Evaluation of the development and effectiveness of a home nursing support program for chronic heart failure (CHF) patients applied shortly after discharge from hospital

本研究的目的是制定一个护理支持计划，重点关注经常再次入院的CHF患者的康复行动，并将在患者出院后的早期阶段应用，以防止再次入院的需要。该研究通过采访18名护士进行，这些护士提供家庭护理支持，帮助严重CHF患者继续进行一年或更长时间的家庭治疗。护士被问及他们护理实践的细节，然后进行定性分析。访谈结果显示，以下几种支持是有效的：1)肠道管理；2)感染预防；3)日常生活中体力消耗的具体指导；4)自我监控能力的提高。由于这些支持被认为是CHF患者家庭治疗中不可缺少的一部分，以防止其症状急性恶化。

The purpose of this study was to develop a nursing support program that focuses on the recuperation actions of CHF patients who are frequently readmitted to the hospital and will be applied during the early stage after the patients are discharged from their hospitals to prevent a need for readmission.The study was conducted by interviewing 18 nurses who provided home nursing support to help patients with severe CHF continue with their home treatment for one year or longer.The nurses were asked about the details of their nursing practices and a qualitative analysis was conducted thereafter.The result of the interviews showed that the following kinds of support were effective: 1) Bowel management; 2) Infection prevention; 3) Specific guidance on physical exertion in everyday life; and 4) Improvement of self-monitoring ability. Since these kinds of support were considered an indispensable part of CHF patients'home treatment in order to prevent acute exacerbation of their symptoms.