Universidade Federal do Rio Grande do Sul, Rua São Manoel 963, Porto Alegre, RS, Brazil.
Arq Bras Cardiol. 2011 Mar;96(3):233-9. doi: 10.1590/s0066-782x2011005000014. Epub 2011 Feb 4.
Nursing approaches to manage patients with heart failure (HF) showed benefits in reducing the morbidity and mortality. However, combining intra-hospital education with telephone contact after hospital discharge has been little explored.
To compare two nursing intervention groups among patients hospitalized due to decompensated HF: the intervention group (IG) received educational nursing intervention during hospitalization followed by telephone monitoring after discharge and the control group (CG) received in-hospital intervention only. Outcomes were levels of HF and self-care knowledge, the frequency of visits to the emergency room, rehospitalizations and deaths in a three-month period.
Randomized clinical trial. We studied adult HF patients with left ventricle ejection fraction (LVEF) < 45% who could be contacted by telephone after discharge. HF awareness was evaluated through a standardized questionnaire that also included questions regarding self-care knowledge, which was answered during the hospitalization period and three months later. For patients in the IG group contacts were made using phone calls and final interviews were conducted in both groups at end of the study.
Forty-eight patients were assigned to the IG and 63 to the CG. Mean age (63 ± 13 years) and L (around 29%) were similar in the two groups. Scores for HF and self-care knowledge were similar at baseline. Three months later, both groups showed significantly improved HF awareness and self-care knowledge scores (P < 0.001). Other outcomes were similar.
An in-hospital educational nursing intervention benefitted all HF patients in understanding their disease, regardless of telephone contact after discharge.
护理方法可用于管理心力衰竭（HF）患者，有助于降低发病率和死亡率。然而，医院内教育与出院后电话联系相结合的方法还很少被探索。
比较因失代偿性 HF 住院的两组患者的护理干预措施：干预组（IG）在住院期间接受教育护理干预，然后在出院后进行电话监测，对照组（CG）仅接受院内干预。结果为 HF 水平和自我护理知识、急诊就诊频率、再入院和三个月内死亡的情况。
随机临床试验。我们研究了左心室射血分数（LVEF）<45%、出院后可通过电话联系的成年 HF 患者。HF 意识通过标准化问卷进行评估，该问卷还包括有关自我护理知识的问题，这些问题在住院期间和三个月后回答。对于 IG 组的患者，通过电话进行联系，并且在研究结束时对两组患者进行最终访谈。
48 名患者被分配到 IG 组，63 名患者被分配到 CG 组。两组患者的平均年龄（63±13 岁）和 LVEF（约 29%）相似。两组患者的 HF 和自我护理知识评分在基线时相似。三个月后，两组 HF 意识和自我护理知识评分均显著提高（P<0.001）。其他结果相似。
住院期间的教育护理干预使所有 HF 患者受益，使他们能够更好地理解自己的疾病，无论出院后是否进行电话联系。
