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Self-care educational intervention to reduce hospitalisations in heart failure: A randomised controlled trial
- Source :
- European Journal of Cardiovascular Nursing. 17:178-185
- Publication Year :
- 2017
- Publisher :
- Oxford University Press (OUP), 2017.
-
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.
- Subjects :
- Adult
Male
Health Knowledge, Attitudes, Practice
medicine.medical_specialty
Randomization
030204 cardiovascular system & hematology
Patient Readmission
law.invention
Young Adult
03 medical and health sciences
0302 clinical medicine
Patient Education as Topic
Randomized controlled trial
law
Intervention (counseling)
medicine
Humans
030212 general & internal medicine
Aged
Heart Failure
Advanced and Specialized Nursing
business.industry
Australia
Middle Aged
medicine.disease
Self Care
Medical–Surgical Nursing
Multimedia
Heart failure
Physical therapy
Self care
Female
Educational interventions
Cardiology and Cardiovascular Medicine
business
Patient education
Subjects
Details
- ISSN :
- 18731953 and 14745151
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- European Journal of Cardiovascular Nursing
- Accession number :
- edsair.doi.dedup.....0684d6eb61c97c5abeeb845da4cbb901