Effectiveness of a Comprehensive Resource-Building Approach in the Prevention of Readmission for Patients with Heart Failure

2019 Fiscal Year Final Research Report

• Project/Area Number: 16K20774
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Clinical nursing
• Research Institution: Juntendo University
• Principal Investigator: KITAMURA YUKIE 順天堂大学, 医療看護学部, 助教 (10773731)
• Project Period (FY): 2016-04-01 – 2020-03-31
• Keywords: 初回心不全 / 症状マネジメント / 外来継続看護 / QOL / 精神健康状態 / セルフケア

Outline of Final Research Achievements

This study aims to elucidate the extent of self-care incorporation in patients with heart failure hospitalized for the first time consequent to continuous intervention by nurses during hospitalization and outpatient care, as well as the influence of the intervention on patients’ qualities of life (QOL) and mental health status. We conducted interviews with the patients regarding difficulties in recuperation that they experienced after discharge until the initial outpatient visit as well as differences in their self-care behaviors after 6 months between the two intervention groups. Furthermore, we conducted a qualitative descriptive analysis of the results obtained from the interview. To determine the differences in QOL and mental health status between patients in the two groups, we used the SF-12 and GHQ-12 and conducted a two-way analysis of variance for parallel comparison of mean values measured at the initial visit and those measured after 6 months.

Free Research Field

臨床看護

Academic Significance and Societal Importance of the Research Achievements

本研究の成果として、初回心不全患者の退院後の外来までに抱える療養上の困難を明らかにすることで、看護介入における示唆を得ることが出来た。また2群におけるセルフケア行動の差異では、看護介入群において、自己の生活にセルフケアを組み込むことやストレスをコントロールして自分らしい生き方を大切にする特徴的なカテゴリーが挙げられた。通常診察群において、自立してセルフケア行動を行う反面、不安を抱えながら生活していることが分かり、外来における患者支援の必要性が示唆された。