Effect of continuity of care on self-management, quality of life, and clinical outcomes in patients with chronic heart failure

作者：Pengjun Wang, Yanwen Zhou, Li Wang, Rong Liu, Qian Fei, Mei Lin · 发表于：Medicine · 年份：2025 · DOI：10.1097/md.0000000000043972 · 被引用次数：3 · 研究领域：Heart Failure Treatment and Management、Cardiac Health and Mental Health、Chronic Disease Management Strategies

This research aims to investigate the impact of continuity of care on individuals diagnosed with chronic heart failure (CHF), specifically examining its effects on their self-care capabilities, life quality, mental well-being, and physical condition. A total of 90 patients diagnosed with CHF and treated at our hospital between January and September 2023 were included in this retrospective controlled study. Propensity score matching was used to assign patients into 2 comparable groups: an intervention group and a control group (CG), each consisting of 45 individuals. The intervention group received a comprehensive continuity of care program in addition to standard nursing care, while the CG received standard care alone. The continuity of care model included components such as a collaborative multidisciplinary team, tailored patient education, emotional support, guidance on medication adherence, and consistent follow-up monitoring. The study assessed various outcomes, including patients' self-care performance, quality of life scores, psychological assessments via the Hamilton Depression and Anxiety Scales, physical health indicators, and the frequency of adverse cardiovascular events. Following the continuity of care intervention, patients in the intervention group demonstrated a significant improvement in their self-care scores, increasing from 73.39 ± 4.02 pre-intervention to 89.41 ± 5.38 post-intervention (P < .05). In terms of quality of life, post-intervention scores were ...