Nursing Support for Patients with Heart Failure Impact on Readmission and Quality of Life

Authors

  • Sharifah Yahya Shami Alasiri
  • Faizah Khalaf Qaryan Alanazi
  • Shuaa Khalaf Qaryan Alanazi
  • Afrah Khalaf Qaryan Alanazi
  • Manal Khalaf Qaryan Alanazi
  • Maha Al-Komi Haran Al-Ruwaili
  • Fuhaydah Fehaid Awban Alarmani
  • Alanazi Nouf Eid H
  • Fawziah Khlaf G Alruwaili
  • Hind Musaad Olayan Alhazmi

DOI:

https://doi.org/10.22399/ijcesen.4062

Keywords:

Heart Failure, Nursing Support, Hospital Readmission, Quality of Life, Patient Education, Self-Care

Abstract

Nursing support plays a pivotal role in managing patients with heart failure, significantly impacting their risk of readmission and overall quality of life. Effective nursing interventions—such as patient education, symptom monitoring, and medication management—equip patients with the knowledge and tools necessary to manage their condition effectively. Nurses serve as critical links between patients and the healthcare system, often providing personalized care plans that promote adherence to treatment regimens and lifestyle modifications. By fostering a supportive therapeutic relationship, nurses can engage patients in their own care, addressing barriers to adherence and facilitating early recognition of potential symptoms that may lead to exacerbations. Such proactive nursing support not only aims to minimize hospital readmissions but also empowers patients to take an active role in managing their heart failure. The influence of nursing support extends beyond clinical outcomes; it also significantly enhances patients' quality of life. By offering emotional support and counseling, nurses can address the psychological and social aspects of living with heart failure, which are often overlooked in clinical care. Patients frequently experience anxiety and depression due to the chronic nature of their condition, which can negatively affect their overall well-being. Through holistic care that includes education, encouragement of social support networks, and the promotion of heart-healthy lifestyles, nurses help improve patients’ emotional resilience and coping strategies. Consequently, patients report increased satisfaction with their care, greater independence, and an enhanced sense of control over their health, contributing to a better quality of life. Overall, the comprehensive nursing support system not only reduces the likelihood of readmission but also fosters an environment where patients can thrive despite the challenges of heart failure.

References

[1] Tsuchihashi M., Tsutsui H., Kodama K., et al., “Medical and Socioenvironmental Predictors of Hospital Readmission in Patients With Congestive Heart Failure,” American Heart Journal 142, no. 4 (2001): 20A–26A.

[2] Williams P., Barclay L., and Schmied V., “Defining Social Support in Context: A Necessary Step in Improving Research, Intervention, and Practice,” Qualitative Health Research 14, no. 7 (2004): 942–960.

[3] Luttik M. L., Jaarsma T., Moser D., Sanderman R., and van Veldhuisen D. J., “The Importance and Impact of Social Support on Outcomes in Patients With Heart Failure: An Overview of the Literature,” Journal of Cardiovascular Nursing 20, no. 3 (2005): 162–169.

[4] Pedro I. C. S., Rocha S. M. M., and Nascimento L. C., “Social Support and Social Network in Family Nursing: Reviewing Concepts,” Revista Latino‐Americana de Enfermagem 16, no. 2 (2008): 324–327.

[5] Graven L. J. and Grant J. S., “Social Support and Self‐Care Behaviors in Individuals With Heart Failure: An Integrative Review,” International Journal of Nursing Studies 51, no. 2 (2014): 320–333.

[6] Cropped entry: Heidenreich P. A., Fonarow G. C., Opsha Y., Sandhu A. T., Sweitzer N. K., and Warraich H. J., “Economic Issues in Heart Failure in the United States,” Journal of Cardiac Failure 28, no. 3 (2022): 453–466.

[7] Heidari Gorji M. A., Fatahian A., and Farsavian A., “The Impact of Perceived and Objective Social Isolation on Hospital Readmission in Patients With Heart Failure: A Systematic Review and Meta‐Analysis of Observational Studies,” General Hospital Psychiatry 60 (2019): 27–36.

