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Pilot Program to Improve Self-Management of Patients with Heart Failure by Redesigning Care Coordination

机译：通过重新设计护理协调来改善心力衰竭患者自我管理的试点计划

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Objectives. We tested both an educational and a care coordination element of health care to examine if better disease-specific knowledge leads to successful self-management of heart failure (HF).Background. The high utilization of health care resources and poor patient outcomes associated with HF justify tests of change to improve self-management of HF.Methods. This prospective study tested two components of the Chronic Care Model (clinical information systems and self-management support) to improve outcomes in the self-management of HF among patients who received intensive education and care coordination during their acute care stay. A postdischarge follow-up phone call assessed their knowledge of HF self-management compared to usual care patients.Results. There were 20 patients each in the intervention and usual care groups. Intervention patients were more likely to have a scale at home, write down their weight, and practice new or different health behaviors.Conclusion. Patients receiving more intensive education knew more about their disease and were better able to self-manage their weight compared to patients receiving standard care.
机译：目标。我们测试了医疗保健的教育和护理协调元素，以检查更好的针对疾病的知识是否可以成功实现心力衰竭（HF）的自我管理。与HF相关的医疗保健资源利用率高和患者预后差，证明了进行改变测试以改善HF自我管理的合理性。这项前瞻性研究测试了慢性护理模型的两个组成部分（临床信息系统和自我管理支持），以改善急性护理期间接受强化教育和护理协调的患者的心力衰竭自我管理结果。出院后的随访电话评估了他们与常规护理患者相比对HF自我管理的知识。干预组和常规护理组各有20名患者。干预患者更有可能在家中放磅秤，写下体重并进行新的或不同的健康行为。与接受标准护理的患者相比，接受更深入教育的患者对疾病的了解更多，并且能够更好地自我控制体重。

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