Education of the Congestive Heart Failure Patient in the Home Environment after Discharge
Primary Investigator: Daniel Glaze, BSN, RN
Purpose: The purpose of this project was to investigate whether an educational intervention would improve knowledge about CHF among CHF patients and decrease hospital readmission rates related to CHF after discharge.
Methods: This project had a quasi-experimental design with one group that received the same treatment and completed the same measures. An in-home educational intervention was implemented among participants with CHF who had recently been discharged from the hospital. Data were collected at baseline and after the educational intervention at the posttest and 30-day follow-up points. The data were analyzed using the two-tailed T test. At the 30-day follow-up session, participants were also asked whether they had been readmitted to the hospital related to CHF.
Results: There were statistically significant findings in participant knowledge from baseline to post-intervention (p < .001) and from baseline to the 30-day follow-up (p < .001). There were no significant (p = 0.171) score increases from posttest to the 30-day follow up period. Readmission rates were compared using the chi-square test, and the results showed no significant (p = 0.10) differences between groups.
Discussion: The study findings indicated that the in-home educational intervention improved the participants’ knowledge concerning CHF, but it did not have an impact on the hospital readmission rates. The overall scores increased after the educational session at post-intervention, and the higher scores were sustained at the follow-up time point.
Conclusions: The results of the study suggest that an in-home educational intervention can improve knowledge about disease management among people living with heart failure. Specifically, there were statistically significant differences in scores on the knowledge tests at the post-intervention and one-month follow-up time points compared with the baseline scores. These results are encouraging because they promote inter-disciplinary collaboration in efforts toward developing standardized educational interventions for people self-managing heart failure after hospital discharge.
Major Professor: Laurie Abbott PhD, RN, PHNA-BC