Nurse-led interventions in heart failure care Patient and nurse perspectives

作者：Hoekstra Tialda^*; Lesman Leegte Ivonne; Van der Wal Martje; Luttik Marie Louise; Jaarsma Tiny

来源：European Journal of Cardiovascular Nursing, 2010, 9(4): 226-232.

DOI：10.1016/j.ejcnurse.2010.01.006

• Heart failure
• Disease management programmes
• Nurse perspectives
• Patient perspectives
• Satisfaction

Background Perspectives of nurses and patients on the intensity and content of disease management programmes (DMPs) in heart failure are seldom addressed but are important in optimizing these programmes
Aim To describe the perspectives of patients and nurses on delivered care in two DMPs
Methods In total 442 patients (62% male age 68 +/- 12 years LVEF 33% +/- 14) assigned to the intervention groups of the Coordinating Study Evaluating Outcomes of Advising and Counselling in HF (COACH) and 32 registered nurses, completed questionnaires on satisfaction with the intensity and components of the DMPs
Results In spite of large differences in intensity and components, patients were satisfied with the content of both DMPs In patients (NYHA III-IV), treatment and educational goals were more often achieved in those who received intensive support compared to patients who received basic support (85% vs 70%) Patients and nurses perceived that most home visits were adding significant value to the HF care while 12% of the home visits were perceived as unnecessary by the nurses
Conclusion Patients and nurses did not perceive the intense DMP as an emotional and physical burden for them

• 出版日期2010-12