5.77 compared to 17.95 in the control group, though the change from baseline was not significantly different between groups.
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