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Objective: To study the clinical outcomes of heart failure (HF) patients at the HF clinic, Sunpasitthiprasong Hospital.
Method: Descriptive study was applied. Purposive sampling was used to recruit 34 patients with HF. Data was collected from March to August 2020, using a personal data questionnaire, the clinical outcome questionnaire for HF patients included New York Heart Association Functional Class (NYHA FC), Left Ventricular Ejection Fraction (LVEF), hospital re-admission, and re-visited the emergency room, self-care behavior questionnaire, and the quality of life questionnaire. Descriptive statistics was used for data analysis.
Results: The majority of the subjects were male (61.8%) and age ranged between 37-92 years old, a mean of 59.2 years old (SD = 13.8). All of them had stage C of HF, the period they were diagnosed with HF ranged from 3 months to 6 years, mean 3 years (SD = 18.4). Duration of clinical heart failure was between 3 months and 6 years, two and a half year (SD = 16.4). Before enrolling in the HF clinic, most of the samples had NYHA FC II-III and LVEF was less than 40 percent. After enrolling in HF clinic, most HF patients had NYHA FC I-II with LVEF more than 40 percent, no re-hospitalized and never revisit emergency room. Overall self-care behavior was at a good level and an average score on quality of life was 86.93 (SD. = 20.5), which was a high level.
Conclusion: The HF patients who were cared in the HF clinic had better clinical outcomes. As a result, the rate of re-hospitalization and re-visiting emergency room were decreased, and the quality of life of HF patients were increased.
Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Drazner MH, et al. 2013 ACCF/AHA Guideline for the management of heart failure: Executive summary. JACC 2013;128:1810–1852.
Rajadurai J, Tse HF, Wang CH, Yang NI, Zhou J, Sim D. Understanding the epidemiology of heart failure to improve management practices: An Asia-Pacific perspective. J Card Fail 2017;23(4):327-39.
American Heart Association. Causes and risks for heart failure [internet]. 2017 [cited 2020 Mar 13] Available from: http://www.heart.org/HEARTORG/Conditions/HeartFailure/CausesAndRisksFor Heart Failure/Causes-and-Risks-for-Heart- Failure_UCM_002046_ Article.jsp#.Wpwr0-jFJPa
Laothavorn P, Hengrussamee K, Kanjanavanit R, Moleerergpoom W, Laorakpongse D, Pachirat O, et al. Thai Acute Decompensated Heart Failure Registry (Thai ADHERE). CVD Prevention and control 2010;5(3):89-95.
Ministry of Public Health. Service plan cardiology division [internet]. 2013 [cited 2021 JUN 01]; 25. Available from: http://watphlenghospital.go.th/httpdocs/DATA/Service%20Plan/Service_Plan10.pdf. (in Thai)
Soomhirun R, Monkong S, Khuwawatanasamrit K. A Literature Review Related to the management for reducing readmission in patients with heart failure. Thai Journal of Cardio-Thoracic Nursing 2009;20(1):17-32.
Heart Failure Society of America, JoAnn Lindenfeld, Nancy M Albert, John P Boehmer, Sean P Collins, Justin A Ezekowitz, et al. Executive summary: HFSA 2010 Comprehensive heart failure practice guideline. J Card Fail 2010;16(6):e1-194.
Jaarsma T, Stromberg A, Gal TB, Cameron J, Driscoll A, Duengen H, et al. Comparison of self-care behaviors of heart failure patients in 15 countries worldwide. Patient Education and Counseling 2013;92:114-20.
Kanjanavanit R,editor. Comprehensive heart failure management program. 2nded. Bangkok: Concept medical; 2015. (in Thai)
The Heart Association of Thailand under the Royal Patronage of H.M. the King, Heart Failure Society of Thailand. Guidelines for Diagnosis and Treatment of Heart Failure, 2014. Bangkok: A-Plus Printing;2014. (in Thai)
European Society of Cardiology. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur J Heart Fail 2016; 1-85.
Rerkluenrit J. Nurse’s roles in the multidisciplinary team to prevent rehospitalization of persons with heart failure: Using King’s goal attainment theory. Journal of Nursing and Health Care 2014;32(4):6-17.
