Capacity Management During the Hospital-to-Home Transition Period for Patients With Chronic Heart Failure

Objective Exploring the effects of the hospital-to-home transitional capacity management plan in patients with chronic heart failure.

Methods Patients with chronic heart failure who were hospitalized from December 2022 to August 2024 were selected as research subjects and randomly assigned to either a control group or an observation group, with 96 cases in each group. The control group received the conventional nursing plan, while the observation group received the hospital-to-home transitional volume management plan. The main outcome indicator was the rate of achieving dry weight targets two months after discharge. Secondary outcome indicators included self-care ability, and other outcome indicators included 6-minute walking distance and readmission rate. These outcomes were compared between the two groups.

Results Two months after discharge, the rate of achieving normal body weight in the observation group was higher than in the control group (P < 0.05), The 6-minute walking distance in the observation group was greater than in the control group (P < 0.05), The scores for self-care maintenance, self-care management, and self-care confidence in the observation group were all higher than those in the control group (P < 0.05), and the readmission rate in the observation group was lower than that in the control group (P < 0.05).

Conclusion The hospital-family transitional volume management program enhance the self-capacity management ability of patients with chronic heart failure, stabilize the volume load status, and provide a reference for self-capacity management of patients with chronic heart failure.