Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2017 Sep 21;50(11):e6355.
doi: 10.1590/1414-431X20176355.

Collaborative care model improves self-care ability, quality of life and cardiac function of patients with chronic heart failure

C Y Hua  1 , Y Huang  2 , Y H Su  3 , J Y Bu  3 , H M Tao  4
Affiliations
Randomized Controlled Trial

Collaborative care model improves self-care ability, quality of life and cardiac function of patients with chronic heart failure

C Y Hua et al. Braz J Med Biol Res. .

Abstract

Chronic heart failure (CHF) is a common chronic disease that requires much care. This study aimed to explore the effects of collaborative care model (CCM) on patients with CHF. A total of 114 CHF patients were enrolled in this study, and were randomly and equally divided into two groups: control and experimental. Patients in the two groups received either usual care or CCM for 3 continuous months. The impacts of CCM on the self-care ability and quality of life were assessed using self-care of heart failure index and short form health survey 12, respectively. Further, cardiac function was assessed by measuring left ventricular ejection fraction (LVEF) and the level of N-terminal pro-B-type natriuretic peptide (NT-proBNP), and by the 6-min walking test. Clinical and demographic characteristics of patients in the control and CCM groups were statistically equivalent. Compared with usual care, CCM significantly enhanced self-care abilities of patients with CHF, including self-care maintenance, self-care management and self-care confidence (all P<0.05). The physical and mental quality of life was also significantly improved by CCM (P<0.01 or P<0.05). Compared with usual care, CCM significantly increased the LVEF (P<0.01), decreased the NT-proBNP level (P<0.01), and enhanced exercise capacity (P<0.001). In conclusion, CCM improved the self-care, quality of life and cardiac function of patients with CHF compared with usual care.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.. Comparison of A, self-care maintenance; B, self-care management, and C, self-care confidence between patients with chronic heart failure treated with usual care (Control) and with the collaborative care model (CCM). Data are reported as means±SD. *P<0.05 (t-test).
Figure 2.
Figure 2.. Comparison of A, physical quality of life, and B, mental quality of life between patients with chronic heart failure treated with usual care (Control) and with the collaborative care model (CCM). Data are reported as means±SD. *P<0.05; **P<0.01 (t-test).
Figure 3.
Figure 3.. Comparison of A, left ventricular ejection fraction (LVEF); B, N-terminal pro-B-type natriuretic peptide (NT-proBNP) level, and C, exercise capacity between patients with chronic heart failure treated with usual care (Control) and with the collaborative care model (CCM). 6MWT: 6-min walking test. Data are reported as means±SD. *P<0.05; **P<0.01; ***P<0.001 (t-test).
See this image and copyright information in PMC

References

    1. Liou HL, Chen HI, Hsu SC, Lee SC, Chang CJ, Wu MJ. The effects of a self-care program on patients with heart failure. J Chinese Med Assoc. 2015;78:648–656. doi: 10.1016/j.jcma.2015.06.004. - DOI - PubMed
    1. Celik E, Cay S, Sensoy B, Murat S, Oksuz F, Cankurt T, et al. Heart Failure functional class associated with depression severity but not anxiety severity. Acta Cardiol Sinica. 2016;32:55–61. - PMC - PubMed
    1. Dolansky MA, Schaefer JT, Hawkins MA, Gunstad J, Basuray A, Redle JD, et al. The association between cognitive function and objective adherence to dietary sodium guidelines in patients with heart failure. Patient Prefer Adherence. 2016;10:233–241. doi: 10.2147/ppa.s95528. - DOI - PMC - PubMed
    1. Clark AM, Freydberg N, Heath SL, Savard L, McDonald M, Strain L. The potential of nursing to reduce the burden of heart failure in rural Canada: what strategies should nurses prioritize? Can J Cardiovasc Nurs. 2008;18:40–46. - PubMed
    1. Man WD, Chowdhury F, Taylor RS, Evans RA, Doherty P, Singh SJ, et al. Building consensus for provision of breathlessness rehabilitation for patients with chronic obstructive pulmonary disease and chronic heart failure. Chron Respir Dis. 2016;13:229–239. doi: 10.1177/1479972316642363. - DOI - PMC - PubMed

Publication types

MeSH terms

Substances