The Efficacy of Self-care Behaviors, Educational Interventions, and Follow-up Strategies on Hospital Readmission and Mortality Rates in Patients with Heart Failure.

Autor:	Khosravirad Z; Department of Quality Improvement in Kowsar Hospital, Shiraz, Iran., Rostamzadeh M; Department of Cardiology, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran., Azizi S; Department of Nursing, School of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran., Khodashenas M; School of Medicine, Alborz University of Medical Sciences, Karaj, Iran., Khodadoustan Shahraki B; Isfahan University of Medical Sciences, Isfahan, Iran., Ghasemi F; Department of Biology, Jahrom Branch, Islamic Azad University, Jahrom, Iran., Ghorbanzadeh M; Department of Nursing, School of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Jazyk:	angličtina
Zdroj:	Galen medical journal [Galen Med J] 2023 Dec 01; Vol. 12, pp. 1-7. Date of Electronic Publication: 2023 Dec 01 (Print Publication: 2023).
DOI:	10.31661/gmj.v12i.3116
Abstrakt:	Heart failure (HF), a worldwide epidemic with significant morbidity and mortality risks, is frequently secondary to cardiovascular disorders and probably is the common final way to survive patients. Almost 25% of hospitalized patients with acute HF are expected to be readmitted within 30 days post-discharge, and the rates of rehospitalization increase to almost one-third at 60 days and 60 percent within one year of discharge. Although care planning for patients with heart failure is complex, multidisciplinary, and resource-dependent, optimal self-care management along with appropriate educational intervention and follow-up strategy could be able to reduce readmissions, decline the duration of hospitalization, increase life expectancy, decrease the rates of mortality, and reduce costs of healthcare services for patients with HF. However, there are contradictions in previous reports about the efficacy of self-care, mainly due to patients' non-adherence to self-care behaviors. Therefore, the current study aimed to review the investigations on the effectiveness of self-care of HF patients in reducing hospital readmissions and increasing quality of life, and discuss novel approaches for predischarge educational interventions and postdischarge follow-up strategies. Competing Interests: None. (Copyright© 2023, Galen Medical Journal.)
Databáze:	MEDLINE
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