Quality of Life and Congestive Heart Failure : A Comparison between Hospital and Nurse Led Disease Management Treatment
Siddiqui, Muneeb A.
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Congestive heart failure (CHF) is among the top reasons for hospital admissions in persons 65 and older. CHF annual incidence approaches 10 per 1,000 population after 65 years of age. It is responsible for 11 million physician visits each year, and more hospitalizations than all forms of cancer combined (The Mayo Clinic, 2015). Traditionally the outcome in congestive heart disease has been measured in terms of mortality and functional status; however, there is an increasing recognition that clinical measures alone are insufficient as they neglect the patient’s perspective (Fteropoulli et. al., 2013). In an effort to better manage this increasingly prevalent disease more research needs to be done with regards to quality of life (QOL). Given the clear success of nurse led disease management (DM) programs, an experimental study comparing QOL in subjects receiving DM based care (via nurse care) to a group treated in a hospital setting is proposed. QOL will be assessed longitudinally at three, six, nine, 12 and 24--‐month intervals during the course of study.