Compare the results of reducing the severity of symptoms, quality of life and readmission among congestive heart failure patients who received the program of congestive heart failure, compared to patients who were normally recommended
Article Sidebar
Main Article Content
Abstract
ABSTRACT
BACKGROUND
Heart failure is a chronic disease that cannot be cured. The severity of heart failure causes to be come to hospital before the appointment, readmission and is an important cause of death.
OBJECTIVE
To compare the severity of symptoms, quality of life and readmission among congestive heart failure patients who received the program of congestive heart failure, compared to patients who were normally recommended.
METHODS
Randomized design: studied in patients with congestive heart failure who were admitted to the medical ward and monitored in the heart center at Chiang Rai Hospital between December 2014 and August 2015. Use a personal data record, severity of heart failure symptoms, Self-assessment form for people with heart failure, quality of life questionnaire and the record of the examination before the appointment. The data was analyzed by using STATA program.
RESULTS
58 patients with heart failure were admitted to Chiang Rai Prachanukroh Hospital, with a ratio of men per women is 3 to 4, mostly older than 60 years old, most received primary education. After receiving the heart failure program, the patients had better behaviors, the severity of symptoms has decreased. The quality of life has improved, the readmission rate has decreased significantly.
CONCLUSIONS AND DISCUSSIONS
Heart failure patients who admitted to Chiang Rai Prachanukroh Hospital should be receive heart failure program.
Article Details
References
2. หน่วยเวชระเบียนโรงพยาบาลเชียงรายประชานุเคราะห์. รายงานสถิติประจำปี. เชียงราย: หน่วยสถิติทางการแพทย์ หน่วยเวชระเบียนและสถิติ. โรงพยาบาลเชียงรายประชานุเคราะห์. 2556.
3. American College of Cardiology/American Heart Association [ACC/AHA]. ACC/AHA guidelines update for the diagnosis and management of chronic heart failure in the adult. Circulation. 2005; 112: 154-235.
4. Hae S, Doering LV, Widener J, Moser DK. Predictors and effect of physical symptom status on health-related quality of life in patient with heart failure. American Journal of Critical Care. 2008; 17: 124-132.
5. อัจฉรา เตชฤทธิพิทักษ. หัวใจวาย (มิติใหม่). วารสารพยาบาลโรคหัวใจและทรวงอก. 2546; 16(2):25-30.
6. The European Society of Cardiology [ESC] Committee for Practice Guidelines. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008. European Heart Journal. 2008: 29: 2388-2442.
7. van der Wal MHL, Jaarsma T, van Veldhuisen DJ. Non-compliance in patients with heart failure: How can we manage it?. The European Journal of Heart Failure. 2005; 7:5-17.
8. Albert NM. Switching to once daily evidence-based B-Blockers in patients with systolic heart failure or left ventricular dysfunction after myocardial infarction. Critical Care Nurse. 2008; 27:62-72.
9. Lorig KR and Holman HR. Self-management education: History, definition, outcomes, and mechanisms. The Society of Behavioral Medicine. 2003; 26(1)1-7.
