Characteristics of target patients for hospital liaison nurses in cardiac failure
Section: Healthcare Management
How to quote
Aguayo Esgueva BE, Beistegui Alejandre I, Conde Lagartos AI, Autor Arbizu MR. Características de los pacientes diana de la enfermera de enlace hospitalaria para insuficiencia cardiaca. Metas Enferm 2013; 16(6):50-54.
Authors
1Blanca Esther Aguayo Esgueva, 2Idoia Beistegui Alejandre, 1Ana Isabel Conde Lagartos, 2María Rosario Autor Arbizu
Position
1Enfermera de Enlace hospitalaria para insuficiencia cardiaca. HUA Txagorritxu-Santiago. 2Enfermera. Coordinadora Hospital Universitario de Araba-sede Santiago Vitoria/Gasteiz (Álava).
Contact address
Blanca Esther Aguayo Esgueva. C/ Palatu, 12, bajo. 01130 Murguía (Álava).
Contact email: baguayoe01@enfermundi.com
Abstract
Method: descriptive transversal study conducted in the Hospital Universitario Araba (Álava), both in Txagorritxu and Santiago, between May, 2011 and January, 2012. Criteria for sample selection: Patients hospitalized with CF diagnosis, AHA stages C and D, NYHA Class III and IV, life expectancy above 6 months, and potential self-care abilities. Variables: age, gender, CF start, comorbidity (Yesavage, Hospital Anxiety and Depression Scale, Memory Impairment Screen), dependence (Barthel, Lawton y Brody), social risk (Duke), level of knowledge about the disease, treatment compliance (Morinsky Scale) and self-care (European Heart Failure Self Behaviour Scale).
Outcomes: 35 patients were included. Median age: 80.4 years; a median of 7.5 associated conditions; 82.85% were poly-medicated; 25.71% with no treatment compliance; 47.06% dependent for DLAs and 45.71% for instrumental activities; 71.42% of patients had poor or no knowledge about CHF management. There is no significant link between the recent start of CHF and knowledge (p= 0.46); moderate self-care, expressed by a median 33.03 (± 6.07).
Conclusions: CHF patients subject to hospital liaison nurse care are complex patients, highly fragile due to their pluripathology, poly-medication, and advanced age. They have poor knowledge in order to manage their health condition.
Keywords:
Cardiac Failure; Chronicity; dependence; Hospital Care; liaison nurseself-care
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