PMID- 24088617
OWN - NLM
STAT- MEDLINE
DCOM- 20150629
LR  - 20141008
IS  - 1550-5049 (Electronic)
IS  - 0889-4655 (Linking)
VI  - 29
IP  - 6
DP  - 2014 Nov-Dec
TI  - Reduction of heart failure rehospitalization using a weight management education 
      intervention.
PG  - 528-34
LID - 10.1097/JCN.0000000000000092 [doi]
AB  - BACKGROUND: Previous investigators have demonstrated that patient adherence to 
      optimal weight monitoring resulted in fewer heart failure (HF)-related 
      rehospitalizations. OBJECTIVE: The aim of this study was to determine whether a 
      weight management (WM) intervention can improve patients' WM ability and cardiac 
      function and reduce HF-related rehospitalizations. METHODS: Heart failure 
      patients were randomly assigned to an intervention group (n = 32) or a control 
      group (n = 34). The intervention group received the WM intervention, including 
      education about regular daily weight monitoring and coping skills when detecting 
      sudden weight gain, with a WM booklet and scheduled telephone visits. Patients' 
      WM ability was measured by the Weight Management Questionnaire (WMQ). We compared 
      scores on the WMQ, New York Heart Association (NYHA) classification, and 
      HF-related rehospitalizations between the 2 groups at enrollment and at 6 months. 
      We also analyzed the association of adherence to weight monitoring and 
      rehospitalization in the intervention group during the 6-month follow-up. 
      RESULTS: There were no significant differences in weight monitoring adherence, WM 
      ability, and NYHA classification between the 2 groups at baseline. At 6 months, 
      scores on all 4 subscales of the WMQ significantly increased within the 
      intervention group, and the WM-practice subscale significantly improved within 
      the control group. Adherence to weight monitoring was significantly improved in 
      the intervention group compared with the control group (81.25% vs 11.76%; P < 
      .01). At 6 months, there was a significant improvement in NYHA class in the 
      intervention group compared with the control group (P = .03). Rehospitalizations 
      related to HF were also fewer in the intervention group (0.28 +/- 0.63 vs 0.79 +/- 
      1.18; P = .03) during the follow-up duration. In the intervention group, those 
      who weighed themselves regularly reported less HF-related rehospitalizations than 
      did those who did not (0.23 +/- 0.43 vs 0.50 +/- 1.23; P = .62). CONCLUSION: This 
      study demonstrates that the WM intervention had a positive impact on patients' 
      adherence to weight monitoring, WM ability, and NYHA classification and reduced 
      HF-related rehospitalization.
FAU - Wang, Xiao-Hua
AU  - Wang XH
AD  - Xiao-Hua Wang, MN, RN Associate Professor and Nurse-in-Charge, Cardiovascular 
      Department, the First Affiliated Hospital of Soochow University, Suzhou, China. 
      Jing-Bo Qiu, MM, RN Nurse, The International Peace Maternity & Child Health 
      Hospital of China Welfare Institute, Shanghai. Yang Ju, BSM, RN Student, School 
      of Nursing, Soochow University, Suzhou, China. Guo-Chong Chen, MPH Public Health 
      Physician, Ningbo Municipal Center for Disease Control and Prevention, China. 
      Jun-Hua Yang, MM Director and Chief Physician, Cardiovascular Department, the 
      First Affiliated Hospital of Soochow University, Suzhou, China. Jian-Hong Pang, 
      RN Deputy Director and Nurse-in-Charge, Nursing Department, Jiangsu Shengze 
      Hospital, Suzhou, China. Xin Zhao, MD Professor, Cardiovascular Department, the 
      First Affiliated Hospital of Soochow University, Suzhou, China.
FAU - Qiu, Jing-Bo
AU  - Qiu JB
FAU - Ju, Yang
AU  - Ju Y
FAU - Chen, Guo-Chong
AU  - Chen GC
FAU - Yang, Jun-Hua
AU  - Yang JH
FAU - Pang, Jian-Hong
AU  - Pang JH
FAU - Zhao, Xin
AU  - Zhao X
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Cardiovasc Nurs
JT  - The Journal of cardiovascular nursing
JID - 8703516
SB  - IM
MH  - Aged
MH  - China
MH  - Female
MH  - Heart Failure/*complications/*therapy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Compliance
MH  - *Patient Education as Topic
MH  - *Patient Readmission
MH  - Self Care
MH  - Treatment Outcome
MH  - *Weight Gain
MH  - *Weight Loss
EDAT- 2013/10/04 06:00
MHDA- 2015/06/30 06:00
CRDT- 2013/10/04 06:00
PHST- 2013/10/04 06:00 [entrez]
PHST- 2013/10/04 06:00 [pubmed]
PHST- 2015/06/30 06:00 [medline]
AID - 10.1097/JCN.0000000000000092 [doi]
PST - ppublish
SO  - J Cardiovasc Nurs. 2014 Nov-Dec;29(6):528-34. doi: 10.1097/JCN.0000000000000092.