Propelling Nurse-Led Structured Intervention to Enhance Self-Care among Patients with Chronic Heart Failure (PROACT-HF): A Cluster Randomized Controlled Trial Study Protocol
Rattachement africain : jp, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Heart Failure (HF) is a common chronic disease that has a high readmission rate and is associated with worsening symptoms and major financial impacts. Disease management implemented during or after an HF hospitalization has been shown to reduce hospitalization and mortality rates. Particularly for outpatients, it is necessary to provide self-care interventions. Structured nurse-led support such as timely follow-ups, including phone calls, is beneficial for improving self-care assessments. Evidence for nurse-led support has been investigated but is less than conclusive. The aim of this study is to compare the effectiveness of a nurse-led structured intervention for outpatients with chronic HF against the usual medical care in terms of self-care behaviors and occurrence of symptom exacerbation or rehospitalization. METHODS AND ANALYSIS: This is a cluster-randomized controlled trial. A total of 40 facilities with certified HF nurses will be allocated to two-arm clusters at a 1:1 ratio, randomly to the intervention or usual care arms. A total of 210 participants will be assigned from the hospital. Participants will be adults aged 18 years or older diagnosed with chronic HF who are classified as Stage C according to the ACCF/AHA Heart Failure staging system. In the intervention group, patients will receive structured nursing support. This begins with weekly support, including phone calls, for the first month, then transitions to monthly support thereafter. The aim is to ensure the stability of their living conditions, promote medication adherence, and encourage self-management. In the control group, patients will receive the usual care. Primary outcomes will assess the improvement or continuation of self-care behavior as measured by changes in EHFScBS (European Heart Failure Self-Care Behavior Scale) scores. Secondary outcomes include occurrence of readmission within 30 days, 3 months, 6 months, and 1 year after discharge, duration of home care until readmission, and blood levels of BNP and NT-proBNP.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Propelling Nurse-Led Structured Intervention to Enhance Self-Care among Patients with Chronic Heart Failure (PROACT-HF): A Cluster Randomized Controlled Trial Study Protocol
- Date Crossref
- 06/08/2024
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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St. Luke's International Hospital Department of Cardiovascular Medicine pays non établi dans la noticeÉtablissement de santé
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Leonard Davis Institute of Health Economics pays non établi dans la noticeStructure de recherche
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University of Pennsylvania Leonard Davis Institute for Health Economics pays non établi dans la noticeUniversité ou école supérieure
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Sakakibara Hospital pays non établi dans la noticeÉtablissement de santé
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Kobe University pays non établi dans la noticeUniversité ou école supérieure
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Aso Iizuka Hospital Department of Nursing pays non établi dans la noticeÉtablissement de santé
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Tochigi Medical Center Department of Internal Medicine pays non établi dans la noticeÉtablissement de santé
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Kawasaki University of Medical Welfare pays non établi dans la noticeUniversité ou école supérieure
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National Institute of Infectious Diseases and Epidemiologic Research pays non établi dans la noticeOrganisme public
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Japanese Nursing Association Department of Nursing pays non établi dans la noticeInstitution
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Sakakibara Heart Institute Department of Nursing pays non établi dans la noticeStructure de recherche
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Department of Nursing pays non établi dans la noticeInstitution
Department of Cardiovascular Medicine — St. Luke's International Hospital, Leonard Davis Institute of Health Economics et Leonard Davis Institute for Health Economics — University of Pennsylvania, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.