A nurse-based management program in heart failure patients affects females and persons with cognitive dysfunction most.
It is important that congestive heart failure (CHF) patients know how to monitor and manage disease-associated signs and symptoms. CHF patients were randomised to follow-up at a nurse-based outpatient clinic (intervention group (IG); n = 103), or to follow-up in primary healthcare (control group (CG); n = 105). Patient knowledge of CHF and self-care were assessed by a questionnaire and cognitive function by a Mini Mental State Examination (MMSE) at baseline and at six months. Men knew more about CHF as compared to females at baseline (p < 0.01). However, females in the IG increased their knowledge of self-care between baseline and six months as compared to CG females (p < 0.05). Patients with cognitive dysfunction (MMSE < 24) presented lower scores on knowledge as compared to those with a MMSE of >24 at baseline (p < 0.01). These differences disappeared after the intervention. Thus, females seemed to gain more than men from a nurse-based management program and patients with in-hospital signs of cognitive dysfunction should be encouraged to participate.
Karlsson
Monica Rydell
MR
Division of Internal Medicine, Karolinska Institutet, Danderyd University Hospital, Stockholm, Sweden. monica.rydell-karlsson@ds.se
Edner
Magnus
M
Henriksson
Peter
P
Mejhert
Märit
M
Persson
Hans
H
Grut
Mikaela
M
Billing
Ewa
E
D000368:Aged; D003072:Cognition Disorders / Q000150:complications; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006333:Heart Failure / Q000150:complications / Q000451:nursing*; D006801:Humans; D008297:Male; D010353:Patient Education as Topic; D012648:Self Care; D012737:Sex Factors; D018709:Statistics, Nonparametric