TY - JOUR
T1 - Nurse-led interventions in heart failure care
T2 - patient and nurse perspectives
AU - Hoekstra, Tialda
AU - Lesman-Leegte, Ivonne
AU - van der Wal, Martje
AU - Luttik, Marie Louise
AU - Jaarsma, Tiny
N1 - Copyright © 2010 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.
PY - 2010/12/1
Y1 - 2010/12/1
N2 - 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±12years; 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 themselves. Patients with severe HF might be in need of more support to achieve optimal treatment and educational goals.
AB - 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±12years; 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 themselves. Patients with severe HF might be in need of more support to achieve optimal treatment and educational goals.
KW - clinical nursing
KW - disease management
KW - heart failure
KW - home care services
KW - patient satisfaction
KW - quality of health care
KW - bejaard
KW - attitude van medisch personeel
KW - klinisch verrpleegkundig onderzoek
KW - professionele hulpverlening
KW - ziekte management
KW - vrouwelijk
KW - hartverlamming
KW - thuiszorgdiensten
KW - huisbezoeken
KW - mensen
KW - mannelijk
KW - middelbaar
KW - patiëntenvoorlichting als onderwerp
KW - patiëntvoorlichting
KW - kwaliteit van gezondheidszorg
KW - tijdschriftartikel
KW - gerandomiseerde gecontroleerde trial
U2 - 10.1016/j.ejcnurse.2010.01.006
DO - 10.1016/j.ejcnurse.2010.01.006
M3 - Article
C2 - 20202912
SN - 1474-5151
VL - 9
SP - 226
EP - 232
JO - European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
JF - European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
IS - 4
ER -