The Effect of Nursing Care Decision Support System Designed for Fluid Volume Excess of Patients With Heart Failure on Clinical Outcomes of Patients and Home Self-Care Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Congestion Score Improvement
研究概览
简要总结
This study aims to evaluate the effects of a nursing care decision support system designed to reduce fluid overload in patients with heart failure. The goal is to examine its impact on clinical outcomes both during hospitalization and after discharge at home. The study focuses on improving nursing interventions and patient follow-up through structured, evidence-based decision-making tools.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed with heart failure (HF)
- •Aged 18 years or older
- •Ejection fraction below 50%
- •Presence of +1 or greater pitting edema in the extremities
- •Voluntary agreement to participate in the study
- •Sufficient cognitive and communicative ability to participate in interviews and complete scales/forms
排除标准
- •Presence of additional comorbidities other than cardiac risk factors (e.g., dialysis-dependent renal failure, lymphedema, oncology patients, etc.)
- •Presence of severe valvular stenosis
- •History of amputation
- •Classified as morbidly obese
- •Isolated right heart failure
- •Inadequate cooperation or communication skills
- •Terminal stage patients
- •Absence of echocardiographic evaluation
- •BNP level not measured
- •Criteria for Discontinuation During the Study:
- •Inaccessible by phone
- •Withdrawal of consent
- •Development of poor general condition during follow-up
- •Transferred to intensive care units during follow-up
- •Extended hospitalization due to infection or other secondary causes
研究组 & 干预措施
Nursing Decision Support System Group
干预措施: Nursing Decision Support System (Behavioral)
结局指标
主要结局
Congestion Score Improvement
时间窗: Baseline to 30 days post-discharge
Assessment of the reduction in fluid volume overload symptoms based on a standardized congestion scoring system. The score evaluates parameters such as edema, shortness of breath, and weight changes.
次要结局
未报告次要终点
研究者
Leyla Biçen
PhD Candidate in Public Health Nursing, Ege University, Institute of Health Sciences
Ege University