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 .
A comprehensive symptom diary intervention to improve outcomes in patients with HF: a pilot study.
BACKGROUND Patients with heart failure must monitor for and recognize escalating symptoms to take action to relieve symptoms and decrease hospitalizations . However , symptom monitoring is not commonly performed . One way to promote patients ' engagement in symptom monitoring is by providing a symptom diary . PURPOSE The aim of this study was to test the effect of a comprehensive daily symptom diary intervention on event-free survival and health-related quality of life ( HRQOL ) . METHODS Patients were r and omized into either intervention ( n = 23 ) or usual-care groups ( n = 21 ) . The intervention group received a symptom diary with self-care education and counseling at baseline with 5 follow-up calls for 3 months . All patients were interviewed to obtain survival data at 1 month and 3 months . HRQOL was measured at baseline , 1 month , and 3 months . Kaplan-Meier curves with the log-rank test were used to compare group differences in time to first event . Linear mixed models were conducted to examine the relationship between groups and changes in HRQOL over 3 months . RESULTS The intervention group had longer event-free survival than the usual-care group ( P = .03 ) . There were no differences in changes in HRQOL scores between the groups over 3 months . CONCLUSIONS Positive effects of the intervention on survival were found . However , there was no significant difference in changes in HRQOL
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 .