Main Findings : The results indicate that an intervention involving any human factor principles may nearly double an individual ’s probability of not being readmitted .
Principal Conclusions : Interventions with human factor principles reduce readmissions among HF patients .
Background : Human factors play an important role in health-care outcomes of heart failure ( HF ) patients .
A systematic review and meta- analysis of clinical trial studies on HF hospitalization may yield positive proofs of the beneficial effect of specific care management strategies .
Purpose : To investigate how the 8 guiding principles of choice , rest , environment , activity , trust , interpersonal relationships , outlook , and nutrition reduce HF readmissions .
Cognitive therapy improves three-month outcomes in hospitalized patients with heart failure.
BACKGROUND Patients with heart failure ( HF ) experience depressive symptoms that contribute to poorer outcomes . We tested the effects of a brief cognitive therapy intervention on depressive symptoms , negative thinking , health-related quality of life , and cardiac event-free survival . METHODS AND RESULTS Hospitalized patients with depressive symptoms ( n = 41 , 66 ± 11 years , 45 % female , 81 % New York Heart Association Class III/IV ) were r and omly assigned  to control group or a brief , nurse-delivered cognitive therapy intervention , delivered during hospitalization and followed by a 1-week booster phone call  . Depressive symptoms , negative thinking , and health-related quality of life were measured at 1 week and 3 months . Cardiac event-free survival was assessed at 3 months . Mixed models repeated measures analysis of variance , Kaplan-Meier , and Cox regression were used for data analysis . There were significant improvements in depressive symptoms and health-related quality of life in both groups but no interactions between group and time . The control group had shorter 3-month cardiac event-free survival ( 40 % versus 80 % , P < .05 ) and a 3.5 greater hazard of experiencing a cardiac event ( P = .04 ) than the intervention group . CONCLUSION Nurses can deliver a brief intervention to hospitalized patients with heart failure that may improve short-term , event-free survival . Future research is needed to verify these results with a larger sample size
Main Findings : The results indicate that an intervention involving any human factor principles may nearly double an individual ’s probability of not being readmitted .
Principal Conclusions : Interventions with human factor principles reduce readmissions among HF patients .
Background : Human factors play an important role in health-care outcomes of heart failure ( HF ) patients .
A systematic review and meta- analysis of clinical trial studies on HF hospitalization may yield positive proofs of the beneficial effect of specific care management strategies .
Purpose : To investigate how the 8 guiding principles of choice , rest , environment , activity , trust , interpersonal relationships , outlook , and nutrition reduce HF readmissions .