Prevention of readmissions in people with heart failure thanks to education according to Gordon's Functional Models. Narrative literature review

Submitted: 19 November 2023
Accepted: 17 March 2024
Published: 28 March 2024
Abstract Views: 777
PDF (Italiano): 180
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Authors

Introduction: heart failure (HF) leads to high rates of hospital readmission: almost 60% of discharged subjects are re-hospitalized within a year of the first hospitalization. Education on managing the pathology upon discharge becomes essential to prevent this phenomenon.

Objectives: describe the educational topics, according to Gordon's Functional Models, to be included in the educational intervention to prevent the patient with HF from being readmitted to the hospital.

Materials and Methods: a narrative review of the literature was conducted by consulting the MEDLINE and CINHAL databases.

Results: 28 articles were included in the review. From analyzing the materials concerning the Functional Models, the literature found investigates 9 out of 11. The models not paid attention to by discharge education are Sexuality and Reproduction and Values and Beliefs. Furthermore, the literature has underlined how a personalized educational process at discharge helps prevent hospital readmissions due to exacerbation of the pathology.

Conclusions: Therapeutic education organized according to the Gordon Models could improve the effectiveness of the intervention in preventing readmissions for HF. The fact that all aspects of the person are included improves the quality of life and allows effective coexistence with the disease.

 

