None listed
Conditions
Brief summary
Heart failure is a disorder where right or left ventricular function is affected and the heart fails to pump blood efficiently around the body. The purpose of this study is to identify whether a nurse-led, community based heart failure management service (SmartHeart) improves self-management and quality of life. Participants in the study will be patients with a recent hospital admission due to heart failure as a primary or secondary diagnosis who are less than 85 years of age. The experimental group will compromise patients who are admitted to a tertiary hospital with links to a community-based heart failure management service and subsequently referred to that service. The control group will be comprised of a similar cohort of patients, matched for gender, age and functional class who are admitted to a different tertiary hospital without links to a community-based heart failure management service. The Self-Care Heart Failure Index (SCHFI) will be utilized to measure self-management behaviours and self-efficacy. Quality of life will be determined using the Short Form 36 and Minnesota Living with Heart Failure Questionnaire. The findings from this study will help guide evidence-based practice for nurse-led management of heart failure in the sub-acute period.
Interventions
SmartHeart Living Well with Heart Failure service aims to improve the quality of lives of HF patients and reduce hospital admissions by providing patients with community-based clinical support. The service commenced at Curtin University, through its Interprofessional Health and Wellness Clinics, in April 2013. The SmartHeart program is led by a nurse practitioner who provides monitoring for HF patients through comprehensive patient assessment, regular liaison with General Practitioners, medical
SmartHeart Living Well with Heart Failure service aims to improve the quality of lives of HF patients and reduce hospital admissions by providing patients with community-based clinical support. The service commenced at Curtin University, through its Interprofessional Health and Wellness Clinics, in April 2013. The SmartHeart program is led by a nurse practitioner who provides monitoring for HF patients through comprehensive patient assessment, regular liaison with General Practitioners, medical specialists or local service providers, coaching in self-management strategies and healthy lifestyle behaviours including individualized educational plan including dietary advice and weight monitoring. Nurses will also assist patients to access community related services including psychological support and exercise programs. Participants consult with nurse practitioner whenever necessary. Participants are required to attend once off meeting with data collector (principal investigator) that will be one-to one and the meeting will be less than 60 minutes. The purpose of the study and the details of the 3 questionnaires (SCHFI, MLWHFQ, SF 36) will to be explain to the participants and the participants are required to answer the 3 questionnaires.
Sponsors
Curtin University
Study design
Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
primary or secondary diagnosis of heart failure
Exclusion criteria
unable to consent terminal illnesses significant cognitive impairment physical inability to engage in self-care behaviours
Outcome results
None listed