Key result
Transitional care boosts 30-day self-care maintenance scores by ~68% vs usual follow-up in HF patients.
Why the study?
To analyze the effect of transitional care on self-care, quality of life, and disease knowledge in patients admitted with heart failure.
Does a nurse-led transitional care program improve self-care, quality of life, and knowledge of disease in patients admitted with heart failure?
RCT (n=74)
Blind
Yes
Does a nurse-led transitional care program improve self-care, quality of life, and knowledge of disease in patients admitted with heart failure?
Absolute Event Rate: 74.3% vs 44.2%
p-value: p=<0.001
A nurse-led transitional care program significantly improves self-care maintenance, confidence, and disease knowledge in patients recently hospitalized for heart failure.
Nurse-led transitional care improves HF self-care, knowledge, and QoL; supports routine integration into discharge planning.
Objective: analyze the effect of transitional care on self-care, quality of life and knowledge of disease of patients admitted with heart failure. Method: this is a blind randomized clinical trial with 74 patients with heart failure in two quaternary hospitals in Rio de Janeiro-RJ between December 2017 and February 2020. The intervention group received transitional care with educational management by a nurse at the bedside from admission until hospital discharge and telephone consultation for 30 days after discharge. The control group received usual follow-up. The primary outcomes included maintenance skills, management and confidence in self-care, and the secondary outcomes included quality of life and knowledge of disease. Both were assessed using questionnaires validated for use in Brazil. Data were analyzed by repeated measures ANOVA. Results: the intervention group had higher scores for maintenance (74.3 vs 44.2; p<0.001) and self-care confidence (79.3 vs 56.4; p<0.001) and knowledge of disease (41.3 vs 27.5; p<0.001) and lower quality of life scores (42.1 vs 64.5; p<0.001) 30 days after discharge. Conclusion: transitional care was effective in improving quality of life, knowledge of disease, maintenance and confidence in self-care. This study was registered in the Brazilian Clinical Trials Registry, under RBR-2dpc6b.
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Tinoco et al. (2024) conducted an RCT in Heart failure (n=74). Transitional care with educational management by a nurse and telephone consultation vs. Usual follow-up was evaluated on Maintenance skills in self-care (p=<0.001). Transitional care significantly improved self-care maintenance scores (74.3 vs 44.2; p<0.001) and confidence (79.3 vs 56.4; p<0.001) at 30 days post-discharge in heart failure patients.
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