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 .
Heart failure symptom monitoring and response training.
OBJECTIVE The purpose of this study was to test the efficacy of a heart failure ( HF ) training program on patients ' ability to recognize and respond to changes in HF symptoms . The primary aim was to compare event-free survival at 90 days . METHODS A total of 99 HF patients r and omized to the HF symptom training intervention or usual care completed instruments about self-care ( Self-Care of HF Index ) and at baseline and 3 months . Demographic , clinical , and comorbidity data were collected by interview and chart review . Time to first event ( death or a HF-related hospitalization ) was tracked by electronic records and patient interview . RESULTS The sample was predominately male ( 67.7 % ) , elderly ( 67.7 yrs ± 12.1 ) and Caucasian ( 88.9 % ) . The intervention group reported more events but the difference was not significantly different ( χ(2 ) = 1.18 , p = 0.26 ) . There was no difference in survival time between groups ( χ(2 ) = 1.53 , p = 0.216 ) . In paired t-tests , the intervention group had significantly improved self-care maintenance , management and confidence scores ( all p < 0.01 ) . The usual care group had significantly improved self-care maintenance and management ( both p < 0.01 ) . Improvements in self-care maintenance and confidence were higher in the intervention group compared with usual care ( 18.0 vs. 12.9 points ) . CONCLUSIONS HF symptom awareness training appeared to have an early but not sustained benefit result ing in no difference in 90-day event-free survival . However , larger improvement in self-care maintenance and confidence scores in the intervention group compared to usual care is promising . Embedding meaningful symptom monitoring strategies in self-care maintenance interventions requires further investigation
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 .