A comparative study of fluid management education before hospital discharge

• Published in: Heart & lung Vol. 45; no. 1; pp. 21 - 28
• Main Authors: Rouse, George W., MSN, RN, Albert, Nancy M., PhD, CCNS, CHFN, CCRN, NE-BC, Butler, Robert S., MS, Morrison, Shannon L., MS, Forney, Jennifer, MSN, RN, Meyer, Josalyn, MSN, RN, NE-BC, Cary, Theresa, MSN, RN, ACNS-BC, CHFN, CCRN, Kish, Gary, RN, PCCN, Brosovich, Deborah, MA, RN, CCRN, NE-BC
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 2016; Elsevier Science Ltd
• Subjects: Aged; Aged, 80 and over; Body Weight; Cardiovascular; Common Sense Model; Comparative studies; Critical Care; Discharge; Emergency department; Emergency medical care; Emergency Service, Hospital - statistics & numerical data; Female; Heart failure; Heart Failure - therapy; Heart failure decompensation; Heart failure education; Humans; Male; Middle Aged; Morbidity; Patient Discharge; Pulmonary/Respiratory; Regression analysis; Rehospitalization; Sampling; Single-Blind Method; Unplanned office visits; United States > US; Heart failure; Heart failure with preserved ejection fraction; Heart failure decompensation; HF-rEF; Heart failure with reduced ejection fraction; Unplanned office visits; HF-pEF; SD; Emergency department; Rehospitalization; Heart failure education; Common Sense Model; Standard deviation; HF
• ISSN: 0147-9563; 1527-3288
• DOI: 10.1016/j.hrtlng.2015.11.003

Abstract Objectives We examined if an education intervention [EduI] based on the Common Sense Model theoretical framework and 3-step action plan to control fluid-related symptoms and weight gain, decreased 6-month health care consumption. Background Heart failure (HF) morbidity is often related to fluid overload. Methods A 2-group comparative design with convenience sampling was used to assess rehospitalization (Hosp), emergency department (ED) and unplanned office visits. Analyses included regression models. Results Of 122 usual care [UC] and 122 EduI patients, mean (standard deviation) age was 65.8 (12.6) years. In multivariate analyses, first HF Hosp, total ED visits and ED visits for HF decompensation were lower in EduI compared to UC; p  = 0.039, p  = 0.025, and p  = 0.001 respectively. There were no reductions in 6-month total Hosp or HF-related unplanned office visits. Conclusions An EduI with a 3-step action plan to control fluid-related symptoms and weight gain reduced first Hosp, total ED and HF-ED visits.