title: Home Health Care Nursing Visit Intensity and Heart Failure Patient Outcomes.
abstract: This study is a secondary analysis of data for 107 home health care heart failure patients. The authors investigate the impact of patient characteristics and nursing visit intensity on change in activities of daily living (ADL) status and instrumental activities of daily living (IADL) status and improvement/stabilization of dyspnea. Prior hospital stay (β = .38, p = .001) and nursing visit intensity (β = -.39, p = .001) predict improvement in ADL status. The model for change in IADL status is not significant. Patients with more than two comorbidities (OR = 6.5, p = .04) and patients who received higher nursing visit intensity (OR = 7.0, p = .04) are more likely to have improved/stabilized dyspnea at home care discharge.
authors.affiliation: West Virginia University School of Nursing, Morgantown, WV, USA.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Riggs
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Madigan
authors.forename: Richard H
authors.initials: RH
authors.lastname: Fortinsky