Nurse-led interventions in heart failure care Patient and nurse perspectives

Tialda Hoekstra*, Ivonne Lesman-Leegte, Martje Van der Wal, Marie Louise Luttik, Tiny Jaarsma

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    11 Citations (Scopus)


    Background Perspectives of nurses and patients on the intensity and content of disease management programmes (DMPs) in heart failure are seldom addressed but are important in optimizing these programmes

    Aim To describe the perspectives of patients and nurses on delivered care in two DMPs

    Methods In total 442 patients (62% male age 68 +/- 12 years LVEF 33% +/- 14) assigned to the intervention groups of the Coordinating Study Evaluating Outcomes of Advising and Counselling in HF (COACH) and 32 registered nurses, completed questionnaires on satisfaction with the intensity and components of the DMPs

    Results In spite of large differences in intensity and components, patients were satisfied with the content of both DMPs In patients (NYHA III-IV), treatment and educational goals were more often achieved in those who received intensive support compared to patients who received basic support (85% vs 70%) Patients and nurses perceived that most home visits were adding significant value to the HF care while 12% of the home visits were perceived as unnecessary by the nurses

    Conclusion Patients and nurses did not perceive the intense DMP as an emotional and physical burden for themselves Patients with severe HF might be in need of more support to achieve optimal treatment and educational goals (C) 2010 European Society of Cardiology Published by Elsevier B V All rights reserved

    Original languageEnglish
    Pages (from-to)226-232
    Number of pages7
    JournalEuropean Journal of Cardiovascular Nursing
    Issue number4
    Publication statusPublished - Dec-2010


    • Heart failure
    • Disease management programmes
    • Nurse perspectives
    • Patient perspectives
    • Satisfaction

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