Current state of heart failure management by home health-care professionals

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL
Rie Shimomoto RN, PhD, Toru Kubo MD, PhD, Marina Minami MA, PhD, Miyuki Tsuchihashi-Makaya RN, PhD, Narufumi Suganuma MD, PhD, Hiroaki Kitaoka MD, PhD
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引用次数: 0

Abstract

Background

This study aimed to clarify the status of disease management during home visits for patients with heart failure (HF).

Methods

In this cross-sectional study, questionnaire surveys were conducted with health-care professionals employed by home-visit nursing stations in Kochi Prefecture. Data were collected by postal mail between May and June 2019. A 13-item questionnaire was created based on the disease management items in the “2017 Guidelines for Diagnosis and Treatment of Acute and Chronic Heart Failure.” The Chi-square test and logistic regression analysis were used for the statistical analyses.

Results

The analysis set comprised data collected from 144 nurses and therapists. Regarding disease management for patients with HF, 99.1% of the nurses examined the “status of blood pressure measurement” during home visits. Regarding therapists, 100% confirmed the “status of blood pressure measurement” as well as “signs and symptoms of heart failure.” The items “status of medication use,” “body weight measurement and changes,” “infection prevention and vaccination,” “psychiatric symptoms (anxiety and depression),” and “cognitive function” were confirmed significantly more frequently by nurses than by therapists. After adjusting for confounders, compared with therapists, “body weight measurement and changes” (adjusted odds ratio [aOR]: 4.58; 95% confidence interval [CI]: 1.11–18.87) and “psychiatric symptoms (depression and anxiety)” (aOR: 7.25; 95% CI: 1.39–37.70) were confirmed significantly more frequently by nurses than by therapists.

Conclusion

The present findings suggest that, compared with therapists, nurses attempt to gain a greater overall understanding of the status of patients with HF in disease management.

家庭保健专业人员心力衰竭管理的现状
本研究旨在了解心力衰竭(HF)患者家访过程中疾病管理的现状。方法采用横断面研究方法,对高知县家访护理站的卫生专业人员进行问卷调查。数据是在2019年5月至6月期间通过邮件收集的。根据《2017年急慢性心力衰竭诊疗指南》中的疾病管理项目,制作了13项问卷。统计学分析采用卡方检验和logistic回归分析。结果分析集包括144名护士和治疗师的数据。关于心衰患者的疾病管理,99.1%的护士在家访时检查了“血压测量状况”。至于治疗师,100%确认了“血压测量状态”以及“心力衰竭的体征和症状”。“药物使用状况”、“体重测量和变化”、“感染预防和疫苗接种”、“精神症状(焦虑和抑郁)”和“认知功能”等项目被护士确认的频率明显高于治疗师。调整混杂因素后,与治疗师相比,“体重测量和变化”(调整优势比[aOR]: 4.58; 95%可信区间[CI]: 1.11-18.87)和“精神症状(抑郁和焦虑)”(aOR: 7.25; 95% CI: 1.39-37.70)被护士确认的频率明显高于治疗师。结论目前的研究结果表明,与治疗师相比,护士在疾病管理中试图对心衰患者的状况有更全面的了解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of General and Family Medicine
Journal of General and Family Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.10
自引率
6.20%
发文量
79
审稿时长
48 weeks
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