Article
Medicine, General & Internal
Paulina Daw, Grace E. R. Wood, Alexander Harrison, Patrick J. Doherty, Jet J. C. S. Veldhuijzen van Zanten, Hasnain M. Dalal, Rod S. Taylor, Samantha B. van Beurden, Sinead T. J. McDonagh, Colin J. Greaves
Summary: This study aimed to identify barriers to, and facilitators of, the implementation of the REACH-HF programme and develop and refine the REACH-HF Service Delivery Guide. The results showed that factors such as lack of resources, interest in heart failure, and close collaboration with the clinical heart failure team can impact the implementation process. The main output of the study, a refined version of the REACH-HF Service Delivery Guide, can guide the implementation process and provide practical solutions to common implementation barriers.
Article
Oncology
Amandine Bertrand, Veronique Veyet, Florence Goy, Marie Cervos, Matthias Schell
Summary: The study found that home nurses play a crucial role in pediatric palliative care, with most of them having reservations about accepting these duties but also showing significant personal involvement in the cases. Key influencing factors include the availability and proactiveness of the HCU team, as well as communication and planning with the families.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Cardiac & Cardiovascular Systems
Toshiro Kitagawa, Takayuki Hidaka, Noriaki Watanabe, Makiko Naka, Mizuho Yamaguchi, Kana Kanai, Mitsuaki Isobe, Yasuki Kihara, Yukiko Nakano
Summary: The study investigated the utilization of OCR and HNS in patients with mid-range or preserved left-ventricular ejection fraction (HFmrEF or HFpEF), finding that completion of OCR was associated with favorable outcomes, while the use of HNS was linked to poorer outcomes. Further research is needed to fully understand the factors influencing OCR implementation and HNS utilization.
Article
Medicine, General & Internal
Grace O. Dibben, Melvyn Hillsdon, Hasnain M. Dalal, Lars H. Tang, Patrick Joseph Doherty, Rod Taylor
Summary: This study aimed to quantify the impact of a home-based cardiac rehabilitation intervention (REACH-HF) on objectively assessed physical activity (PA) of heart failure (HF) patients, and explore the associations between patient characteristics and changes in PA. The results showed that although there was no significant difference in overall PA levels between the REACH-HF intervention group and the control group, the REACH-HF group had increased weekday MVPA, light PA, and decreased inactivity compared to the control group. Baseline PA levels were found to be highly predictive of PA change.
Article
Cardiac & Cardiovascular Systems
Yuta Nagatomi, Tomomi Ide, Tae Higuchi, Tomoyuki Nezu, Takeo Fujino, Takeshi Tohyama, Takuya Nagata, Taiki Higo, Toru Hashimoto, Shouji Matsushima, Keisuke Shinohara, Tomiko Yokoyama, Aika Eguchi, Ayumi Ogusu, Masataka Ikeda, Yusuke Ishikawa, Fumika Yamashita, Shintaro Kinugawa, Hiroyuki Tsutsui
Summary: This study investigated the efficacy and safety of a comprehensive home-based cardiac rehabilitation programme that combines patient education, exercise guidance, and nutritional guidance using information and communication technology (ICT). The results showed that the programme improved exercise tolerance and lower extremity muscle strength in patients with heart failure and physical frailty.
Article
Medicine, General & Internal
Misato Chimura, Shinji Koba, Yasushi Sakata, Takayuki Ise, Hiroyuki Miura, Ryosuke Murai, Hiroshi Suzuki, Emi Maekawa, Keisuke Kida, Koki Matsuo, Hirokazu Kondo, Kensuke Takabayashi, Wataru Fujimoto, Yuichi Tamura, Shunsuke Imai, Shin-ichiro Miura, Hideki Origuchi, Akiko Goda, Ryotaro Saita, Atsushi Kikuchi, Tatsunori Taniguchi
Summary: This article introduces a home-based cardiac rehabilitation program using the integrated telerehabilitation platform RH-01, aiming to improve the prognosis and quality of life of patients with heart failure. The E-REHAB trial evaluates the efficacy and safety of RH-01 compared with traditional centre-based cardiac rehabilitation for heart failure patients, and also includes patients with other cardiovascular diseases. The trial will enroll 108 heart failure patients and 20 patients with other cardiovascular diseases, using a prospective, randomized, controlled and non-inferiority design.
Article
Cardiac & Cardiovascular Systems
Zyad T. Saleh, Rami A. Elshatarat, Abdulaziz Mofdy Almarwani, Naif S. Alzahrani, Fahad M. Alhowaymel, Khadega Ahmed Elhefnawy, Nora Helmi Elneblawi, Ateya Megahed Ibrahim, Donia Elsaid Zaghamir, Tagreed O. Shawashi
Summary: Physical activity behavior change is challenging in heart failure patients, even after participation in cardiac rehabilitation programs. Baseline demographic, physical activity levels, psychological distress, and clinical variables can predict physical activity behavior change. Pre-intervention physical activity levels and depressive symptoms are key factors in designing effective home-based cardiac rehabilitation interventions.
