A Nurse-led Coaching Programme With Telemonitoring in Heart Failure

Summary

The goal of this pilot interventional study is to assess the feasibility and acceptability of a supportive intervention for patients affected by heart failure. The main questions it aims to answer are: * Are implementation strategies effective in facilitating participant fidelity? * What factors contribute to patients' satisfaction with the designed intervention, and how can these be optimized for improved patient experience and adherence? * Are the methods and tools established the most appropriate to ensure the completeness of the data collection? Participants will follow a combined intervention consisting of: 1. pre-discharge educational meeting; 2. telephone nurse-led coaching sessions; 3. home telemonitoring of vital signs. In the main trial, researchers will compare data from the intervention group with a control group to assess whether it reduces hospitalization rates and improves self-care capabilities

Eligibility

Inclusion Criteria:

* aged 65 and over
* hospitalized for cardiac decompensation, regardless of ejection fraction (FE) value (preserved or decreased)
* expected to be discharged home will be considered eligible.

Exclusion Criteria:

* Individuals who lack the cognitive and/or physical capabilities (Mini-COG +) for self-monitoring of vital signs, and without a caregiver available to assist them
* people who receive other medical services

Conditions6

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