The Ottawa Decision-Making Supportive Framework-Based Nursing Care in the Outcome of Patients with Chronic Heart Failure

Abstract

Objective. To examine the psychological, compliance, and prognostic impact of care based on the Ottawa Decision Support Framework on patients with chronic heart failure. Methods. The medical profiles of 80 individuals with permanent heart failure from January 2020 to January 2021 were retrospectively analyzed. The care was provided in the framework of Ottawa Decision Support alongside the clinical standard of care. The self-assessment anxiety scale (SAS), Frankel treatment adherence scale, Minnesota quality of life questionnaire for heart failure, self-care competence scale (ESCA), complication rates, and readmission rates were compared prior to and postcare. Results. Following three-month nursing care, the score of the SAS scale was remarkably fewer, and the difference was statistically significant ( $P<0.05$ ). Three months of care later, the scores on the Frank Scale were substantially superior to those before care, and the difference was statistically significant ( $P<0.05$ ). Aftercare, the Minnesota quality of life questionnaire for heart failure was clearly inferior to precare, and the difference was statistically significant ( $P<0.05$ ). The ESCA scale scores were found to be considerably more favorable after three months of care than before care, and the difference was statistically significant ( $P<0.05$ ). After nursing care, one arrhythmia (1.25%) and one pulmonary infection (1.25%) were noted, and the difference was statistically significant ( $P<0.05$ ). The prevalence of complications was 2.50%, and the difference was statistically significant ( $P<0.05$ ). Three cases were readmitted for recurrent chronic heart failure, which was a 2.75% readmission rate. Conclusion. Continuous nursing based on the Ottawa Decision Support Framework has significant application value in an anxiety state, treatment compliance, and prognosis of patients with chronic heart failure, which can more effectively reduce patients’ anxiety and the incidence of complications and readmission rate, in the meanwhile, effectively improve treatment compliance, quality of life, self-care ability, and prognosis, which is worthy of clinical application.