Article
Health Care Sciences & Services
Yu Sun, Masao Iwagami, Jun Komiyama, Takehiro Sugiyama, Ryota Inokuchi, Nobuo Sakata, Tomoko Ito, Satoru Yoshie, Hiroki Matsui, Keitaro Kume, Masaru Sanuki, Genta Kato, Yukiko Mori, Hiroaki Ueshima, Nanako Tamiya
Summary: A retrospective cohort study in Japan examined the effect of post-discharge care by conventional or enhanced HCSCs on readmission rates in elderly heart failure patients. The study found that patients receiving care from conventional or enhanced HCSCs had lower readmission rates but more emergency house calls. These findings suggest that both conventional and enhanced HCSCs may be effective in reducing the risk of rehospitalization.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Geriatrics & Gerontology
Gregory L. Alexander, Supakorn Kueakomoldej, Christina Congdon, Lusine Poghosyan
Summary: Research is needed to support the nurse practitioner workforce in nursing homes to ensure higher quality care for older adults. Nursing homes with optimal care environments that support nurse practitioner roles and relationships are better equipped to provide care for older adults. This study conducted qualitative interviews with nurse practitioners and identified three major themes impacting care environments: nurse practitioner practice, overall practice goals, and workplace challenges. The findings highlight the importance of nurse practitioner and physician relationships in nursing home care.
Article
Cardiac & Cardiovascular Systems
Sena Chae, Jiyoun Song, Marietta Ojo, Kathryn H. Bowles, Margaret V. McDonald, Yolanda Barron, Mollie Hobensack, Erin Kennedy, Sridevi Sridharan, Lauren Evans, Maxim Topaz
Summary: Using natural language processing methods, patients with heart failure who have poor self-management can be identified in home health care. Younger age, longer length of stay in home health care, diagnosis of diabetes and depression, impaired decision-making, smoking, and shortness of breath with exertion are associated with poor self-management.
Article
Geriatrics & Gerontology
Patricia Jepma, Lotte Verweij, Bianca M. Buurman, Michel S. Terbraak, Sara Daliri, Corine H. M. Latour, Gerben ter Riet, Fatma Karapinar-Carkit, Jill Dekker, Jose L. Klunder, Su-San Liem, Arno H. M. Moons, Ron J. G. Peters, Wilma J. M. Scholte Op Reimer
Summary: The study aimed to evaluate the impact of combining case management, disease management, and home-based cardiac rehabilitation on high-risk older cardiac patients. However, the results showed that the transitional care program did not reduce hospital readmission or mortality within 6 months.
Article
Cardiac & Cardiovascular Systems
Cassandra Graham, Rebecca Schonnop, Tieghan Killackey, Dio Kavalieratos, Shirley H. Bush, Leah Steinberg, Susanna Mak, Kieran Quinn, Sarina R. Isenberg
Summary: The results of this study suggest that a collaborative shared model of care delivery between palliative care and cardiology improves knowledge exchange, collaboration, and communication between specialties, and leads to more comprehensive patient care. Addressing ongoing barriers will help improve care delivery.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Health Care Sciences & Services
Domenico Scrutinio, Pietro Guida, Laura Adelaide Dalla Vecchia, Ugo Corra, Andrea Passantino
Summary: This study found that older female patients with heart failure undergoing cardiac rehabilitation had better prognosis compared to males. They also showed similar improvement in walking distance. However, females were more likely to achieve functional capacity levels predictive of improved survival.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Review
Nursing
Yan Gao, Nan Wang, Lixin Zhang, Naiquan Liu
Summary: This systematic review and meta-analysis evaluated the effectiveness of home-based cardiac telerehabilitation in heart failure patients. The results from 16 studies with 4557 participants showed that home-based cardiac telerehabilitation can improve heart rate, VO2 peak, 6-minute walk distance, quality of life, and reduce readmission rates. It may be used as an adjunct or substitute for centre-based cardiac rehabilitation.
JOURNAL OF CLINICAL NURSING
(2023)
Review
Cardiac & Cardiovascular Systems
Rod S. Taylor, Hasnain M. Dalal, Ann-Dorthe Zwisler
Summary: Cardiac rehabilitation is often overlooked in the treatment of heart failure. This review provides an update on the evidence, guidelines, and status of cardiac rehabilitation for heart failure patients. It argues that exercise-based rehabilitation is a crucial aspect of heart failure management, alongside medication and medical devices, as it improves patient outcomes, including their quality of life. To improve access and participation, healthcare services should offer heart failure patients a range of evidence-based rehabilitation options, including home-based programs with digital technology and traditional center-based programs, based on disease stage and patient preference.
EUROPEAN HEART JOURNAL
(2023)
