Academic Journal
Self-care educational intervention to reduce hospitalisations in heart failure: A randomised controlled trial
| العنوان: | Self-care educational intervention to reduce hospitalisations in heart failure: A randomised controlled trial |
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| المؤلفون: | Boyde, M, Peters, R, New, N, Hwang, R, Ha, T, Korczyk, D |
| المصدر: | European Journal of Cardiovascular Nursing ; volume 17, issue 2, page 178-185 ; ISSN 1474-5151 1873-1953 |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2017 |
| الوصف: | Background: A variety of educational interventions have been implemented to assist patients with heart failure to maintain their own health, develop self-care behaviours and decrease readmissions. Aims: The purpose of this study was to determine the effectiveness of a multimedia educational intervention for patients with heart failure in reducing unplanned hospital readmissions. Methods: The study, a randomised controlled trial in a large tertiary referral hospital in Australia, recruited 200 patients. Patients diagnosed with heart failure were randomly allocated 1:1 to usual education or a multimedia educational intervention. The multimedia approach began with an individual needs assessment to develop an educational plan. The educational intervention included viewing a DVD, and verbal discussion supported by a written manual with a teach-back evaluation strategy. The primary outcome was all-cause unplanned hospital readmission at 28 days, three months and 12 months post-recruitment. The secondary outcomes were changes in knowledge and self-care behaviours at three months and 12 months post-recruitment. Results: At 12 months, data on 171 participants were analysed. There were 24 participants who had an unplanned hospital readmission in the intervention group compared to 44 participants in the control group ( p=0.005). The self-care educational intervention reduced the risk of readmission at 12 months by 30% (relative risk: 0.703; 95% confidence interval: 0.548–0.903). Conclusion: A targeted multimedia educational intervention can be effective in reducing all-cause unplanned readmissions for people with heart failure. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1177/1474515117727740 |
| الاتاحة: | http://dx.doi.org/10.1177/1474515117727740 http://journals.sagepub.com/doi/pdf/10.1177/1474515117727740 http://journals.sagepub.com/doi/full-xml/10.1177/1474515117727740 |
| Rights: | http://journals.sagepub.com/page/policies/text-and-data-mining-license |
| رقم الانضمام: | edsbas.26081352 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1177/1474515117727740 |
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