The Effects of Transitional Care Program for Older Patients with Heart Failure during Coronavirus 2019 Pandemic
Keywords:
Transitional care, Older patients, Heart failureAbstract
This study was a quasi-experimental research using the 2 groups, pre-test and post-test design. The purpose of this study was to compare the effects of a transitional care program for older patients with heart failure during Coronavirus 2019 pandemic. Participants were purposive sampling and, divided into 2 groups. The patients from the cardiology clinic were an experimental group, whereas those from and from outpatient department of medicine were in a comparison group, There were 35 patients in each group. The participants in experimental group received the 4-week program which consisted of face-to-face approach at an outpatient department and telemonitoring approach regarding self-care at home via phone and line application. Data collection consisted of demographic data questionnaires, physical function assessment, quality of life assessment, and readmission record. The content validity index was 1, the Cronbach’ a alpha coefficients of reliability were 0.95, 0.96, 0.92 and 0.95, Data were analyzed using descriptive statistics, t-test and z-test
The results revealed that after the intervention, the patients in experimental group had significantly better score in physical function ability and, quality of life, whereas they had lower number of readmission than before and also in the comparison group.(p -value < .05) These findings showed that this program enhanced self-care behaviors in patients with heart failure. Nurses should implement this program for caring patients with heart failure during epidemic to provide continuing comprehensive healthcare service and improve patient’s quality of life.
References
Apiromrat, A. (2017). Promotion of quality of life among patients with congestive heart failure. Thai Journal of Cardio-
Thoracic Nursing, 28(2), 2-15. [In Thai].
Borg, G.A. (1982). Psychophysical bases of perceived exertion. Medicine & Science in Sports & Exercise, 14(5), 377-381.
Bromag, D. I., Rind, I. A., Gregorio, C., Piper, S., Shah, A. M., & McDonagh, T.A. (2020). The impact of covid-19 on
heart failure hospitalization and management: Report from a heart failure unit in London during the peak of the
pandemic. European Journal of Heart Failure, 22, 978–984.
Chunharas, P., Yingchoncharoen, T., & Kunchorn, R.A. (2019). Heart Failure Council of Thailand (HFCT) Heart failure
guideline. Medical Association Cardiology of Thailand: next step design Limited Partnership. [In Thai].
Harnpadungkit, K. (2014). 6-Minute walk test. Journal of Thai Rehabilitation Medicine,24(1), 1- 4. [In Thai].
Hirschman, K. B., Shaid. E., McCauley, K., Paul, M. V., & Naylor, M. D. (2015). Continuity of care: The transitional care
model. OJIN: The Online Journal of Issues in Nursing, 20(3), Manuscript 1.
Kedchai, W. (2020). The effect of the transitional care model for heart failure patients, Kingnarai Hospital. Journal of
Nursing and Health Care, 38(4), 73-82. [In Thai].
Krethong, P. (2007). A causal model of health-related quality of life in Thai heart failure patients. Master Thesis (Nursing),
Chulalongkom University, Bangkok. [In Thai].
Lertpongpakpoom, S., Phonphet, C., & Suwanno, J. (2019). Predictors of readmission after one-year hospital discharge
with acute decompensated heart failure. Thai Journal of Cardio-Thoracic Nursing, 30(2), 126-140. [In Thai].
Mahaviriyotai1, K., Wattanakitkrileart, D., & Poungkaew, A. (2021). The effect of information provision, motivation, and
self-monitoring skill program through LINE application on self-care behaviors in patients with heart failure.
Nursing Science Journal of Thailand, 39(1), 47-63. [In Thai].
Naylor, M.D., Brooten, D.A., Campbell, R.L., Maislin, G.M., McCaule, K.M., & Schwartz, J.S. (2004). Transitional care
of older adults hospitalized with heart failure: A randomized clinical trial. Journal of The American Geriatric
Society, 52(5), 675-684.
Naylor, M. D., Hirschman, K. B., & McCauley. K. (2020). Meeting the transitional care needs of older adults with
covid-19. Journal of Aging & Social Policy, 32, 387-395.
Pimtara, P., & Rongmuang, D. (2020). Transitional care for patients with congestive heart failure to reduce readmission
rates. Journal of Health Science Research,14(1), 128-138. [In Thai].
Rector, T.S., Kubo, S.H., & Cohn, J.N. (1987). Patients’ self-assessment of their congestive heart failure: II Content,
reliability and validity of new measure-the Minnesota living with heart failure questionnaire. Heart Failure,
, 198-209.
Reza, N., DeFilippis, E.M., & Jessup, M. (2020). Secondary Impact of The COVID-19 pandemic on patients with heart failure. Circulation: Heart Failure,15(3).
Samakkanonthakarn, S., Duangpaeng, S., & Kunsongkeit, W. (2017). Factors influencing functional performance among
heart failure patients. Thai Journal of Cardio-Thoracic Nursing, 28(2), 68-81. [In Thai].
Schmitt, J., Wenzel, B., Brusehaber, B., Anguera, I., Sousa, J.D., Nolker,G., Bulava, A., Marques,P., Hatala, R,
Golovchiner, G., Meyhöfer, J., Ilan, M. (2021). Impact of lockdown during COVID-19 pandemic on physical
activity and arrhythmia burden in heart failure patients. Pacing Clinical Electrophysiol, 45, 471-480.
Srisaeng, A., & Wungsang, C. (2018). Cardiopulmonary Assessment by Six Minute Walk Test. Siriraj Med Bull, 11(1),
-64. [In Thai].
Thongplung, K. (2018). Multidisciplinary approach for the treatment chronic heart failure patients
at Nakhonpathom Hospital. Medical Journal, 37(2), 108-118. [In Thai]
Wattanune, N., Nimitarnun, N., & Chomson, S. (2012). The factors influencing to health-related quality of life amongst
the patients with congestive heart failure at a community in Kanchanaburi province. Master Thesis (Nursing),
Christian University, Bangkok. [In Thai].
Yancy, C. W., Januzzi, J. L., & Allen L.A. (2017). ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA guideline
for the management of heart failure: A report of the American College of Cardiology/American Heart Association
Task Force on clinical practice guidelines and The Heart Failure Society of America. Circulation, 136(6),
-161.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Journal of Nursing and Health Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
