Health-related quality of life of patients with heart failure using noninvasive telemonitoring systems with and without visiting nursing support: A longitudinal observational study

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  • Sano Motohiro
    Graduate School of Nursing, Chiba University
  • Okada Sho
    Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine
  • Majima Tomoko
    Graduate School of Nursing, Chiba University
  • Kobayashi Yoshio
    Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine

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<p>Objective: This study aims to measure the health-related quality of life (HR-QOL) of patients with heart failure (HF) after using two types of telemonitoring (TM) tools and to evaluate which type of tool contributes to improving patient outcomes. Methods: We measured the HR-QOL and psychological status of patients with HF after using two types of TM systems (smartphone application or web-based), and the data from baseline to six months were compared. Results: A total of 24 patients with HF completed the study period of six months. The mean age of the participants was 60.58 ± 12.81 years, and 70.8% were male. The major differences between the study groups comprised support and access to home visit services. The physical HR-QOL scores increased significantly from baseline to six months in the web-based group (baseline vs. six months, 4.04 ± 1.02 vs. 4.58 ± 1.18, p =.034), but no significant difference (baseline vs. six months, 5.05 ± 1.00 vs. 5.20 ± 1.24, p =.410) was found in the smartphone application group. The mean scores for anxiety and depression in both groups were not significantly different. Conclusions: Using the TM system for patients with HF may improve global HR-QOL and psychological status. In addition, adding nursing support using a TM system may be more effective in improving patient-reported outcomes.</p>

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