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Citations

Paulus WJ, Tschöpe C, Sanderson JE, et al. How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology. Eur Heart J 2007;28:2539-50.
Hinkle JH, Cheever KH. Infermieristica medico – chirurgica. Milano, Italy: Casa Editrice Ambrosiana; 2017.
Craven RF, Hirnle CJ, Jensen S. Principi fondamentali dell’assistenza infermieristica. Milano, Italy: Casa Editrice Ambrosiana; 2019.
Report of the WHO/ISFC task force on the definition and classification of cardiomyopathies. Brit Heart J 1980;44:672-3.
Dec GW, Fuster V. Idiopathic dilated cardiomyopathy. N Engl J Med 1994;331:1564-75.
Ganci CW, Jessup M, Bozkurt B, et al. American College of Cardiology Foundation; American Heart Association Task Force on Practice Guidelines. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2013;15;62:147-239.
McDonagh TA, Metra M, Adamo M, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). With the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail 2022;24:4-131.
Savarese G, Becher PM, Lund LH, et al. Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovasc Res 2023;118:3272-87.
Minardi G, Mattacola P. Lo scompenso cardiaco. Alcuni dati epidemiologici. Atti della Accademia Lancisiana 2019;63.
Alleanza Italiana per le Malattie Cardio-Cerebrovascolari. Documento di Strategia. 2022. Disponibile su: https://www.salute.gov.it/portale/documentazione/p6_2_2_1.jsp?lingua=italiano&id=2606
Kim DY, Son YJ. Longitudinal patterns and predictors of self-care behavior trajectories among Korean patients with heart failure: A 6-month prospective study. J Nurs Scholarship 2022;55:429-38.
Di Palo KE, Patel K, Assafin M, Piña IL. Implementation of a patient navigator program to reduce 30-day heart failure readmission rate. Prog Cardiovas Dis 2017;60:259-66.
Türen S, Enç N. A comparison of Gordon's functional health patterns model and standard nursing care in symptomatic heart failure patients: A randomized controlled trial. Appl Nurs Res 2020;53:151-247.
Marcolongo R, Rigoli A. Educazione terapeutica per Pazienti. Icaro 2000;28.
Sevilla-Cazes J, Ahmad FS, Bowles KH, et al. Heart failure home management challenges and reasons for readmission: a qualitative study to understand the patient's perspective. J Gen Intern Med 2018;33:1700-07.
Carpenito-Moyet LJ. Diagnosi infermieristiche. Applicazione alla pratica clinica. Milano, Italy: Casa Editrice Ambrosiana; 2020.
Acqualagna R, Mazzariol E, Feltrin C, Bernardi P. Il processo educativo in fase riabilitativa nell’assistito cardiochirurgico. Revisione narrativa di letteratura. Scenario 2021;38:23-8.
Dennison CR, McEntee ML, Samuel L, et al. Adequate health literacy is associated with higher heart failure knowledge and self-care confidence in hospitalized patients. J Cardiovasc Nurs 2011;26:359-67.
Lee KS, Moser DK, Dracup K. Relationship between self-care and comprehensive understanding of heart failure and its signs and symptoms. Eur J Cardiovasc Nur 2018;17:496-504.
D'Souza PJJ, Devasia T, Paramasivam G, et al. Effectiveness of self-care educational programme on clinical outcomes and self-care behaviour among heart failure peoples - A randomized controlled trial: Study protocol. J Adv Nurs 2021;77:4563-73.
Kolasa J, Frączek-Jucha M, Grabowski M, et al. A quasi-experimental study examining a nurse-led educational program to improve disease knowledge and self-care for patients with acute decompensated heart failure with reduced ejection fraction. Adv Clin Exp Med 2022;31:267-75.
Rahmani A, Vahedian-Azimi A, Sirati-Nir M, et al. The effect of the Teach-back method on knowledge, performance, readmission, and quality of life in heart failure patients. Cardiol Res Pract 2020;2020.
Ryan CJ, Bierle RS, Vuckovic KM. The three Rs for preventing heart failure readmission: review, reassess, and reeducate. Criti Care Nurse 2019;39:85-93.
Sun J, Zhang ZW, Ma YX, et al. Application of self-care based on full-course individualized health education in patients with chronic heart failure and its influencing factors. World J Clin Cases 2019;7:2165-75.
Mathew S, Thukha H. Pilot testing of the effectiveness of nurse-guided, patient-centered heart failure education for older adults. Geriatr Nurs 2018;39:376-81.
Navidian A, Yaghoubinia F, Ganjali A, Khoshsimaee S. The effect of self-care education on the awareness, attitude, and adherence to self-care behaviors in hospitalized patients due to heart failure with and without depression. PLoS One 2015;10.
Artinian NT, Magnan M, Sloan M, Lange MP. Self-care behaviors among patients with heart failure. Heart Lung 2002;31:161-72.
Chen HM, Wang ST, Wu SJ, et al. Effects of predischarge patient education combined with postdischarge follow-ups on self-care, readmission, sleep, and depression in patients with heart failure. J Nurs Res 2020;28:112.
Masterson Creber R, Patey M, Lee CS, et al. Motivational interviewing to improve self-care for patients with chronic heart failure: MITI-HF randomized controlled trial. Patient Educ Couns 2016;99:256-64.
Heo S, Doering LV, Widener J, Moser DK. Predictors and effect of physical symptom status on health-related quality of life in patients with heart failure. Am J Crit Care 2008;17:124-32.
Cholack G, Garfein J, Krallman R, et al. Trends in calcium channel blocker use in patients with heart failure with reduced ejection fraction and comorbid atrial fibrillation. Am J Med 2021;134:1413-8.
Sterne PP, Grossman S, Migliardi JS, Swallow AD. Nurses’ knowledge of heart failure: implications for decreasing 30-day re-admission rates. Medsurg Nurs 2014;23:321-9.
Moser DK, Doering LV, Chung ML. Vulnerabilities of patients recovering from an exacerbation of chronic heart failure. Am Heart J 2005;150:984.
Chien HC, Chen HM, Garet M, Wang RH. Predictors of physical activity in patients with heart failure: a questionnaire study. J Cardiovasc Nurs 2014;29:324-31.
Tu RH, Zeng ZY, Zhong GQ, et al. Effects of exercise training on depression in patients with heart failure: a systematic review and meta-analysis of randomized controlled trials. Eur J Heart Fail 2014;16:749-57.
Anderson MA, Levsen J, Dusio ME, et al. Evidenced-based factors in readmission of patients with heart failure. J Nurs Care Qual 2006;21:160-7.
Suksatan W, Tankumpuan T, Davidson PM. Heart failure caregiver burden and outcomes: a systematic review. J Prim Care Community Health 2022;13.
de la Porte PW, Lok DJ, van Veldhuisen DJ, et al. Added value of a physician-and-nurse-directed heart failure clinic: results from the Deventer-Alkmaar heart failure study. Heart 2007;93:819-25.
Rampin O, Giuliano F. Central control of the cardiovascular and erection systems: possible mechanisms and interactions. Am J Cardiol 2020;86:19-22.
Nappi RE, Cucinella L, Martella S, et al. Female sexual dysfunction (FSD): prevalence and impact on quality of life (QoL). Maturitas 2016;94:87-91.
Stanworth RD, Jones TH. Testosterone for the aging male; current evidence and recommended practice. Clin Interven Aging 2008;3:25-44.
Thomas DR. Medications and sexual function. Clin Geriatr Med 2003;19:553-62.
Dewitte M, Bettocchi C, Carvalho J, et al. A psychosocial approach to erectile dysfunction: position statements from the european society of sexual medicine (ESSM). Sex Med 2021;9:100434.
Hall EJ, Hughes BP, Handzo GH. Spiritual care: what it means, why it matters in health care. HealthCare Chaplaincy Network. 2016. Disponibile su: https://healthcarechaplaincy.org/wp-content/uploads/2021/06/spirituality.pdf
King SD, Fitchett G, Murphy PE, et al. Determining best methods to screen for religious/spiritual distress. Support Care Cancer 2017;25:471-9.
George LS, Park CL. Does spirituality confer meaning in life among heart failure patients and cancer survivors? Psychol Relig Spirit 2017;9:131.
Gulanick M, Myers JL. Piani di assistenza infermieristica. Diagnosi infermieristiche, risultati di salute e interventi infermieristici. Milano, Italy: Casa Editrice Ambrosiana; 2016.
Chiang LC, Chen WC, Dai YT, Ho YL. The effectiveness of telehealth care on caregiver burden, mastery of stress, and family function among family caregivers of heart failure patients: A quasi-experimental study. Int J Nurs Stud 2012;49:1230-42.
Krantz MJ, Havranek EP, Haynes DK, et al. Inpatient initiation of β-blockade plus nurse management in vulnerable heart failure patients: a randomized study. J Card Fail 2008;14:303-9.
Ulin K, Olsson LE, Wolf A, Ekman I. Person-centred care – An approach that improves the discharge process. Eur J Cardiovasc Nur 20016;15:19-26.

How to Cite

Feletto, E., Mazzariol, E., & Moschetta, S. (2024). Prevention of readmissions in people with heart failure thanks to education according to Gordon’s Functional Models. Narrative literature review. Scenario® - Il Nursing Nella Sopravvivenza, 41(1). https://doi.org/10.4081/scenario.2024.573