Role of Caregivers and Self-Management in Heart Failure Patients

Running Head: RESEARCH IN NURSING
RESEARCH IN NURSING
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RESEARCH IN NURSING1
Annotated Bibliography
Deek, H., Chang, S., Newton, P. J., Noureddine, S., Inglis, S. C., Al Arab, G., ...&
Davidson, P. M. (2017). An evaluation of involving family caregivers in the self-care of
heart failure patients on hospital readmission: Randomised controlled trial (the
FAMILY study). International journal of nursing studies, 75, 101-111.
This article focuses on the role of caregivers in family who plays an integral role in the
management of heart diseases in older people. Family caregivers plays an important role in
the care of older people who are chronically ill. The family caregivers can reduce or delay the
use of residential care facilities for the older people (Deek et al., 2017). The paper highlights
the fact that the sample patients or the participants were introduced to different interventional
groups where the patient and the caregivers in their family were given with a comprehensive
educational class on the importance of management and self-care of symptom in the older
patients who are suffering from heart diseases (Deek et al., 2017). The results revealed that
the family caregivers had a lot of potential in the treatment of the heart diseases in older
patients and it also reduces the chances of readmission of the patients who are suffering from
exacerbated heart failure. The findings in the paper also identify the components that are
needed to introduce sustained benefits in order to improve the quality of care and also to
enhance the quality of life in patients (Deek et al., 2017).
Dinh, H., Bonner, A., Ramsbotham, J., & Clark, R. (2018). Self‐management
intervention using teach‐back for people with heart failure in Vietnam: A cluster
randomized controlled trial protocol. Nursing & health sciences, 20(4), 458-463.
This article explains the importance of self-management in controlling heart diseases. This
article has shown that the self-management intervention is a useful way to reduce the effects
of heart diseases in older people (Dinh et al., 2018). The article conducts a randomized

RESEARCH IN NURSING2
control trial over the participants who had either received self-management steps along with
the usual care routine (Dinh et al., 2018). The paper highlighted the fact that the patients were
given a prior teaching session individually before they got discharged. The patient were
provided with a weighing scales, heart failure booklet and diary to maintain the records. This
was carried out with a follow-up call after the completion of 2 weeks post-discharge. The
paper shows that the control group who received usual care after they suffered from heart
diseases had higher or more chances of getting the attack again (Dinh et al., 2018). On the
other hand, the sample population who had received additional care along with the usual care
they had less chances of getting the attack again and along with that they also experience
additional benefits. As the method used the technique of teach-back which is a cyclic method
of teaching the content and then checking the comprehension, and then re-teaching the
patients about the self-management systems (Dinh et al., 2018).
Gorthi, J., Hunter, 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(5), 126.
The article highlights the fact that there are a number of factors that reduces the risk of
readmission among the patients who are suffering from heart diseases. The paper describes
the Hospital Readmission Reduction Program that has higher efforts to reduce the
readmission in the patients that are being hospitalized for heart failure (Gorthi et al., 2014).
The paper is a systematic review that identifies the randomized control trials in the patients
with heart failure. This included proper home care, telephone support in a structured manner,
outpatient clinic interventions, along with certain invasive and non-invasive telemonitoring.
The results revealed the fact that the telemanagement or telehealth has the potential to reach
out a large number of patients at an affordable price (Gorthi et al., 2014). The paper also
gives certain recommendation about how the process should include the needs of individual