Keywords
health-related quality of life
nurses
patients with heart failure
study quasi-experimental
Abstract
EFFECT OF INTERVENTIONAL FOLLOW-UP PHONE CALLS ON HEALTH-RELATED QUALITY OF LIFE IN ADULT PATIENTS WITH HEART FAILURE IN SAUDI ARABIA: A PILOT STUDY
Aim. To determine the effects of interventional follow-up phone calls on the health-related quality of life (HRQOL) in adult patients with heart failure (HF).
Material and methods. This quasi‐experimental with a one-group pretest-posttest design was conducted on 30 patients with HF receiving interventional follow-up phone calls by a cardiology nurse from an internationally recognized healthcare organization in Saudi Arabia. Data were collected by sociodemographic and clinical surveys and Minnesota Living with Heart Failure Questionnaire. A paired sample t-student test was conducted to measure the effectiveness of the follow-up calls on the HRQOL pretest and posttest.
Results. A statistically significant difference was found between the pre‐intervention and post‐intervention mean scores of the total HRQOL scale and all the subscales: physical, emotional/psychological, and socio-economic (p<0.001). The difference between the mean pretest-posttest scores was 31.08 (SD=11.09), which was statistically significant at t(29)=14.29 (p<0.001). The participants’ overall HRQOL increased significantly after the intervention (Mean=39.04, SD=1.66).
Conclusions. Interventional follow-up phone calls were found to be effective in improving the HRQOL of patients with HF. However, a larger study – a multi-center one, is needed to confirm the findings of this study. By providing empirical evidence, this research may motivate cardiology nurses to pursue such programs in this population.
References
1. Benjamin EJ, Muntner P, Alonso A, et al. Executive summary: heart disease and stroke statistics–2019 update: a report from the American Heart Association. Circulation. 2019; 139(10): e56-e528. https://doi.org/10.1161/CIR.0000000000000659
2. Ziaeian B, Fonarow GC. Epidemiology and aetiology of heart failure. Nat. Rev. Cardiol. 2006; 13(6): 368–378. https://doi.org/10.1038/nrcardio.2016.25
3. Health Grades Inc. Statistics by country for congestive heart failure. Retrieved October 9, 2021, from http://cureresearch.com/c/congestive_heart_failure/stats¬country.htm
4. Albackr HB, Alhabib KF, Ullah A, et al. Prevalence and prognosis of congestive heart failure in Saudi patients admitted with acute coronary syndrome (from SPACE registry). Coron. Artery Dis. 2013; 24(7): 596-601. http://dx.doi.org/10.1097/ MCA.0b013e328364d98f
5. Aljefree N, Ahmad F. Prevalence of cardiovascular disease and associated risk factors among adult population in the Gulf region: a systematic review. Adv. Public Health. 2015; 2015: 1-23. https://doi.org/10.1155/2015/235101
6. Lesyuk W, Kriza C, Kolominsky-Rabas P. Cost-of-illness studies in heart failure: a systematic review 2004-2016. BMC Cardiovasc. Disord. 2018; 18: 74. https://doi.org/10.1186/s12872-018-0815-3
7. Nieminen MS, Dickstein K, Fonseca C, et al. The patient perspective: Quality of life in advanced heart failure with frequent hospitalizations. Int. J. Cardiol. 2015; 191: 256-264. https://doi.org/10.1016/j.ijcard.2015.04.235
8. Nair R, Lak H, Hasan S, et al. Reducing all-cause 30-day hospital readmissions for patients presenting with acute heart failure exacerbations: a quality improvement initiative. Cureus. 2020; 12(3): e7420.
9. Stavrianopoulos T. Impact of a nurses-led telephone intervention program on the quality of life in patients with heart failure in a district hospital of Greece. Health Sci. J. 2016; 10(4:5): 1-8.
