P-26/CO-04 : A randomized controlled trial to assess the effectiveness of nurse based heart failure management programme

posted Jan 26, 2017, 8:33 AM by sourav ghosh   [ updated Jan 26, 2017, 8:34 AM ]

Mamata RaiKamlesh K. SharmaSandeep SethPragya Pathak
All India Institute of Medical Science, New Delhi, India

Aim: To assess the effectiveness of nurse based heart failure management programme. 
Methods: The study was conducted from June 2016 to December 2016 in the Cardio-Neuro-Centre, OPD, AIIMS, New Delhi in 50 HF outpatients (25 experimental and 25 controls) with mean age 39.52±15.7 years NYHA class –I, II & III with 3 months follow-up.
Nurse based HFMP is a set of activities which includes formal health teaching, Hriday card (which includes demographic profile, medicine chart, B.P & weight monitoring log, self-management plan and control measures), telemonitoring through a mobile application named Dhadkan app (it is telemonitoring system in android mobile, which helps to transfer subject’s vital parameter record i.e. B.P, weight, heart rate) and phone call once a week.
Outcome measures were QOL, drug adherence, re-admission and mortality rate.
Results: The results showed QOL score among experimental group was (60.00±17.51), (66.66±12.26) at pre and post respectively whereas in Control group it was (51.66±17.0) (53.33± 16.13) as measured by kansas city cardiomyopathy questionnaire (KCCQ) .The drug adherence score was (17.48±2.32) (15.24 ±1.36) at pre and post in experimental and (17.68 ±2.23) (16.72 ± 1.76) in control group as measured by adherence to refills and medications scale (ARMS) after 3 months of intervention. No re-hospitalization and mortality were reported in any of the study groups.
Conclusion: Nurse based HFMP was found to better in terms of improving QOL and drug adherence in the experimental group as compared to control group.
Key Words: Heart failure, Nurse based Heart Failure management programme, Quality of life, drug adherence, re-admission and mortality rate.