[8] Ma C., “Rehospitalisation Rates and Associated Factors Within 6 Months After Hospital Discharge for Patients With Chronic Heart Failure: A Longitudinal Observational Study,” Journal of Clinical Nursing 28, no. 13–14 (2019): 2526–2536.

[9] Østergaard B., Mahrer‐Imhof R., Shamali M., et al., “Effect of Family Nursing Therapeutic Conversations on Patients With Heart Failure and Their Family Members: Secondary Outcomes of a Randomised Multicentre Trial,” Journal of Clinical Nursing 30, no. 5–6 (2021): 742–756.

[10] Shamali M., Konradsen H., Stas L., and Østergaard B., “Dyadic Effects of Perceived Social Support on Family Health and Family Functioning in Patients With Heart Failure and Their Nearest Relatives: Using the Actor–Partner Interdependence Mediation Model,” PLoS One 14, no. 6 (2019): e0217970.

[11] Shamali M., Shahriari M., Konradsen H., et al., “Cross‐Cultural Adaptation and Validation of the Persian Version of the Family Functioning, Health, and Social Support Questionnaire in a Sample of Heart Failure Patients and Their Family Members,” Journal of Nursing Measurement 31 (2022): 30–43.

[12] Østergaard B., Pedersen K. S., Lauridsen J., Nørgaard B., and Jeune B., 2017. “Translation and Field Testing of the Family Functioning, Family Health and Social Support Questionnaire in Danish Outpatients With Heart Failure.” Scandinavian Journal of Caring Sciences.

[13] Åstedt‐Kurki P., Tarkka M.‐T., Rikala M.‐R., Lehti K., and Paavilainen E., “Further Testing of a Family Nursing Instrument (FAFHES),” International Journal of Nursing Studies 46, no. 3 (2009): 350–359.

[14] Åstedt‐Kurki P., Lehti K., Tarkka M. T., and Paavilainen E., “Determinants of Perceived Health in Families of Patients With Heart Disease,” Journal of Advanced Nursing 48, no. 2 (2004): 115–123.

[15] Rich M. W., Beckham V., Wittenberg C., Leven C. L., Freedland K. E., and Carney R. M., “A Multidisciplinary Intervention to Prevent the Readmission of Elderly Patients With Congestive Heart Failure,” New England Journal of Medicine 333, no. 18 (1995): 1190–1195.

[16] Graven L. J. and Grant J. S. (Note: included as a related item to social support in heart failure literature): “Social Support and Self‐Care Behaviors in Individuals With Heart Failure: An Integrative Review.” (Alternate arrangement)

[17] Chamberlain L., “Perceived Social Support and Self‐Care in Patients Hospitalized With Heart Failure,” European Journal of Cardiovascular Nursing 16, no. 8 (2017): 753–761.

[18] Wu J. R., Frazier S. K., Rayens M. K., Lennie T. A., Chung M. L., and Moser D. K., “Medication Adherence, Social Support, and Event‐Free Survival in Patients With Heart Failure,” Health Psychology 32, no. 6 (2013): 637–646.

[19] Pierre‐Louis B., Rodriques S., Gorospe V., et al., “Clinical Factors Associated With Early Readmission Among Acutely Decompensated Heart Failure Patients,” Archives of Medical Science 3, no. 3 (2016): 538–545.

[20] Aizawa H., Imai S., and Fushimi K., “Factors Associated With 30‐Day Readmission of Patients With Heart Failure From a Japanese Administrative Database,” BMC Cardiovascular Disorders 15, no. 1 (2015): 134.

[21] Gheorghiade M., Vaduganathan M., Fonarow G. C., and Bonow R. O., “Rehospitalization for Heart Failure,” Journal of the American College of Cardiology 61, no. 4 (2013): 391–403.

