[Assessment of efficiency of patients' therapeutic education in chronic heart failure treatment].
Patients' therapeutic education is one of the modern approaches to improvement of quality of chronic heart failure (CHF) treatment. Purpose of the study was evaluation of the effect of therapeutic education on life quality and need of rehospitalization in patients with CHF. 57 patients with CHF of NYHA III-IV functional class (FC) randomized in two - intervention and control groups - were observed. Patients from intervention group took therapeutic education on the following topics: general information about CHF, CHF symptoms, dietary nutrition during CHF and CHF medicative therapy. Patients' functional state was evaluated by means of NYHA FC and 6-minute test. Life quality was evaluated with specific method - Minnesota Living with Heart Failure Questionnaire (MLHFQ). FC improvement by one class occurred in 72.4% of cases in the education group, by two classes - in 6.9%. Improvement of CHF FC occurred in 57.1% of cases and upgrade of FC in 10.7% in the control group. According to 6-minute test data, veracious increase of tolerance to physical loads was noted in the education group and tendency to worsening of tolerance - in the control group. Life quality studies by MLHFQ method revealed statistically significant improvements in the education group and tendency to worsening - in the control group. During three months period rehospitalization was not observed in the education group, while 3 hospitalizations have been registered in the control group during the same period due to CHF exacerbation. Lethal outcome was not registered in either group. Accordingly, results of our investigation confirmed that non-observance of physician's recommendations by patients with CHF leads to increase of repeated recommendations and worsening of life quality. One of the reasons of bad compliance in patients with CHF is absence of organization of individual work with patients. This may be overcome by means of therapeutic education in patients with CHF.
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D000368:Aged; D002908:Chronic Disease; D005260:Female; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000592:standards*; D011788:Quality of Life / Q000523:psychology; D011795:Surveys and Questionnaires