However , there were no consistent relationships observed between intervention characteristics and the effects of interventions .
Most trials review ed demonstrated a beneficial impact of nursing interventions for secondary prevention in patients with CAD or heart failure .
OBJECTIVE This systematic review of recent r and omized trials was conducted to determine if cardiovascular nursing interventions improve outcomes in patients with coronary artery disease ( CAD ) and /or heart failure .
Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failure: results from a prospective, randomised trial.
AIM The aim of this trial was to prospect ively evaluate the effect of follow-up at a nurse-led heart failure clinic on mortality , morbidity and self-care behaviour for patients hospitalised due to heart failure for 12 months after discharge . METHODS A total of 106 patients were r and omly assigned to either follow-up at a nurse-led heart failure clinic or to usual care . The nurse-led heart failure clinic was staffed by specially educated and experienced cardiac nurses , delegated the responsibility for making protocol -led changes in medications . The first follow-up visit was 2 - 3 weeks after discharge . During the visit the nurse evaluated the heart failure status and the treatment , gave education about heart failure and social support to the patient and his family . RESULTS There were fewer patients with events ( death or admission ) after 12 months in the intervention group compared to the control group ( 29 vs 40 , p=0.03 ) and fewer deaths after 12 months ( 7 vs 20 , p=0.005 ) . The intervention group had fewer admissions ( 33 vs 56 , p=0.047 ) and days in hospital ( 350 vs 592 , p=0.045 ) during the first 3 months . After 12 months the intervention was associated with a 55 % decrease in admissions/patient/month ( 0.18 vs 0.40 , p=0.06 ) and fewer days in hospital/patient/month ( 1.4 vs 3.9 , p=0.02 ) . The intervention group had significantly higher self-care scores at 3 and 12 months compared to the control group ( p=0.02 and p=0.01 ) . CONCLUSIONS Follow up after hospitalisation at a nurse-led heart failure clinic can improve survival and self-care behaviour in patients with heart failure as well as reduce the number of events , readmissions and days in hospital
However , there were no consistent relationships observed between intervention characteristics and the effects of interventions .
Most trials review ed demonstrated a beneficial impact of nursing interventions for secondary prevention in patients with CAD or heart failure .
OBJECTIVE This systematic review of recent r and omized trials was conducted to determine if cardiovascular nursing interventions improve outcomes in patients with coronary artery disease ( CAD ) and /or heart failure .