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Feasibility of a nurse-monitored, outpatient-care programme for elderly patients with moderate-to-severe, chronic heart failure
Department of Nursing, Umeå University, Umeå; University College of Health and Caring Sciences, Göteborg.
Department of Medicine, Sahlgrenska University Hospital, Göteborg.
Örebro University, Department of Nursing and Caring Sciences.
Department of Medicine, Sahlgrenska University Hospital, Göteborg.
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1998 (English)In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 19, no 8, p. 1254-60Article in journal (Refereed) Published
Abstract [en]

Aims: To evaluate the feasibility of a nurse-monitored, outpatient-care program for elderly patients previously hospitalized with chronic heart failure.

Methods and results: Patients with chronic heart failure hospitalized in the medical wards were screened to find those eligible for a randomized study to compare the effect of a nurse-monitored, outpatient-care programme aiming at symptom management, with conventional care. The inclusion criteria were patients classified in New York Heart Association classes III-IV, age 65 years, and eligibility for an outpatient follow-up programme. The total in-hospital population of patients discharged with a heart-failure diagnosis was surveyed. Eighty-nine per cent of all the hospitalized patients (n=1541) were 65 years old. Of these, 69% (n=1058) were treated in the medical wards which were screened. The study criteria were met by 158 patients (15%). No visits to the nurse occurred in 23 cases among the 79 patients randomized to the structured-care group (29%), mainly on account of death or fatigue. The numbers of hospitalizations and hospital days did not differ between the structured-care and the usual-care groups.

Conclusions: Given the selection criteria and the outline of the interventions, the outpatient, nurse-monitored, symptom-management programme was not feasible for the majority of these elderly patients with moderate-to-severe, chronic heart failure, mainly because of the small proportion of eligible patients and the high drop-out rate. Management of these patients would have to be more adjusted to their home situation.

Place, publisher, year, edition, pages
London, United Kingdom: W. B. Saunders Co. Ltd. , 1998. Vol. 19, no 8, p. 1254-60
Keywords [en]
Chronic heart failure, nursing care
National Category
Medical and Health Sciences Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:oru:diva-41420DOI: 10.1053/euhj.1998.1095ISI: 000075323300018PubMedID: 9740348Scopus ID: 2-s2.0-0032147068OAI: oai:DiVA.org:oru-41420DiVA, id: diva2:780444
Available from: 2015-01-14 Created: 2015-01-14 Last updated: 2017-12-05Bibliographically approved

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