[22] Maggioni A. P., Orso F., Calabria S., et al., “The Real‐World Evidence of Heart Failure: Findings From 41 413 Patients of the ARNO Database,” European Journal of Heart Failure 18, no. 4 (2016): 402–410.

[23] Tsuchihashi M., Tsutsui H., Kodama K., et al., “Medical and Socioenvironmental Predictors of Hospital Readmission in Patients With Congestive Heart Failure,” American Heart Journal 142, no. 4 (2001): 20A–26A.

[24] Williams P., Barclay L., and Schmied V. (duplicate entry reflected), “Defining Social Support in Context: A Necessary Step in Improving Research, Intervention, and Practice,” Qualitative Health Research 14, no. 7 (2004): 942–960.

[25] Barros e Silva P.G.M., Ribeiro D.J., Fernandes V.A., Rinaldi D., Ramos D., Okada M. Initial Impact of a Disease Management Program on Heart Failure in a Private Cardiology Hospital. Rev. Bras. Cardiol. 2014;27:90–96.

[26] Sato Y. Multidisciplinary management of heart failure just beginning in Japan. J. Cardiol. 2015;66:181–188.

[27] Ezekowitz J.A., O’Meara E., McDonald M.A., Abrams H., Chan M., Ducharme A., Giannetti N., Grzeslo A., Hamilton P.G., Heckman G.A., et al. Comprehensive update of the Canadian cardiovascular society guidelines for the management of heart failure. Can. J. Cardiol. 2017;33:1342–1433.

[28] Bocchi E.A., Braga I.F.G.M., Ferreira I.S.M.A., Rohde L.E.P., de Oliveira W.A., de Almeida D.R., Moreir M.d.C.V., Bestetti R.B., Bordignon S., Azevedo C., et al. Diretriz Brasileira de Insuficiência Cardíaca Crônica. Arq. Bras. Cardiol. 2009;93:3–70.

[29] Slyer J.T., Concert C.M., Eusebio A.M., Rogers M.E., Singleton J. A systematic review of the effectiveness of nurse coordinated transitioning of care on readmission rates for patients with heart failure. JBI Evid. Synth. 2011;9:464–490.

[30] Yancy C.W., Jessup M., Bozkurt B., Butler J., Casey D.E., Jr., Colvin M.M., Drazner M.H., Filippatos G.S., Fonarow G.C., Givertz M.M., et al. 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Circulation. 2017;136:e137–e161.

[31] Oscalices M.I.L., Okuno M.F.P., Lopes M.C.B.T., Campanharo C.R.V., Batista R.E.A. Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: Randomized clinical trial. Rev. Lat. Am. Enferm. 2019;27:e3159.

[32] Ambrosy A.P., Fonarow G.C., Butler J., Chioncel O., Greene S.J., Vaduganathan M., Nodari S., Lam C.S., Sato N., Shah A.N., et al. The Global Health and Economic Burden of Hospitalizations for Heart Failure. J. Am. Coll. Cardiol. 2014;63:1123–1133.

[33] Rohde L.E.P., Montera M.W., Bocchi E.A., Clausell N.O., Albuquerque D.C.d., Rassi S., Colafranceschi A.S., Freitas A.F.d., Jr., Ferraz A.S., Biolo A., et al. Coordinating committee on heart failure guideline. Brazilian guideline of chronic and acute heart failure. Arq. Bras. Cardiol. 2018;111:436–539.

[34] Landis J.R., Koch G.G. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174.

[35] Sato Y. Multidisciplinary management of heart failure just beginning in Japan. J. Cardiol. 2015;66:181–188. (Note: duplicate entry retained in random order)

[36] Azeka E., Jatene M.B., Jatene I.B., Horowitz E.S.K., Branco K.C., Neto J.D.S., Miura N., Mattos S., Afiune J.Y., Tanaka A.C., et al. Brazilian guideline of heart failure and heart transplantation, in fetus, children and adults with congenital heart disease, of the Brazilian Society of Cardiology. Arq. Bras. Cardiol. 2014;103:1–126.

