Annotated Bibliography on Heart Failure Management and Dietary Advice

RESEARCH IN NURSING
(ASSESSMENT – 2)
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Part- 1 Annotated Bibliography
Gorthi, J., Huntera, C. B., Mooss , A. N., Alla, V. M., & Hilleman, D. E. (2014).
Reducing heart failure hospital readmissions: A systematic review of disease
management programs. Cardiology Research, 5, 126-138.
Gorthi et al. (2014) conducted a systematic review analysis of various
researches that use different heart failure (HF) disease management programs (DMPs)
to minimize hospital readmission of people suffering heart failure. The study aim was
to evaluate available researches conducted to determine the efficiency of DMPs in
controlling hospital readmission of people with chronic HF. The review data involved
on-line authentic research studies randomly collected from reliable resources like
PubMed, Cochrane library and EBSCOHost from the year 1975 to 2014. The research
studies analyzing DMPs on more than 50 patients were included in review analysis.
The efficiency was analyzed on the basis of hospital readmission or mortality
outcomes. The DMPs analyzed in the review were outpatient clinic care, home visits,
telemonitoring (invasive and non-invasive) and structured telephonic support. As per
findings, telemanagement DMP showed potential to reach a wide range of patients at
one time in cost effective manner as well as structured telephone support DMP
showed a control in HF hospital readmission. The home visits and outpatient clinic
care were limited in terms of accessibility and cost to control hospital readmission.
Thus, the review findings provide inconsistent results and cannot be considered
potentially effective to interpret the effect of HF DMPs.
Rees, K., Dyakova, M., Wilson, N., Ward, K., Thorogood, M., & Brunner, E.
(2013). Dietary advice for reducing cardiovascular risk. Cochrane Database of
Systematic Reviews, 2013(12), 1-113.
Ress et al. (2013) provided a review of various interventions that provide
information on dietary advice to manage cardiovascular diseases and conditions. The
study aims to provide effective dietary advice that can help to improve cardiovascular
risk profile among adults 18 or above dwelling in the community. There were less
than 25% participants diagnosed with cardiovascular disease. Only 10% participants
were allowed to use pharmaceuticals as per essentiality. The participants included
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children, pregnant women and weight reducing people. The review method involved
randomly controlled trails involving group or individual level studies on dietary
intake and follow up of minimum three months to four years. The dietary
interventions involved only advice related to diet like minimizing fat intakes, food
modifications, vegetable and fruit intake etc. The outcome methods were biomarkers,
cardiovascular risk factors and self-report by participants. The study findings
indicated a remarkable change in cholesterol levels, triglyceride levels, blood
pressure, urinary sodium excretion indicating the positive response of dietary advice
provided in review studies. The self-report by participants indicated increase in fiber
intake, development of healthy eating habits and increase in energy levels. Lastly, this
review study provided lot information on the impact of changing dietary intake on
cardiovascular risk. The results obtained are highlighting a positive change
minimizing cardiovascular risk along with the change in cholesterol and blood
pressure risk of the participants.
Stromberg, A., Martensson, J., Fridlund, B., Levin, L-A., Karlsson, J-E., &
Dahlstrom, U. (2003). Nurse-led heart failure clinics improve survival and self-
care behaviour in patients with heart failure: Results from a prospective,
randomised trial. European Heart Journal, 24, 1014-1023.
Stromberg et al. (2003) provide a study on clinical survival and self-care behaviour
practices provided by nurses led to heart failure clinic. The study aim is to analyse the impact
of nurse-led heart failure clinic on the self-care behaviour, mortality and morbidity of patients
admitted to hospital due to heart failure. The research method involved 106 participants who
were admitted to clinic affected by heart failure or having symptoms or risk of heart diseases.
The follow-up from these patients was collected in visits performed after 2-3 weeks of
discharge up to 12 months. Most educated and experienced nurses were provided
responsibility to manage medication protocols, educate patients and provide treatment in
follow-up visits. The research data was compared to control group data where participants
getting usual care were the control group. The research findings indicated a positive impact of
nurse-led care interventions on target population because the hospital admission due to death
or chronic heart failure condition were very few among target participants when compared to
control group getting usual interventions. There is 55% decrease detected after 12 months of
implementing the intervention indicates a positive impact of self-care education and nurse-led
clinic interventions. Further, study group even had higher self-care score of 3 compared to
control group. Therefore, the study concludes that nurse-led heart failure clinical interventions
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