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Posted: July 20th, 2022
Background: Heart failure (HF) is associated with poor quality of life and increased morbidity and mortality.
The purpose of this study was to look into the effect of using Gordon’s functional health pattern (FHP) model in nursing care of symptomatic HF patients on quality of life, morbidity, and mortality in the 30-day post-discharge period.
Methods: This is a single-center prospective randomized controlled study. Nursing care was provided to the experimental group in accordance with Gordon’s FHP model. The study included 60 control and 60 experimental HF patients. The control group received nursing care in accordance with the hospital’s standard protocol, whereas the experimental group received nursing care in accordance with Gordon’s FHP model. Patients in both groups were followed up on 30 days after discharge.
At the 30th day, the mean Minnesota Living with Heart Failure Questionnaire score improved significantly in the experimental group compared to the control group (40.2 23.5 vs 62.3 22.9, p = 0.001). In the 30-day post-discharge period, seven patients (11.7%) in the experimental group and 17 patients (28.3%) in the control group were readmitted (p = 0.02). The Kaplan-Meier survival curve analysis revealed a significant difference between groups in 30-day event free survival rates (log-rank p = 0.31).
Conclusion: Using Gordon’s FHP model in the nursing care of HF patients resulted in significantly improved quality of life and lower hospital readmission rates at the 30th day. This was the only independent predictor of event-free survival after 30 days.
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