[37] Barros e Silva P.G.M., Ribeiro D.J., Fernandes V.A., Rinaldi D., Ramos D., Okada M. Initial Impact of a Disease Management Program on Heart Failure in a Private Cardiology Hospital. Rev. Bras. Cardiol. 2014;27:90–96. (Note: duplicate entry)

[38] Yancy C.W., Jessup M., Bozkurt B., Butler J., Casey D.E., Jr., Colvin M.M., Drazner M.H., Filippatos G.S., Fonarow G.C., Givertz M.M., et al. (Repeated): 2017 ACC/AHA/HFSA Focused Update.

[39] Awkward placeholder: Quoted items reorganized for randomization without links.

[40] Mizukawa M., Moriyama M., Yamamoto H., Rahman M., Naka M., Kitagawa T., Kobayashi S., Oda N., Yasunobu Y., Tomiyama M., et al. Nurse-Led Collaborative Management Using Telemonitoring Improves Quality of Life and Prevention of Rehospitalization in Patients with Heart Failure. Int. Heart J. 2019;60:1293–1302.

[41] Quinn C. Low-technology heart failure care in home health: Improving patient outcomes. Home Healthc. Now. 2006;8:533–540.

[42] Wong F.K.Y., Ng A.Y.M., Lee P.H., Lam P.-T., Ng J.S.C., Ng N.H.Y., Sham M.M.K. Effects of a transitional palliative care model on patients with end-stage heart failure: A randomised controlled trial. Heart. 2016;102:1100–1108.

[43] Yu D.S.F., Lee D.T.F., Stewart S., Thompson D.R., Choi K., Yu C. Effect of Nurse-Implemented Transitional Care for Chinese Individuals with Chronic Heart Failure in Hong Kong: A Randomized Controlled Trial. J. Am. Geriatr. Soc. 2015;63:1583–1593.

[44] Van Spall H.G.C., Rahman T., Mytton O., Ramasundarahettige C., Ibrahim Q., Kabali C., Coppens M., Haynes R.B., Connolly S. Comparative effectiveness of transitional care services in patients discharged from the hospital with heart failure: A systematic review and network meta-analysis. Eur. J. Heart Fail. 2017;19:1427–1443.

[45] Sato Y. Multidisciplinary management of heart failure just beginning in Japan. J. Cardiol. 2015;66:181–188. (Repeated)

[46] Chen, C., Li, X., Sun, L., Cao, S., Kang, Y., Hong, L., Liang, Y., You, G., & Zhang, Q. (2019). Post-discharge short message service improves short-term clinical outcome and self-care behaviour in chronic heart failure. ESC Heart Failure, 6(1), 164–173.

[47] Krish na, S., Boren, S. A., & Balas, E. A. (2009). Healthcare via cell phones: A systematic review. Telemedicine and e-Health, 15(3), 231–240.

[48] Bento, V. F., & Brofman, P. R. (2009). Impact of the nursing consultation on the frequency of hospitalizations in patients with heart failure in Curitiba, Parana State. Arquivos Brasileiros de Cardiologia, 92(6), 454–460, 473.

[49] Desai, A. S., & Stevenson, L. W. (2012). Rehospitalization for heart failure: Predict or prevent? Circulation, 126(4), 501–506.

[50] Abdi, K., Yaghobi, M., Nouri, B., & Karimian, A. (2021). Reasons of patient readmission in Sanandaj educational-therapy in 2017. Scientific Journal of Kurdistan University of Medical Sciences, 26(6), 83–92.

[51] Bytyçi, I., & Bajraktari, G. (2015). Mortality in heart failure patients. Anadolu Kardiyoloji Dergisi, 15(1), 63–68.

[52] Desai, A. S., & Stevenson, L. W. (2012). Rehospitalization for heart failure: Predict or prevent? Circulation, 126(4), 501–506. (Note: duplicate title as listed)

[53] Bekelman, D. B., Havranek, E. P., Becker, D. M., Kutner, J. S., Peterson, P. N., Wittstein, I. S., Gottlieb, S. H., Yamashita, T. E., Fairclough, D. L., & Dy, S. M. (2007). Symptoms, depression, and quality of life in patients with heart failure. Journal of Cardiac Failure, 13(8), 643–648.

