Nurse-led Multidisciplinary Precision Care for Patients With Chronic Heart Failure

Study Overview
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Brief Summary
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This study aimed to evaluate the feasibility and effectiveness of a nurse-led multidisciplinary precision care in early cardiac rehabilitation of patients with chronic heart failure, and further to promote the application of nurse-led multidisciplinary precision care.

Detailed Description
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Enrolled patients were randomly divided as 1:1 ratio to experimental group and control group, while experimental group received nurse-led multidisciplinary precision care and the control group received standard care according to guidelines. The primary and secondary outcomes were evaluated and analyzed.

Official Title
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Nurse-led Multidisciplinary Precision Care for Patients With Chronic Heart Failure

Conditions
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Nurse's Role, Multidisciplinary Communication, Chronic Heart Failure

Intervention / Treatment
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* Other: multidisciplinary precision care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged from 18 to 80 years; Conscious, with normal cognitive function and being communicable; NYHA heart function class II-IV; Patients met the diagnostic criteria of the clinical guidelines for the diagnosis and treatment of heart failure and were diagnosed with chronic heart failure; Informed consent was obtained. Exclusion Criteria: Patients with congenital heart disease, cardiac shock, or persistent hypotension; Patients with severe liver and kidney dysfunction, moderate to severe anemia or coagulation disorders, and other serious systemic complications; Patients with a history of mental illness, a state of severe anxiety or depression, cognitive or communication impairments, and inability to communicate and respond to investigations; Patients have been involved in other research that would interfere with this study; Patients who declined cardiac rehabilitation and signed informed consent.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: multidisciplinary precision care group<br>Give the intervention of nurse-led multidisciplinary precision care | Other: multidisciplinary precision care<br>* The experimental group received precision nursing based on a multidisciplinary collaborative team in addition to standard treatment and care<br>|
| No Intervention: control group<br>standard care according to guidelines | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| left ventricular ejection fraction |  | baseline, pre-intervention, 1 month after intervention, 3 months after intervention | 
| 6-minute walking distance |  | baseline, pre-intervention, 1 month after intervention, 3 months after intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the European Organization for Research and Treatment of Cancer (EORTC) quality-of-life (QoL) questionnaires (QLQ) QLQ-C30 (version 3.0) score Quality of Life |  | baseline, pre-intervention, 1 month after intervention, 3 months after intervention | 
| Symptom Check List-90 |  | baseline, pre-intervention, 1 month after intervention, 3 months after intervention | 
| Performance Status Score |  | baseline, pre-intervention, 1 month after intervention, 3 months after intervention | 
| Numbers of patients with cardiovascular complications |  | baseline, pre-intervention, 1 month after intervention, 3 months after intervention |