Key result
Nurse-led structured education cuts 3-month HFrEF rehospitalizations from 34% to zero vs routine care.
Why the study?
Heart failure with reduced ejection fraction significantly impairs quality of life and leads to frequent hospitalizations, but the impact of patient education on these outcomes was unclear.
Does nurse-led structured education improve quality of life and reduce rehospitalization in patients with HFrEF?
RCT (n=64)
randomly assigned
No
Does nurse-led structured education improve quality of life and reduce rehospitalization in patients with HFrEF?
Structured, nurse-led patient education substantially reduces short-term rehospitalization risk and improves physical and emotional well-being in HFrEF patients receiving optimal medical therapy.
Answers are grounded in this paper and cite their sources.
Supports adoption of nurse-led education in HFrEF pathways; extends randomized evidence for nonpharmacologic adjuncts to GDMT.
Background and Aim: Heart failure (HF) with reduced ejection fraction (HFrEF) significantly impairs quality of life (QoL), leading to frequent hospitalizations, high mortality and high healthcare costs. This study sought to investigate whether education of patients could enhance QoL and reduce rehospitalization rates in patients with HFrEF. Materials and Methods: A randomized, follow-up trial was conducted in our center including 64 patients diagnosed with HFrEF, all of whom were receiving guideline-directed medical therapy. Participants were randomly assigned to two groups: the nurse-led education group (n=32), which received structured education on HF management from trained nurses, and the routine care group (n=32), who received standard medical care without additional educational support. QoL was assessed using a validated questionnaire and clinical evaluations after 3 months, focusing on the performance of everyday activities (various aspects of daily life and depression), as well as the rehospitalization rate. Results: Educated group demonstrated significantly improved QoL. Additionally, none of the educated patients had rehospitalizations, while 34% of the non-educated group did. Conclusion: Education of patients has a positive impact on both the physical and psychological well-being of patients with HFrEF, thereby improving their QoL, reducing rehospitalizations and lowering healthcare costs.
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Dizdarević‐Hudić et al. (2025) conducted an RCT in Heart failure with reduced ejection fraction (HFrEF) (n=64). Nurse-led structured education on HF management vs. Standard routine care without additional educational support was evaluated on Hospitalizations for heart failure within the 3-month follow-up. Nurse-led structured education reduced the 3-month rehospitalization rate to 0% compared to 34% with routine care, and significantly improved quality of life in patients with HFrEF.
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