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<p>Heart failure is a chronic, progressive condition associated with frequent hospitalizations and reduced quality of life, especially in older adults. This prospective descriptive longitudinal study described changes in self-care behaviors, hospital readmission rates, and quality of life following a nurse-led telephone-based follow-up among 120 heart failure patients discharged from Shahid Madani Teaching Hospital in Tabriz, Iran. Data were collected at discharge, 3 months, and 6 months post-discharge using validated questionnaires and hospital records. Self-care and quality of life scores showed significant improvements over 6 months (<i>p</i> &lt; 0.001). Hospital readmission rates were 17.5% within the first month and 25.8% at 6 months, suggesting ongoing clinical challenges despite observed improvements in patient behaviors and perceived quality of life. These findings support the potential benefits of structured nurse-managed post-discharge care to promote better health outcomes in heart failure patients, but further controlled studies are needed to establish causal relationships.</p>

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Changes in self-care, readmissions, and quality of life are associated with nurse-led telephone support in heart failure patients

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月9日

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  • Ayda Ezatmand,
  • Akram Ghahramanian,
  • Arefeh Davoodi,
  • Mojgan Lotfi,
  • Azad Rahmani,
  • Mohammad Reza Taban Sadeghi,
  • Razieh Parizad

摘要

Heart failure is a chronic, progressive condition associated with frequent hospitalizations and reduced quality of life, especially in older adults. This prospective descriptive longitudinal study described changes in self-care behaviors, hospital readmission rates, and quality of life following a nurse-led telephone-based follow-up among 120 heart failure patients discharged from Shahid Madani Teaching Hospital in Tabriz, Iran. Data were collected at discharge, 3 months, and 6 months post-discharge using validated questionnaires and hospital records. Self-care and quality of life scores showed significant improvements over 6 months (p < 0.001). Hospital readmission rates were 17.5% within the first month and 25.8% at 6 months, suggesting ongoing clinical challenges despite observed improvements in patient behaviors and perceived quality of life. These findings support the potential benefits of structured nurse-managed post-discharge care to promote better health outcomes in heart failure patients, but further controlled studies are needed to establish causal relationships.