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Effects of a Home-Based Palliative Heart Failure Program on Quality of Life, Symptom Burden, Satisfaction and Caregiver Burden: A Randomized Controlled Trial.
- Source :
-
Journal of Pain & Symptom Management . Jan2018, Vol. 55 Issue 1, p1-11. 11p. - Publication Year :
- 2018
-
Abstract
- <bold>Context: </bold>Provision of home-based palliative care (PC) for seriously ill patients is important, yet few home-based PC services specifically or exclusively focus on end-stage heart failure (ESHF) patients.<bold>Objectives: </bold>This study aimed to examine the effect of a home-based palliative heart failure (HPHF) program on quality of life (QOL), symptoms burden, functional status, patient satisfaction, and caregiver burden among patients with ESHF.<bold>Methods: </bold>This study was a two-group randomized controlled trial undertaken in three hospitals. We recruited a total of 84 hospitalized ESHF patients who were referred to PC. They were randomized to the intervention or control group. The intervention group received a 12-week structured program with regular home visits/telephone calls provided by the nurse case managers. Data were collected at baseline (T1) and at four (T2) and 12 weeks (T3) after discharge.<bold>Results: </bold>A statistically significant between-group effect was found, with the HPHF group having significantly higher McGill QOL total score than the control group (P = 0.016) and there was significant group × time interaction effect (P = 0.032). There was no significant between-group effects detected for the measures of symptom distress or functional status at 12 weeks. The intervention group had higher satisfaction (P = 0.001) and lower caregiver burden (P = 0.024) than the control group at 12 weeks.<bold>Conclusion: </bold>The HPHF program is effective in enhancing the QOL of ESHF patients, satisfaction with care, and caregiver burden. The program has potential to reduce distress for some of the symptoms. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HEART failure
*QUALITY of life
*RANDOMIZED controlled trials
*PALLIATIVE treatment
*PATIENT satisfaction
*HEART failure treatment
*PSYCHOLOGY of caregivers
*COMPARATIVE studies
*ECONOMIC aspects of diseases
*HOME care services
*RESEARCH methodology
*MEDICAL cooperation
*RESEARCH
*STATISTICAL sampling
*EVALUATION research
*TREATMENT effectiveness
*PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 08853924
- Volume :
- 55
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Journal of Pain & Symptom Management
- Publication Type :
- Academic Journal
- Accession number :
- 126804925
- Full Text :
- https://doi.org/10.1016/j.jpainsymman.2017.07.047