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Heart failure patients benefit from nurse-led intervention
Date:11/5/2007

ORLANDO, Nov. 5 Heart failure patients are more likely to comply with important non-medication interventions, such as fluid and salt restrictions and regular weighing, when they have intensive support from a heart failure nurse and multidisciplinary team than if they do not, researchers reported at the American Heart Associations Scientific Sessions 2007.

Although previous studies have examined medication adherence among heart failure patients, limited information is available on these patients adherence to the complex nonpharmacologic regimen of sodium restriction, fluid restriction and daily weighing.

We examined the effect of education and counseling by heart failure nurses on adherence to nonpharmacologic treatments because these are so important to the patients survival, said Martje H.L. van der Wal, R.N., Ph.D., study lead author and a cardiology nurse researcher at the department of cardiology of the University Medical Center Groningen, University of Groningen, in The Netherlands.

Researchers referred to the Coordinating Study Evaluating Outcomes of Advising and Counseling in Heart Failure (COACH) study, representing data from 17 Dutch hospitals and 1,023 heart failure patients (average age 71).

Patients were assigned to three groups:

  • The first group (the controls) received usual care, which included regular visits to their cardiologist during the 18-month trial.
  • The second group (basic support) received basic education and counseling from a specialized heart failure nurse. Patients in this group visited the heart failure nurse every three months at the heart failure clinic and could call the nurse with questions or if their heart failure worsened.
  • The third group (intensive support) received intensive education and counseling from a heart failure nurse and had at least monthly contact with the nurse, including one or more home visits. Patients in this group also received advice from a dietici
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Contact: Karen Astle
karen.astle@heart.org
214-706-1392
American Heart Association
Source:Eurekalert

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