Effect Of Remote Monitoring Combined With Health Education On Self-management In Patients With Chronic Heart Failure

Objective This report aims to evaluate the influence of remote supervision combined with health education on chronic heart failure patients’ living quality.Methods Between 2018 and 2019,170 patients scheduled for discharge were selected according to inclusion and exclusion criteria.Then,patients were randomly divided into 2 groups,intervention group(including 86 persons who underwent remote supervision combined with health education)and control group(including 84 persons who only underwent health education).All patients equally received a health education and a remote follow-up and scale evaluation once every 4 weeks for 6 times(20 weeks).Note that they receive their first education when they discharged from hospital.Patients in intervention group additionally underwent a remote monitoring once every 2 weeks by which researchers illustrated the correct way to exercise,healthy dietary and sleeping habits to patients and their families and supervise subjects’ vital signs and intake and output volume via mobile video.Investigators contacted patients and their families 3 days prior to the scheduled follow-up date,and during the follow-up visit,investigators would ask subjects or their caregivers a series of questions from a scale and record the answers in portfolios.This study contains the results of Minnesota heart failure in the quality of life questionnaire(MLHFQ),health survey profiles(SF-36),self-evaluation of anxiety scale(SAS),depression self-rating scale(SDS)of every patient.The health survey profiles(SF-36)were divided into 8 parts: physiological function(PF),physiological function(RP),body pain(BP),general health(GH),energy(VT)(SF),social function,emotional function(RE)and mental health(MH).Results 1.The MLHFQ levels of patients in intervention group decreased greatly compared to control group,PF,RP,RE,SF,VT,GH,SF-36 levels of patients in intervention group increased greatly compared to control group,the difference was statistically significant(P<0.05).Meanwhile,there was no significant difference in BP,MH,SAS,SDS levels between the two groups,the difference was not statistically significant.Compared to baseline,the PF、RP、RE、SF、BP、VT、GH and SF-36 level increased at the first month after the beginning.BP level increased at the second month,MH level increased at the third month,MLHFQ level decreased at the second month.All these differences were statistically significant(P<0.05).There were no significant differences in the levels of SAS and SDS in the intervention group and the control group at each time point.2.In the intervention group,the lower the original EF value of patients with chronic heart failure,the better the improvement of MLHFQ score.Conclusion 1.The remote supervision combined with health education may improve the living quality of chronic heart failure patients much quicker than merely health education.However,both of the intervention means have little effect on patients’ depression and anxiety,which might require professional psychological intervention to relieve.2.The intervention has a better effect on patients with severe heart failure.