Русский
Results of a 12-month telemonitoring of chronic heart failure patients after hospitalization with its decompensation
DOI: https://dx.doi.org/10.18565/therapy.2023.4.48-57
Pyrikova N.V., Mozgunov N.A., Osipov I.V.
1) Altai State Medical University of the Ministry of Healthcare of Russia, Barnaul; 2) Regional Clinical Emergency Hospital No. 2, Barnaul
The aim: to compare two strategies for managing patients with CHF after discharge from the hospital and to estimate the effectiveness of active outpatient monitoring model of CHF patients by means of telemonitoring use.
Material and methods. The study included hospitalized patients with decompensated CHF: group 1 (studied) – 70 persons who underwent telemonitoring after discharge; 2nd (control) group – 65 persons. The participants underwent a general clinical examination, quality of life (QoL) was determined according to the Minnesota questionnaire, an assessment was made according to the Self-help Capacity Scale for patients with CHF, adherence to treatment was assessed using the Morisky–Green questionnaire, anxiety and depression according to HADS-A and HADS-D, the number of calls ambulance teams and repeated hospitalizations was estimated within a year after discharge.
Results. In 12 months after inpatient treatment, positive dynamics was revealed in the study group: in comparison with the control group, the index of life quality according to the questionnaire in it was higher by 15.8 points, according to the self-help questionnaire – by 12,3 points, according to the Morisky–Green questionnaire – by 2,6 points. In addition, in the study group, the score for HADS-A was 3,1 less, and for HADS-D – 2,8 less than in the control group. Annual analysis showed that in the study group, emergency calls and hospitalizations were 4,9 times and 2,3 times less, respectively, than in the control group.
Conclusion. Active outpatient monitoring with the use of telemonitoring of CHF patients in a year after discharge from the hospital allows to increase the quality of life, ability to self-help, adherence to treatment, reduce the level of anxiety and depression, and the number of repeated hospitalizations.
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About the Autors
Natalya V. Pyrikova, MD, associate professor, professor of the Department of faculty therapy and occupational diseases, Altai State Medical University of the Ministry of Healthcare of Russia. Address: 656038, Barnaul, 20 Molodyozhnaya Str. E-mail: allinatali@mail.ru. ORCID: https://orcid.org/0000-0003-4387-7737
Nikita A. Mozgunov, head of the admission department of Regional clinical emergency hospital No. 2. Address: 656038, Barnaul, 73/2 Komsomolsky Avenue. E-mail: nikita-mn@mail.ru.
ORCID: https://orcid.org/0000-0001-7335-377X
Irina V. Osipova, MD, professor, head of the Department of faculty therapy and occupational diseases, Altai State Medical University of the Ministry of Healthcare of Russia. Address: 656038, Barnaul, 20 Molodyozhnaya Str. E-mail: i.v.osipova@gmail.com. ORCID: https://orcid.org/0000-0002-6845-6173
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