10. Negarandeh R, Zolfaghari M, Bashi N, et al. Evaluating the effect of monitoring through telephone (tele-monitoring) on self-care behaviors and readmission of patients with heart failure after discharge. Appl. Clin. Inform. 2019; 10(2):261–268. https://doi.org/10.1055/s-0039-1685167
11. Coelho R, Ramos S, Prata J, et al. Heart failure and health related quality of life. Clin. Pract. Epidemiol. Ment. Health. 2005; 1: 19. https://doi.org/10.1186/1745-0179-1-19
12. Bashi N, Karunanithi M, Fatehi F, et al. Remote monitoring of patients with heart failure: an overview of systematic reviews. J. Med. Internet Res. 2017; 19(1): e18. https://doi.org/10.2196/jmir.6571
13. Shojaee A, Nehrir B, Naderi N, et al. Assessment of the effect of patient’s education and telephone follow up by nurse on readmissions of the patients with heart failure. Iran. J. Crit. Care Nurs. 2013; 6(1):29-38.
14. Mcdonagh TA, Blue L, Clark AL, et al. European Society of Cardiology Heart Failure Association Standards for delivering heart failure care. Eur. J. Heart Fail. 2011; 13(3): 235-241. https://doi.org/10.1093/eurjhf/hfq221
15. Sethares KA, Elliott K. The effect of a tailored message intervention on heart failure readmission rates, quality of life, and benefit and barrier beliefs in persons with heart failure. Heart Lung. 2004; 33(4): 249-260. https://doi.org/10.1016/j. hrtlng.2004.03.005
16. Rector TS, Kubo SH, Cohn JN. Patients’ self-assessment of their congestive heart failure. Part 2: Content, reliability and validity of a new measure, The Minnesota Living with Heart Failure Questionnaire. Heart Failure. 1987; 3: 198-209.
17. Zahwe M, Isma’eel H, Skouri H, et al. Validation of the Arabic version of the Minnesota Living with Heart Failure Questionnaire. Heart Lung. 2020; 49(1): 36-41. https://doi. org/10.1016/j.hrtlng.2019.10.006
18. American Heart Association (AHA). Target: HF strategies and clinical tools. Retrieved October 9, 2021, from https://www.heart.org/en/professional/quality¬improvement/targetheartfailure/strategies-and-clinical-tools
19. Riegel B, Moser DK, Glaser D, et al. The Minnesota Living with Heart Failure Questionnaire sensitivity to difference in responsiveness to intervention intensity in a clinical population. Nurs. Res. 2002; 51(4): 209-218. https://doi. org/10.1097/00006199-200207000-00001
20. Huang T, Huang L, Tsai M, et al. Abstract 11189: single phone call follow-up was an effective strategy to improve heart failure patients’ outcomes. Circulation. 2018; 130(2): A11189.
21. Delaney C, Apostolidis B, Bartos S, et al. A randomized trial of tele-monitoring and self-care education in heart failure patients following home care discharge. Health Care Manag. Pract. 2013; 25(05): 187-195. https://doi.org/10.1177/1084822312475137
22. AbuRuz ME, Alaloul F, Saifan A, et al. Quality of life for Saudi patients with heart failure: a cross-sectional correlational study. Glob. J. Health Sci. 2016; 8(3): 49-58.
23. Adebayo SO, Olunuga TO, Durodola A, et al. Quality of life in heart failure: a review. Nig. J. Cardiol. 2017; 14(1): 1-8. http://dx.doi.org/10.4103/0189-7969.201914
24. Alghalayini KW, Al-Zaben FN, Sehlo MG, et al. Effects of a structured heart failure program on quality of life and frequency of hospital admission in Saudi Arabia. Saudi Med. J. 2019; 40(6): 582-589. http://dx.doi.org/10.15537/smj.2019.6.24211
25. Murshid SJ, AlGarmoushi OZ, Aljezani KS, et al. Post-cardiac surgery health related quality of life: a Saudi cross sectional study in Jeddah. World Fam. Med. 2020; 18(1): 119-124. https://doi.org/10.5742MEWFM.2020.93743.
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