The effect of nurse-led education on hospitalisation, readmission, quality of life and cost in adults with heart failure. A systematic review

被引:92
|
作者
Rice, Helena [1 ]
Say, Richard [1 ]
Betihavas, Vasiliki [2 ]
机构
[1] Univ Tasmania, Sch Hlth Sci, Locked Bag 5052, Alexandria, NSW 2015, Australia
[2] Univ Sydney, Sydney Nursing Sch, Sydney, NSW, Australia
关键词
Heart failure; Cost; Hospital readmission; Quality of life; Patient education; Nurse-led; RANDOMIZED-TRIAL; DISEASE MANAGEMENT; RISK PREDICTION; ELDERLY-PATIENTS; SELF-MANAGEMENT; HEALTH; INTERVENTION; KNOWLEDGE; REHOSPITALIZATION; OUTPATIENTS;
D O I
10.1016/j.pec.2017.10.002
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: The purpose of this systematic review was to highlight the effect of nurse-'led 1: 1 patient education sessions on Quality of Life (QoL), readmission rates and healthcare costs for adults with heart failure (HF) living independently in the community. Method: A systematic review of randomised control trials was undertaken. Using the search terms nurse, education, heart failure, hospitalisation, readmission, rehospitalisation, economic burden, cost, expenditure and quality of life in PubMed, CINAHL and Google Scholar databases were searched. Papers pertaining to nurse-'led 1: 1 HF disease management of education of adults in the community with a history of HF were reviewed. Result: The results of this review identified nurse-'led education sessions for adults with HF contribute to reduction in hospital readmissions, reduction in hospitalisation and a cost benefit. Additionally, higher functioning and improved QoL were also identified. Conclusion: These results suggest that nurse-'led patient education for adults with HF improves QoL and reduces hospital admissions and readmissions. Practice implications: Nurse-'led education can be delivered utilising diverse methods and impact to reduce readmission as well as hospitalisation. Crown Copyright (C) 2017 Published by Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:363 / 374
页数:12
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