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Self-care educational intervention to reduce hospitalisations in heart failure: A randomised controlled trial.
- Source :
- European Journal of Cardiovascular Nursing; Feb2018, Vol. 17 Issue 2, p178-185, 8p
- Publication Year :
- 2018
-
Abstract
- Background: A variety of educational interventions have been implemented to assist patients with heart failure to maintain their own health, develop self-care behaviours and decrease readmissions. Aims: The purpose of this study was to determine the effectiveness of a multimedia educational intervention for patients with heart failure in reducing unplanned hospital readmissions. Methods: The study, a randomised controlled trial in a large tertiary referral hospital in Australia, recruited 200 patients. Patients diagnosed with heart failure were randomly allocated 1:1 to usual education or a multimedia educational intervention. The multimedia approach began with an individual needs assessment to develop an educational plan. The educational intervention included viewing a DVD, and verbal discussion supported by a written manual with a teach-back evaluation strategy. The primary outcome was all-cause unplanned hospital readmission at 28 days, three months and 12 months post-recruitment. The secondary outcomes were changes in knowledge and self-care behaviours at three months and 12 months post-recruitment. Results: At 12 months, data on 171 participants were analysed. There were 24 participants who had an unplanned hospital readmission in the intervention group compared to 44 participants in the control group (p=0.005). The self-care educational intervention reduced the risk of readmission at 12 months by 30% (relative risk: 0.703; 95% confidence interval: 0.548–0.903). Conclusion: A targeted multimedia educational intervention can be effective in reducing all-cause unplanned readmissions for people with heart failure. [ABSTRACT FROM AUTHOR]
- Subjects :
- CARDIAC patients
CHI-squared test
CONFIDENCE intervals
STATISTICAL correlation
HEART failure
MULTIMEDIA systems
PROBABILITY theory
RESEARCH funding
HEALTH self-care
STATISTICS
T-test (Statistics)
VIDEO recording
DATA analysis
RANDOMIZED controlled trials
PATIENT readmissions
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
MANN Whitney U Test
FRIEDMAN test (Statistics)
EDUCATION
Subjects
Details
- Language :
- English
- ISSN :
- 14745151
- Volume :
- 17
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 127764438
- Full Text :
- https://doi.org/10.1177/1474515117727740