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OnMedica – News – E-health device helps heart failure patients better manage their condition

Preliminary analysis exhibits promising outcomes for contact display/weighing scale assist

Caroline White

Monday, 22 May 2017

An e-health assist helps heart failure patients to better manage their condition at residence, finds preliminary research introduced on the weekend in Jonkoping, Sweden, at EuroHeartCare 2017, the annual congress of the Council on Cardiovascular Nursing and Allied Professions (CCNAP) of the European Society of Cardiology.

“Approximately 60% of patients with heart failure receive treatment and follow up in primary care,” stated lead writer Maria Liljeroos, a nurse and deputy head of the coronary care unit, Mälarsjukhuset Hospital, Eskilstuna, Sweden, and a PhD scholar at Linköping University, Sweden.

“Providing education to increase self-care is often a challenge in primary care due to lack of experience about heart failure, and time,” she added.

To enhance look after heart failure patients in all elements of the healthcare system, in 2010, a county council in Sweden arrange heart failure clinics in main care. It determined to check whether or not an e-health software, referred to as OPTILOGG, might assist patients manage their personal condition.

OPTILOGG combines a small contact display, in a small stand, and a pre-programmed pill hooked up to a weighing scale. It supplies info and recommendation on heart failure, registers physique weight and signs, and titrates diuretics.

If the software detects worsening heart failure, the affected person is instructed to extend the dose of diuretics. If weight achieve is above a pre-decided vary, patients are suggested to contact the heart failure clinic.

OPTILOGG has already proved that it could possibly enhance self-care in patients adopted up in specialist heart failure clinics after an inpatient keep.

The present research evaluated its effectiveness in main care, with the goal of assessing how properly patients caught to utilizing OPTILOGG, exploring nurses’ experiences of implementation, and searching on the impression on self-care.

Patients’ means to proceed utilizing OPTILOGG was registered mechanically and knowledge have been retrieved after 4 months.

The introduction of the software was assessed by semi-structured interviews with eight heart failure nurses at 4 months. Data on self-care have been collected utilizing the validated 9-merchandise European Heart Failure Self-Care Behaviour Scale (EHFScB-9), at the beginning of the research and after 4 months. Responses to every merchandise ranged from zero–5, with decrease scores indicating better self-care.

The research included 32 patients (common age of 65) from 4 main care heart failure clinics. Nearly a 3rd (31%) have been women.

The knowledge confirmed that the majority (94%) patients used OPTILOGG as meant. Nurses didn’t really feel that the software elevated their workload. Average self-care scores fell considerably decreased from 28.5 to 18 after 4 months.

“Patients’ self-care behaviours improved by 10.5 points or 37% when they used OPTILOGG. The nurses said patients felt safer and were more committed to taking better care of themselves when using the tool. And it didn’t create more work for nurses,” commented Ms Liljeroos.

“Our study shows that introducing OPTILOGG into primary care is feasible and has the potential to help patients with heart failure to manage their condition,” she concluded.

* Liljeroos M, et al. Implementation of an e-Health software in heart failure clinics in main care. EuroHeartCare 2017. Abstract 164.

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