Review of the Research on Heart Failure - Paper Example

The research area investigate was the health issue based on heart failure. Heart failure is a major problem that does not only affect the old but also the young. The method of admission and readmission of these illnesses is investigated whereby the research indicates that different methods are used by the patients to treating them. Some patients are assisted by special nurses who offer specific management methods of helping heal these illnesses. Moreover, the other method is the use of specific nurses to help the victims get rid of this illness and later these patients use their own program to continue with the medication. The consequence of this study is essential because it has provided no further evidence to show the difference in the admission and the readmission of patients with this illness.

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The aim of the research was to explore and determine the appropriate cost of clinical effectiveness of self-management in controlling heart failure. The reason is because the self-management program enables patients to follow up their own progress while going through recovery. Self-management program empowers patients to manage their own conditions by adapting to the healthcare routines (Smith et al, 2014). Such lifestyles include monitoring their systems, taking their medicine at the required time, as well as are aware of the times they need medical assistance. If this aim is accomplished there will be no readmissions in hospitals.

The research design used was appropriate because they were able to depict major outcomes of the research. An experimentation research design is suitable for this research, whereby it would have involved males and females over the age of 18 who had a definitive diagnosis of symptoms of heart failure because they would have information about their own health, and would be able to read English which would provide consent (Ernest et al, 2016). Thus the research design was recruitment and randomisation where potential participants were identified by nurses and consultants from hospital dealing with heart failure victims. These participants were given written and verbal forms to fill concerning their health. After that, the eligible candidates for the research were divided in different ratios and used to research ways in which heart failure cane be reduced or increased.

Sampling was done in order to obtain the needed data while doing the research. The participants are described as patients who had popped in and out of the medical clinics that deal with helping patients with heart failure (Ernest et al, 2016). These patients were identified by different parties such as the nurses, heart consultant and the General Participants in the research. The method of inclusion was done by the computer which identified these patients and through the help of the New York Trials, they were reached via phones which did not disclose medical information of these participants. After the participants came the method of inclusion was first made by them themselves whereby they were guided on what was happening and were given written texts to go with the theme as they choose whether they will be part of the research.

This enabled some individuals to exclude themselves afterward with the remaining number individuals were rationed via the NHYA and the medical center. These ratios divided the participants into two groups. The division of the Individuals helped authorize the sampling techniques which used different intervention. Moreover, the first intervention involved the nurse and the heart failure plan which was the designated program. What is more is that this programs used various devices as a technique in the sampling. These techniques would help the researchers acquire the data and information they needed. Nonetheless, the techniques were the use of DVDs to promote relaxation of the intervention participants. The DVD played a slackening tape as the machines monitored the signs and symptoms these accomplices showed (Ernest et al, 2016). Some signs were observed through their blood test, medical assessments and via their referrals. What is more is that the interference contributors were educated of the procedure by the nurses. This enabled them to stay alerted and listen to how their bodies functioned through the entire process. After they were educated they were given the option to choose the program they most preferred. Thereafter, the contributors were sent back home and were instructed to come back after a few weeks so that their bodies can be examined. These examinations were expected to be of either success or failure. As a result in success would receive praise while that of failure would lead to further examinations.

The control groups are described as a collection of people who received the same reception as that of those in the involvement. However this assemblage was not guided by the educators, instead, the areas and goals they were to focus on had already been chosen for them. Despite the made selection they also went under the same technique of being medically examined via the blood test and other irrefutable valuations. The administration of relaxation DVDs was also run as they were sent home as they waited for the next check-up.

The appropriateness of this allocation was evident in the outcomes. The reason is patients came back to the medical institution as instructed after the three, six and twelve months. The primary outcome proved the appositeness of the performance since the procedure in the program was followed as expected (Allender et al, 2016). The secondary consequence also proved the suitability of the methods when the partaker's health indicated the value of life in human beings. This value was subjected to the reduction of chances to suffer from heart failure. The conclusion was measured by the levels of anxiety, Minnesota Living with heart failure Organisation and the level of depression in the participants.

After the research was done there were two variables one was the dependent and the other was the independent variable. The dependent variable was the control group which had a primary and secondary outcome. It is clear that its primary outcome indicated no admission of victims after the twelve months duration. The group had purposed to refer to the admitted people as an earlier assessment. This shows the dependent variable provided no evidence of any readmission scenario. However, in the secondary outcome, the researchers used different scales to collect data (Allender et al, 2016). Data was collected twice so that they researchers would be able to compete for the treatment of the participants. This led to the correlation of repeated assessments within an individual. Another way in which data was collected was the collection of the numbers of the people who had reduced risk of heart failures. This data was collected through the measure of the depression levels. However, this study concluded that older individuals had reduced risks compared to the younger persons. In addition, the number of deaths felt through the research was also collected. During this period a few [people were not able to escape their fate and ended up dying some formed the Independent variable known as the Intervention participant. The independent variable posed a non-expected outcome whereby there was no difference between the outcomes in the dependent variable.

The concept of reliability and variability comes in at the conclusion based on the results whereby there is no evidence to show which method is better than the other. Despite the fact that the control group had no guidance throughout the procedure it was noted that some of these individuals placed calls and asked the nurses for guidance. This interfered with the methodology because a nurse had to help despite the fact that they were previously asked not to. A nurse failing to help would be a violation of medical ethics. Based on the independent variable, in this case, the intervention group the following up by the nurses and patients and vice versa went on decreasing. Therefore the calls became limited from one call per week to a month and later a year (Smith et al, 2014). However, the data analysis methods are appropriate because there was the mention of all variable as well as the investigation of them one by one. The appropriateness also comes in when the researchers base their study on the dead victims and the weekly, monthly and yearly data.

However, according to Jovicic's system review (2006), the education offered to the two variables posed a great difference between the two parties. This is because the intervention group had a greater health advantage to the control group. According to her this group should have provided better outcomes than the other. In addition, Khumolz et al (2002) stated that the follow-up by phone should have been avoided. This means that their outcomes could have provided evidence of the difference among the two groups. In relation to the generalization of other settings is that the research did not provide any uniqueness. This is because there was no upper hand which illustrated in the research. Despite the fact that the British Heart Foundation followed on the design study and analysis the research was still a failure. On the positive side is that the participants who received education on the program have Learnt more about how to control heart failure as well as watching their lifestyles

References

Allender, S., Scarborough, P., Peto, V., & Rayner, M. (2016). European cardiovascular disease statistics, 2008 edition. British Heart Foundation Statistics. 2008.

Ernst, M. E., Davis, B. R., Soliman, E. Z., Prineas, R. J., Okin, P. M., Ghosh, A., ... & ALLHAT Collaborative Research Group. (2016). Electrocardiographic measures of left ventricular hypertrophy in the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial. Journal of the American Society of Hypertension, 10(12), 930-938.

Smith, S., Blair, S., & Bonow, R. (2014). AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 update. American Heart Association website.