Self-Management Counseling May Not Aid in Heart Failure

Addition of counseling to education results in no improvement in heart failure outcomes
By Monica Smith
HealthDay Reporter

TUESDAY, Sept. 21 (HealthDay News) -- Self-management counseling in addition to an enhanced educational intervention for patients with mild to moderate heart failure does not appear to have any benefit over the educational intervention alone, according to research published in the Sept. 22/29 issue of the Journal of the American Medical Association.

Lynda H. Powell, Ph.D., of the Rush University Medical Center in Chicago, and colleagues studied outcomes in 902 patients with mild to moderate heart failure and reduced or preserved systolic function randomized to either heart failure education with self-management counseling or education alone. The primary end point was death or heart failure hospitalization.

The researchers found no difference between the two groups in the rate of death or heart failure hospitalization during the median 2.56 years' follow-up. Also, no significant differences were found in the trial's secondary outcomes of death, heart failure hospitalization, all-cause hospitalization, or quality of life.

"There appears to be no benefit from self-management counseling on important clinical end points in patients with heart failure. However, given the epidemic of heart failure burdening the health care system, identification of innovative and cost-effective approaches to outpatient management is urgently needed. Future trials might evaluate the benefit of self-management counseling in low-income patients," the authors conclude.

One author disclosed financial ties to Novartis.

Abstract
Full Text
Editorial (subscription or payment may be required)

Copyright © 2010 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events