The Role of Continuous Care Model on Hospital Readmission of Patients with Heart Failure: A randomized Controlled Clinical Trial

Abstract

Due to the high readmission rates and negative socioeconomic impact of this disease, it is necessary to utilize appropriate model which is compatible with the condition of these patients in order to prevent readmissions and also to improve health care quality and reduce health care costs. [...]this study was carried out to determine the effects of continuous care on readmission of patients with congestive HF admitted to the selected hospitals of Urmia University of Medical Sciences. According to this study, the mean (^) and standard deviation (SD) in the control group were 2.74 (^1) and 1.07 (SD1), respectively. At the end of this session a training package including self-care booklets were given to the patients and their families. [...]a self-reporting checklist was designed in order to encourage the patients for their self-care and adherence to treatment continuity planning which included 6 guidelines (adherence to medication, diet restrictions on the use of the salt and fluid intake, daily activity, sport, avoiding tobacco and alcohol use, and daily weighting). In the following three months of the intervention, the average number of readmissions in the intervention group was 0.46±0.68 while it was 1.761 ± .25 within the control group (Table 4). [...]following the application of CCM, the patients' hospital readmission rates within intervention group were significantly lower than the control group.