Pilot Program to Improve Self-Management of Patients with Heart Failure by Redesigning Care Coordination. (23rd April 2014)

• Record Type: Journal Article
• Authors: Shaw, Jessica D.; O'Neal, Daniel J.; Siddharthan, Kris; Neugaard, Britta I.
• Other Names: Finlayson Kathleen Academic Editor.
• Is Part Of: Nursing research and practice. Volume 2014(2014)
• Publication Date: 2014-04-23
• Subjects: Nursing -- Research -- Periodicals; Nursing -- Periodicals; Evidence-based nursing -- Periodicals; 610.73072
• DOI: 10.1155/2014/836921
• Languages: English
• ISSNs: 2090-1429

Abstract

Abstract : Objectives . We tested both an educational and a care coordination element of health care to examine if better disease-specific knowledge leads to successful self-management of heart failure (HF). Background . The high utilization of health care resources and poor patient outcomes associated with HF justify tests of change to improve self-management of HF. Methods . This prospective study tested two components of the Chronic Care Model (clinical information systems and self-management support) to improve outcomes in the self-management of HF among patients who received intensive education and care coordination during their acute care stay. A postdischarge follow-up phone call assessed their knowledge of HF self-management compared to usual care patients. Results . There were 20 patients each in the intervention and usual care groups. Intervention patients were more likely to have a scale at home, write down their weight, and practice new or different health behaviors. Conclusion . Patients receiving more intensive education knew more about their disease and were better able to self-manage their weight compared to patients receiving standard care.