This study examined the relationship between heart failure patient knowledge gained through education and clinical outcomes. 265 patients hospitalized for heart failure were randomly assigned to either usual discharge care or usual care plus a one-hour nurse education session focused on disease management. Patients who received the education showed significant improvements in disease-specific knowledge compared to those receiving only usual care. Higher knowledge scores were associated with better self-care behaviors and lower readmission rates within three months. The findings demonstrate that targeted patient education can improve outcomes for heart failure patients.
This study examined the relationship between heart failure patient knowledge gained through education and clinical outcomes. 265 patients hospitalized for heart failure were randomly assigned to either usual discharge care or usual care plus a one-hour nurse education session focused on disease management. Patients who received the education showed significant improvements in disease-specific knowledge compared to those receiving only usual care. Higher knowledge scores were associated with better self-care behaviors and lower readmission rates within three months. The findings demonstrate that targeted patient education can improve outcomes for heart failure patients.
This study examined the relationship between heart failure patient knowledge gained through education and clinical outcomes. 265 patients hospitalized for heart failure were randomly assigned to either usual discharge care or usual care plus a one-hour nurse education session focused on disease management. Patients who received the education showed significant improvements in disease-specific knowledge compared to those receiving only usual care. Higher knowledge scores were associated with better self-care behaviors and lower readmission rates within three months. The findings demonstrate that targeted patient education can improve outcomes for heart failure patients.
This study examined the relationship between heart failure patient knowledge gained through education and clinical outcomes. 265 patients hospitalized for heart failure were randomly assigned to either usual discharge care or usual care plus a one-hour nurse education session focused on disease management. Patients who received the education showed significant improvements in disease-specific knowledge compared to those receiving only usual care. Higher knowledge scores were associated with better self-care behaviors and lower readmission rates within three months. The findings demonstrate that targeted patient education can improve outcomes for heart failure patients.
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Sebastian, Julianne Pierre RLE 7.
4 Medical-Surgical Nursing August 30, 2014
Relationship between Improvements in Heart Failure Patient Disease Specific Knowledge and Clinical Events as Part of a Randomized Controlled Trial by Naga V.A. Kommuri, Monica L. Johnson, Todd M. Koelling
I. Rationale This study mainly focuses on patient education that can bring better results for those patients who have heart failure. As we know, there is a difference between the knowledge of a patient and a healthcare provider. I chose this study because this is great contribution on how and what should be taught not only to those patient who have heart failure but also to those who are chronically and terminally ill individuals. For better implementation and alleviation of health status, patients, as individuals, should participate in their health care. Through patient-centered and disease-specific education, the patients will be more knowledgeable and independent for themselves.
II. Background of the Study Various researches have studies the effects of discharge education to heart failure patients in combination with different post discharge programs. From different studies, discharge education has already been proved to be effective in improving the clinical outcomes of most patients. Still, there were no researches that study the association among knowledge acquisition, subsequent self-care behavior and clinical outcomes. Since then, patient education has already been considered to be significant in the care of every patient. Unlike patients receiving handouts as part of the regular discharge process, a face-to-face patient education to heart failure patients prior to discharge showed to have lower post discharge readmissions.
III. Statement of the Problem No studies have been to find out the relationship among heart failure knowledge, self-care behavior and clinical outcomes. With heart failure knowledge, there may have improve effectiveness and efficiency in the health. The patients self-care behavior will be towards responsibility and participation. Clinical outcomes for the patient will be more positive. Also, most patients are just being readmitted to the hospital after just few months of post discharge. Furthermore, there is also an increase in the expenses for the patient.
IV. Summary 667 subjects were screened for selection. 402 of the subjects were not selected from the screening leaving 265 participants as the subjects of the study. After taking an informed consent from them, the patients were randomly grouped. 137 patients received the usual care (regular discharge process) while 128 patients received the usual care with 1-hour nurse education. The educational program is primarily focused on the heart failure. The health education consists of the: Basic principles of heart failure, dietary sodium, significance of limiting fluid intake as well as the function of diuretics. The Health Failure Knowledge Questionnaire (HFKQ), developed by the researchers, was used 3 months post hospital discharge. 15 questions are about Disease Management Knowledge (DMK) and another 15 questions are about Dietary and Sodium Knowledge (DSK). Using an SPSS software, the data were expressed as median and interquartile range. Clinical events (death or readmission) within 3 months were found to be inversely related to HFKQ scores. Those who have experience this have significantly low scores. Through the comparison of the HFKQ scores, patient who received usual care with 1 hour nurse education has significantly improved their disease specific knowledge compared to patients who just received only the usual care.
V. Findings The control group (usual care) did not show any improvement in DMK within the 3 months of follow-up. However, the nurse education group showed significant improvement in their DMK. Neither of the 2 groups showed any improvements DSK throughout the study. The education group had higher HFKQ scores within the 3 months. Furthermore, patients who are compliant daily weight monitoring, specific dietary sodium restriction and fluid restriction, and plans on what to do when symptom worsened showed significantly higher scores on HFKQ.
VI. Conclusion (paraphrase) Patients who have received 1 hour nurse education has significantly improved the disease specific knowledge compared to patients who just received only the usual care. Findings from the study have showed that heart knowledge is directly related to compliance to self-care. Also, at the 3 month follow up, the knowledge of patients from the nurse education group was showed. Heart failure knowledge improved appropriate self-care behaviors. Furthermore, the study also showed that patients with high HFKQ scores are less likely to be readmitted to the hospital over at the 6 month follow up further reducing the expenses for the patients.
VII. Implications
a. Nursing Practice Along with the regular discharge process and information, at least 1 hour of nurse education will also be done. The health teaching is focus on the primarily on the disease and also on management and diet.
b. Nursing Administration The nursing administration is encourage to enhance nurse education to decrease the consequences for the patients after their discharge. Educational sessions should be given more focus especially as a part in the discharge process.
c. Nursing Education The patients should be taught disease-specific knowledge for them to not only have knowledge but also the capacity to participate in their own health care and develop self-care behaviors after their discharge.
d. Nursing Research For the future researchers, there is a need research further on the dietary and sodium knowledge to improve the health education for the heart failure patient. Also, this is to determine whether dietary education should be separated from nurse education or just further improvement of the nurse education.
e. Nursing Theory The aim of health education on heart failure specific knowledge is to find its relationship with self-care behavior and clinical outcomes. In line with this program is Lydia Halls Theory of Care, Core and Cure. In this theory the care is focus on the core (the patient) and cure is the action or attention given by the nurse to the core. The cure here is the heart failure disease-specific education.
Replace Every 24hrs - Do Proper Perineal Care (Clean Gloves) - Assess Allergy For Latex & Betadine, Ability To Assist, Distress, Embarrassment - For Incontinence, Must Be Erected 13:00