Heart failure self-management instruction: Impact on heart failure outcomes.

摘要

Instruction in self-management (SM) for patients with heart failure (HF) is a critical component of their care. Established HF guidelines recommend the program in SM instruction summarized in Table I.1'2 Hospitals are also expected to document the occurrence of SM instruction during a patient's hospitalization, and publically report SM as an established HF core measure.Despite efforts to complete instruction in HF SM, outcomes have been variable. A recent review suggests that SM interventions exert a "positive" effect, although this does not always translate into improvements in mortality, readmissions, or quality of life.3 The Heart Failure Adherence and Retention Trial4 investigators randomized 902 patients manifesting mild to moderate HF with either reduced or preserved ventricular function to receive either SM counseling with HF education vs. HF education alone.