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ORIGINAL RESEARCH article

Front. Psychol.
Sec. Psychology for Clinical Settings
Volume 15 - 2024 | doi: 10.3389/fpsyg.2024.1395738

Implementation and Evaluation of Hospital-to-Home Transitional Care Intervention in Patients with Chronic Heart Failure

Provisionally accepted
Zhifen Feng Zhifen Feng 1*Liu Yun Liu Yun 2Jordan T. Salvador Jordan T. Salvador 3Minerva B. De Ala Minerva B. De Ala 4Mary A. Cabansag Mary A. Cabansag 4Xin-Yue Huang Xin-Yue Huang 1Lei Zhang Lei Zhang 1Shan Liu Shan Liu 1
  • 1 School of Nursing and Health, Henan University, Kaifeng, China
  • 2 中山市人民医院, 中山市, China
  • 3 Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • 4 Philippine Women's University, Manila, Philippines

The final, formatted version of the article will be published soon.

    Chronic Heart Failure (CHF) is a complex clinical syndrome that occurs in the end stages of various cardiovascular diseases. It is characterized by symptoms such as weakness, reduced cardiac function, and decreased exercise capacity. The high incidence, high mortality rate, and poor prognosis of CHF have become prominent features of this disease, making it an urgent and pressing clinical issue. This study aims to investigate the impact and evaluate the effectiveness of hospital-tohome transitional care for patients with chronic heart failure (CHF). Convenient sampling was used to select 60 patients with CHF from the cardiology department of a tertiary Grade A hospital in Guangdong Province between February and June 2022. The patients were divided into a control group and an intervention group using a random number table, with 30 patients in each group. The intervention group received a transitional care intervention mainly focused on the transitional care model (TCM), while the control group received routine treatment and interventions for CHF. The intervention period was 3 months. Various indicators of patients were assessed after the intervention, including self-efficacy and self-management levels measured by the CHF Self-Efficacy Scale and CHF Self-Management Scale, improvement in left ventricular ejection fraction (LVEF) through cardiac color ultrasound examination, changes in plasma NT-pro BNP levels, and emergency visits and readmissions recorded through patient/family caregiver reports and the hospital information system (HIS). The baseline levels of the two groups were similar, with no statistically significant differences (P>0.05). The intervention group showed significantly higher levels of self-efficacy and self-management and better cardiac ultrasound examination results than the control group (P<0.05).The intervention group also had lower scores in laboratory indicators (plasma NT-pro BNP) than the control group (P<0.05).

    Keywords: China, Chronic Disease, Heart Failure, Home Care Services, Transitional care

    Received: 13 Mar 2024; Accepted: 10 May 2024.

    Copyright: © 2024 Feng, Yun, Salvador, De Ala, Cabansag, Huang, Zhang and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Zhifen Feng, School of Nursing and Health, Henan University, Kaifeng, China

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