[The TeMP_cardio Model for the district management of heart failure patients: a feasibility study for the implementation of the family nurse].

IF 0.8 4区医学 Q4 NURSING

Assistenza Infermieristica E Ricerca Pub Date : 2022-04-01 DOI:10.1702/3854.38376

Jessica Longhini, Federica Canzan, Paola Zambiasi, Stefano Toccoli, Lorenzo Gios, Maurizio Del Greco, Simona Sforzin, Monica Moz, Michela Fracchetti, Luisa Saiani, Renata Brolis, Annamaria Guarnier, Mariangela Soverini, Massimiliano Maines, Elisa Ambrosi

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引用次数: 0

Abstract

. The TeMP_cardio Model for the district management of heart failure patients: a feasibility study for the implementation of the family nurse.

Introduction: The need to enhance primary health nursing care and chronic disease management requires the development of complex and feasible models in local contexts.

Aim: To test the feasibility of a complex care model, based on the introduction of the family and community nurse for patients with stable heart failure and their caregivers.

Methods: A pre-post six-month feasibility study was conducted in 2021-2022 in the Autonomous Province of Trento. Patients with stable heart failure able to access services were taken in charge with a multidisciplinary model, with the nurse as care manager, and technological and telemonitoring support.

Results: 26 patients out of 137 were included and nine of their caregivers. Ten participants accepted to use the mobile app. Twenty-three patients and seven caregivers completed the study, and the app was used regularly by five participants. Self-care skills improved in patients, mostly in self-monitoring, less in caregivers. One access to the emergency department for heart failure exacerbation was detected.

Conclusions: The model was evaluated feasible to retain patients, with the need to build effective strategies for the recruitment, and the regular use of telemonitoring tools.

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[TeMP_cardio模型在心衰患者区域管理中的应用:家庭护士实施的可行性研究]。

。心衰患者区域管理TeMP_cardio模式:家庭护士实施的可行性研究。导言:需要加强初级卫生保健和慢性病管理，需要在当地情况下开发复杂和可行的模式。目的:通过家庭和社区护理对稳定型心力衰竭患者及其照护者的介绍，验证复杂护理模式的可行性。方法:于2021-2022年在特伦托自治省进行了为期六个月的岗前可行性研究。能够获得服务的稳定型心力衰竭患者采用多学科模式，由护士担任护理经理，并提供技术和远程监测支持。结果:纳入了137名患者中的26名和他们的9名护理人员。10名参与者接受使用移动应用程序。23名患者和7名护理人员完成了这项研究，其中5名参与者定期使用该应用程序。患者的自我护理技能有所提高，主要是在自我监控方面，而护理人员的提高则较少。一次因心力衰竭加重而进入急诊科。结论:该模型具有保留患者的可行性，但需要建立有效的招募策略，并定期使用远程监护工具。

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

Assistenza Infermieristica E Ricerca 医学-护理

CiteScore

1.30

自引率

18.20%

发文量

审稿时长

>12 weeks

期刊介绍： Assistenza Infermieristica e Ricerca (AIR) è una rivista scientifica che si propone l''obiettivo di promuovere e sviluppare il confronto sulle conoscenze che hanno un impatto sulla pratica, sulla formazione e sulla direzione dell''assistenza infermieristica.