English Polski
Tom 15, Nr 2 (2020)
Praca badawcza (oryginalna)
Opublikowany online: 2020-03-28

dostęp otwarty

Wyświetlenia strony 294570
Wyświetlenia/pobrania artykułu 826
Pobierz cytowanie

Eksport do Mediów Społecznościowych

Eksport do Mediów Społecznościowych

„W trosce o słabe serce” — model edukacji chorych hospitalizowanych z powodu dekompensacji niewydolności serca ze zmniejszoną frakcją wyrzutową

Jolanta Kolasa1, Izabella Uchmanowicz2, Marta Wleklik2, Magdalena Lisiak2, Małgorzata Lelonek3, Agnieszka Pawlak4, Marcin Grabowski5, Ewa A. Jankowska6, Jadwiga Nessler7
Folia Cardiologica 2020;15(2):99-106.

Streszczenie

Introduction. Kompleksowa opieka nad chorymi z niewydolnością serca (KONS) is the name of a Polish programme for the coordinated care for patients with heart failure that has been proposed as a complex heart failure management solution based on European Society of Cardiology (ESC) Heart Failure recommendations. The challenge is that there are currently no available systemic solutions for educating these patients. Our project aimed to evaluate the effectiveness of a pilot model of education and telemonitoring known as ‘The Weak Heart’ for patients hospitalised due to decompensation of heart failure with reduced ejection fraction (HFrEF). Materials and methods. ‘The Weak Heart’ educational model consists of three phases: phase I — training and certification of nurses to perform the role of heart failure nurse specialists; phase II — checking the effectiveness of the model in a clinical setting; and phase III — implementation of patient education standards in cardiac centres. Data collected will be used to evaluate the impact of the programme on patients’ understanding regarding heart failure, their compliance with recommendations, and their pro-health behaviours in terms of self-care and self-control. Conclusion. The Weak Heart’ programme will allow conclusions to be drawn concerning the usefulness and effectiveness of the first targeted heart failure-based patient educational model in Poland. Positive results in this pilot project could become the basis for implementing systemic changes, and introducing the model into everyday clinical practice.

Artykuł dostępny w formacie PDF

Pokaż PDF (angielski) Pobierz plik PDF

Referencje

  1. McCullough PA, Philbin EF, Spertus JA, et al. Resource Utilization Among Congestive Heart Failure (REACH) Study. Confirmation of a heart failure epidemic: findings from the Resource Utilization Among Congestive Heart Failure (REACH) study. J Am Coll Cardiol. 2002; 39(1): 60–69.
  2. Straburzyńska-Migaj E, Nessler J, Gackowski A, et al. Niewydolność serca w Polsce [Heart failure in Poland]. www.niewydolnosc-serca.pl/barometr.pdf (1 July 2019).
  3. Maniecka-Bryła I, Bryła M, Bryła P, et al. The burden of premature mortality in Poland analysed with the use of standard expected years of life lost. BMC Public Health. 2015; 15: 101.
  4. Cowie MR, Anker SD, Cleland JGF, et al. Improving care for patients with acute heart failure: before, during and after hospitalization. ESC Heart Fail. 2014; 1(2): 110–145.
  5. Gierczyński J, Gryglewicz J, Karczewicz E, et al. Niewydolność serca — analiza kosztów ekonomicznych i społecznych [Heart failure — analysis of economic and social costs]. www.niewydolnosc-serca.pl/ns_raport2013 (1 July 2019).
  6. Chuda A, Berner J, Lelonek M. The journey of the heart failure patient, based on data from a single center. Adv Clin Exp Med. 2019; 28(4): 489–498.
  7. Nessler J, Kozierkiewicz A, Gackowski A, et al. [Coordinated heart failure care in Poland: towards optimal organisation of the health care system]. Kardiol Pol. 2018; 76(2): 479–487.
  8. Nessler J, Zalewski J, Kozierkiewicz A, et al. Projekt programu kompleksowej opieki nad chorymi z niewydolnością serca (KONS) [Project of comprehensive care program for patients with heart failure]. Kardiol Inwazyjna. 2018; 13(6): 10–17.
  9. OECD, Health at a Glance 2015: OECD Indicators, OECD Publishing, Paris. http://apps.who.int/medicinedocs/documents/s22177en/s22177en.pdf (9 September 2019).
  10. Felker GM, Teerlink JR. Management of the patient with acute heart failure. In: Mann DL, Zipes DP, Libby P, Bonow RO. ed. Braunwald’s heart disease: a textbook of cardiovascular medicine. 10th ed. Elsevier, Philadelphia 2014: 493–509.
  11. Balsam P, Tymińska A, Kapłon-Cieślicka A, et al. Predictors of one-year outcome in patients hospitalised for heart failure: results from the Polish part of the Heart Failure Pilot Survey of the European Society of Cardiology. Kardiol Pol. 2016; 74(1): 9–17.
  12. Ministerstwo Zdrowia. Mapy potrzeb zdrowotnych [Maps of health needs]. http://beta.mpz.mz.gov (9 September 2019).
  13. Łyszczarz B, Gierczyński J, Nojszewska E. Ocena kosztów niewydolności serca [Assessment of the costs of heart failure]. http://ingos.pl/public/userfiles/pdf/Ocena_kosztow_niewydolnosci_serca_w_Polsce_z_perspektywy_gospodarki_panstwa.pdf (1 July 2019).
  14. McAlister FA, Stewart S, Ferrua S, et al. Multidisciplinary strategies for the management of heart failure patients at high risk for admission: a systematic review of randomized trials. J Am Coll Cardiol. 2004; 44(4): 810–819.
  15. Society PC. Patient Portal. www.slabeserce (1 July 2019).
  16. Society PC. Passport of a Patient with Heart Failure. www.slabeserce.pl/files/pdf/paszport_pacjenta (1 July 2019).
  17. Lelonek M. Niewydolność serca — okres okołowypisowy kluczowym elementem postępowania. Folia Cardiol. 2018; 13(4): 371–377.