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Quality of life improves in patients with chronic heart failure and Cheyne‐Stokes respiration treated with adaptive servo‐ventilation in a nurse‐led heart failure clinic

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  • Margareth W Olseng
  • Brita F Olsen
  • Arild Hetland
  • May S Fagermoen
  • Morten Jacobsen

Abstract

Aims and objectives The aim of this study was to investigate if quality of life improved in chronic heart failure patients with Cheyne‐Stokes respiration treated with adaptive servo‐ventilation in nurse‐led heart failure clinic. Background Cheyne‐Stokes respiration is associated with decreased quality of life in patients with chronic heart failure. Adaptive servo‐ventilation is introduced to treat this sleep‐disordered breathing. Design Randomised, controlled design. Methods Fifty‐one patients (ranging from 53–84 years), New York Heart Association III‐IV and/or left ventricular ejection fraction ≤40% and Cheyne‐Stokes respiration were randomised to an intervention group who received adaptive servo‐ventilation or a control group. Minnesota Living with Heart Failure Questionnaire was used to assess quality of life at randomisation and after three months. Both groups were followed in the nurse‐led heart failure clinic. Result Adaptive servo ventilation improved quality of life‐scores both in a per protocol analysis and in an intention to treat analysis. Twenty‐one patients dropped out of the study, nine in the control and 12 in the intervention group. Conclusion Use of adaptive servo‐ventilation improved quality of life in chronic heart failure patients with Cheyne‐Stokes respiration. However, the drop‐out rate was high. Relevance to clinical practice Chronic heart failure patients come regularly to the nurse‐led heart failure clinic. The heart failure nurses’ competency has to include knowledge of equipment to provide support and continuity of care to the patients.

Suggested Citation

  • Margareth W Olseng & Brita F Olsen & Arild Hetland & May S Fagermoen & Morten Jacobsen, 2017. "Quality of life improves in patients with chronic heart failure and Cheyne‐Stokes respiration treated with adaptive servo‐ventilation in a nurse‐led heart failure clinic," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(9-10), pages 1226-1233, May.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:9-10:p:1226-1233
    DOI: 10.1111/jocn.13416
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    References listed on IDEAS

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    1. Rebecca Lucas & Jillian P Riley & Paresh A Mehta & Helen Goodman & Winston Banya & Kathleen Mulligan & Stanton Newman & Martin R Cowie, 2015. "The effect of heart failure nurse consultations on heart failure patients’ illness beliefs, mood and quality of life over a six‐month period," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(1-2), pages 256-265, January.
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