Heart Failure
Conditions
Brief summary
This study aims to evaluate the effects of a nursing care decision support system designed to reduce fluid overload in patients with heart failure. The goal is to examine its impact on clinical outcomes both during hospitalization and after discharge at home. The study focuses on improving nursing interventions and patient follow-up through structured, evidence-based decision-making tools.
Interventions
BEHAVIORALNursing Decision Support System
A behavioral intervention involving a nurse-led decision support system designed to manage fluid volume overload in heart failure patients. The intervention guided nursing care planning, monitoring, and evaluation during hospitalization and through home follow-up visits.
Sponsors
Leyla Biçen
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Diagnosed with heart failure (HF) * Aged 18 years or older * Ejection fraction below 50% * Presence of +1 or greater pitting edema in the extremities * Voluntary agreement to participate in the study * Sufficient cognitive and communicative ability to participate in interviews and complete scales/forms
Exclusion criteria
* Presence of additional comorbidities other than cardiac risk factors (e.g., dialysis-dependent renal failure, lymphedema, oncology patients, etc.) * Presence of severe valvular stenosis * History of amputation * Classified as morbidly obese * Isolated right heart failure * Inadequate cooperation or communication skills * Terminal stage patients * Absence of echocardiographic evaluation * BNP level not measured Criteria for Discontinuation During the Study: * Inaccessible by phone * Withdrawal of consent * Development of poor general condition during follow-up * Transferred to intensive care units during follow-up * Extended hospitalization due to infection or other secondary causes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Congestion Score Improvement | Baseline to 30 days post-discharge | Assessment of the reduction in fluid volume overload symptoms based on a standardized congestion scoring system. The score evaluates parameters such as edema, shortness of breath, and weight changes. |
Countries
Turkey (Türkiye)
Outcome results
None listed