Suwanno J, Petsirasan R, Prasearttha P, Chanpradi A, Saisu W. Self-care among patients with chronic heart failure. Thai Journal of Nursing Council 2008;23(1):35-47. (in Thai)
Rector TS, Kubo SH, Cohn JN. Patient’s selfassessment of their congestive heart failure: Content, reliability and validity of a new measure: The Minnesota living with heart failure questionnaire. Heart Failure 1987;3:198-219.
Krethong P. A causal model of quality of life in patients with heart failure. [Thesis]. Bangkok: Chulalongkorn University; 2007.
Thongplung K. Multidisciplinary Approach for the Treatment Chronic Heart Failure Patients at Nakhonpathom Hospital. Region 4-5 Medical Journal 2019; 37(2):108-18.
Promwong W, Siripitayakunkit A, Hanprasitkam K. Evaluation of health care services using a multidisciplinary care model for persons with heart failure at the heart failure clinic, Ramathibodi Hospital. Rama Nurs J 2019;25(2):166-80.
Intarasak N, Chinnawong T, Kritpracha C. The effect of self-management support program on health behaviors and clinical status among patients with congestive heart failure. Songklanagarind J Nurs 2015;35suppl:131-42.
Hanuchareonkul S. Self-care: Self-care: Science and arts in nursing. Volume 6. Bangkok:VJ Printing; 2001.
Riegel B, Dickson VV, Faulkner KM. The Situationspecific theory of heart failure self-care: Revised and updated. J Cardiovasc Nurs 2016;31(3):226-35.
The Heart Association of Thailand under the Royal Patronage of H.M. the King. Heart Failure Council of Thailand (HFCT) 2019 Heart Failure Guideline. Samut Prakan: Next step design;2019. (in Thai)
Chunharas P, Lerssuttiporn U, Kankratoke P, Chaingam P, Mokprakhon S, Sae-ueng K, et al. Comparison of functional capacity and readmission rate in heart failure patients after enrolling into multidisciplinary heart failure clinic in Maharat Nakhon Ratchasima Hospital (CHAMP-HF). KKU Journal of Medicine 2020;6(2):24-33.
Wongwantanee S, Kiatjaroensin s, Dowmanee P, Jaratpatanawong C, Kumti T. Effectiveness of heart failure clinic care in Rayong hospital. The Journal of Prapokklao Hospital Clinical Medical Education Center 2010;27(4):222-33.
Gandhi S, Mosleh W, Sharma UC, Demers C, Farkouh ME, Schwalm JD. Multidisciplinary heart failure clinics are associated with lower heart failure hospitalization and mortality: Systematic review and meta-analysis. Can J Cardiol 2017;33(10):1237-44.
Hsiao I, Chien C, Chen C, Lin C, Koo M. Predictors of lack of improvement in the left ventricular ejection fraction in patients with congestive heart failure 18 months after commencement of a disease management program: a prospective observational study. Tzu Chi Medical Journal 2015;7(4):164-9.
Pham Tth, Yunibhand J, Jitpanya C. Self-care behaviors in Vietnamese adults with heart failure. Songklanakarin J Sci Technol 2018;40(4):860-6.
Asadi P, Ahmadi S, Abdi A, Shareef OH, Mohamadyari T, Miri J. Relationship between self-care behaviors and quality of life in patients with heart failure. Heliyon 2019;5(9):e02493 1-6.
Boonraksa J. How to lower sodium intake in congestive heart failure patients. Thai Journal of Parenteral and Enteral Nutrition 2017;25(1):12-7. (in Thai)
Kobkuechaiyapong S. Characteristics of heart failure patients readmitted within 28 days in Saraburi Hospital. J Prapokklao Hosp Clin Med Educat Center 2013;30(1):35-46.
Moradi M, Daneshi F, Behzadmehr R, Rafiemanesh H, Bouya S, Raeisi M. Quality of life of chronic heart failure patients: a systematic review and meta-analysis. Heart Fail Rev 2020;25(6):993-1006.
Chiaranai C, Salyer J. Self-care and quality of life in patients with heart failure: do gender differences exist? Songklanagarind Medical Journal 2009;27(6):451-63.
Tepsuriyanont S. Quality of life in heart failure patients. Journal of The Royal Thai Army Nurses 2017;18(1):39-45.
Rahnavard Z, Nodeh ZH, Hatamipour K. Congestive heart failure: Predictors of healthrelated quality of life in Iranian women. Contemp Nurse 2014;47(1-2):159-67.