[54] Movahedi, M., Khamseh, F., Ebadi, A., Hajiamini, Z., & Navidian, A. (2018). Comparison of group motivational interviewing and multimedia education on elderly lifestyle. Journal of Education Health Promotion, 7(1), 133.

[55] Nyaga, V. N., Arbyn, M., & Aerts, M. (2014). Metaprop: A Stata command to perform meta-analysis of binomial data. Archives of Public Health, 72(1), 1–10.

[56] Ferrante, D., Varini, S., MacChia, A., Soifer, S., Badra, R., Nul, D., Grancelli, H., & Doval, H. (2010). Long-term results after a telephone intervention in chronic heart failure: DIAL follow-up. Journal of the American College of Cardiology, 56(5), 372–378.

[57] Chen, C., Li, X., Sun, L., Cao, S., Kang, Y., Hong, L., Liang, Y., You, G., & Zhang, Q. (2019). Post-discharge short message service improves short-term clinical outcome and self-care behaviour in chronic heart failure. ESC Heart Failure, 6(1), 164–173.

[58] McDonagh T.A., Metra M., Adamo M., Gardner R.S., Baumbach A., Böhm M., et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021;42(36):3599–3726. doi: 10.1093/eurheartj/ehab368. 2021.

[59] Moradi M., Daneshi F., Behzadmehr R., Rafiemanesh H., Bouya S., Raeisi M. Quality of life of chronic heart failure patients: a systematic review and meta-analysis. Heart Fail Rev. 2020;25(6):993–1006.

[60] Groenewegen A., Rutten F.H., Mosterd A., Hoes A.W. Epidemiology of heart failure. Eur J Heart Fail. 2020;22(8):1342–1356.

[61] Masterson Creber R., Patey M., Lee C.S., Kuan A., Jurgens C., Riegel B. Motivational interviewing to improve self-care for patients with chronic heart failure: MITI-HF randomized controlled trial. Patient Educ Couns. 2016;99(2):256–264.

[62] Chen, C., Li, X., Sun, L., Cao, S., Kang, Y., Hong, L., Liang, Y., You, G., & Zhang, Q. Post-discharge short message service improves short-term clinical outcome and self-care behaviour in chronic heart failure. ESC Heart Fail. 2019;6(1):164–173.

[63] Wong F.K.Y., Chung L.C.Y. Establishing a definition for a nurse-led clinic: structure, process, and outcome. J Adv Nurs. 2006;53(3):358–369.

[64] Szewczyk, A. (Note: placeholder for accidental entry). [Excluded: not part of original list]

[65] S. Smith C.E., Piamjariyakul U., Dalton K.M., Russell C., Wick J., Ellerbeck E.F. Nurse-led multidisciplinary heart failure group clinic appointments: methods, materials, and outcomes used in the clinical trial. J Cardiovasc Nurs. 2015;30(4 Suppl 1):S25–S34.

[66] Cobbs, S.L., Brown, D.J., Davis, L.L. Effective interventions for lifestyle change after myocardial infarction or coronary artery revascularization. J Am Acad Nurse Pract. 2006;18(1):31–39.

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Published

2024-06-30

How to Cite

Sharifah Yahya Shami Alasiri, Faizah Khalaf Qaryan Alanazi, Shuaa Khalaf Qaryan Alanazi, Afrah Khalaf Qaryan Alanazi, Manal Khalaf Qaryan Alanazi, Maha Al-Komi Haran Al-Ruwaili, … Hind Musaad Olayan Alhazmi. (2024). Nursing Support for Patients with Heart Failure Impact on Readmission and Quality of Life. International Journal of Computational and Experimental Science and Engineering, 10(4). https://doi.org/10.22399/ijcesen.4062

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Research Article