The effect on patient outcomes of a nursing intervention for Mongolian patients with heart failure: an interventional study
| Project/Area Number |
19K10922
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 58060:Clinical nursing-related
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| Research Institution | University of Shizuoka (2023)
University of Tsukuba (2019-2022) |
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Principal Investigator |
カツマタ アサコ・タケクマ 静岡県立大学, 看護学部, 教授 (80816520)
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| Co-Investigator(Kenkyū-buntansha) |
トゴバタラ ガンチメゲ 筑波大学, 医学医療系, 助教 (10773830)
福澤 利江子 (岸利江子) 筑波大学, 医学医療系, 助教 (20332942)
杉本 敬子 筑波大学, 医学医療系, 客員研究員 (50700548)
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| Project Period (FY) |
2019-04-01 – 2025-03-31
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| Project Status |
Granted (Fiscal Year 2023)
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| Budget Amount *help |
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2022: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2021: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
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| Keywords | heart failure / self-care / HF self-care index / patient education / quality of life / Cardio vascular disease / Heart Failure / Heart Failure Self Care / Mongolia / Cardia vascular disease / Cardio Vasucular Disease / Nurse-led intervention / Patient education / Re-hospitaization |
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| Outline of Research at the Start |
This study will evaluate impact of nurse-led patient education to the heart failure patients prior to discharge from the acute care hospital in relation to knowledge about the disease process and health management at home after discharge, and re-hospitalization.
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| Outline of Annual Research Achievements |
1. We conducted a cross-sectional study at the Mongolian National Cardiovascular Center to explore self-care behaviour among heart failure patients between May and September 2022. Data of 441 patients were collected by the Mongolian version of the Self-Care of Heart Failure Index The mean age of participants was 61.1±12.6 years; 54% were males; 92% were married; 84% were retired/unemployed and 64% had New York functional class II-III. Inadequate self-care maintenance, symptom perception and management were 68%, 64%, and 24%, respectively. We found suboptimal HF self-care among Mongolian patients. Adequate self-care skills and knowledge of maintenance and recognition of symptoms are crucial in heart failure patients to prevent exacerbation and complications of HF and improve quality of life.
2. Development Self-care education program: to develop the self-care education for patients following steps were taken: conducting the literature and reviewing international guidelines for heart failure management; translation of related parts of guidelines and drafting first version; finalizing through experts meeting and conducting content and face validity.
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| Current Status of Research Progress |
Current Status of Research Progress
4: Progress in research has been delayed.
Reason
Data implementation was delayed due to COVID-19, however, in 20023, the study was able to conducted with the support of the Mongolian health care professionals.
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| Strategy for Future Research Activity |
1. Dissemination of the study in the academic conferences and peer reviewed journals.
2. To conduct single-arm pre and post-intervention quasi-experimental study to explore feasibility and acceptility of self-care educational progrma by nurse.The study setting will be the
same as the tool validation study, and required sample size is 72 patients. Intervention will be an hour of one-to-one training and followed several telephone consultations with patients. Self-care, quality of life and hospital readmission will be collected at baseline and 1 and 3 months after the intervention.
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Report
(5 results)
Research Products
(1 results)
