Developing a volume control innovation for elderly with congestive heart failure
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Abstract
Maintaining effective volume balance through monitoring and control is crucial for preventing volume overload in patients with congestive heart failure (CHF). The purpose of the study was to develop and test a volume control innovation for elderly with CHF. The study applied the design thinking model to create this innovation. Research instruments included a questionnaire to assess the structure and function of volume control system, as well as a checklist for accuracy testing. These instruments were evaluated by experts and yielded an index of item objective congruence value ranging from 0.67 to 1.00. The questionnaire assessing user satisfaction, also evaluated by experts, showed a content validity index of 1.00. The study sample included 26 participants: 21 elderly individuals with CHF and 5 healthcare professionals. The volume control innovation consists of a sensor-based device that measures volume intake and output, along with web applications for both elderly users and healthcare professionals. Results showed that all accuracy tests―including alert when volume intake reached a specified limit, measurement of volume intake and output, automatically calculation of appropriate daily water intake, display of user information on a web application, and storage and recording of user data―achieved 100% accuracy. Elderly participants with CHF reported high satisfaction with the innovation, and healthcare professionals also expressed high satisfaction. The study recommends future research to explore the effectiveness of fluid self-management in elderly individuals with CHF.
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References
Apiromrat, R. (2017). Promotion of quality of life among patients with congestive heart failure. Thai Journal of Cardio-Thoracic Nursing, 28(2), 1–4.
Buakhamsri, A., Chirakarnjanakorn, S., Sanguanwong, S., Porapakkham, P., and Kanjanavanich, R. (2019). Heart failure council of Thailand (HFCT) 2019 heart failure guideline: Pharmacologic treatment of chronic heart failure-part I. Journal of the Medical Association of Thailand, 102(2), 240–244.
Cheevakasemsook, A. (2021). Digital technology for patient care: An essential for cardio-thoracic nurses in the 21st century. Thai Journal of Cardio-Thoracic Nursing, 32(1), 2–13. [in Thai]
Choi, E.-Y., Park, J.-S., Min, D., Ahn, S., and Ahn, J.-A. (2023). Heart failure-smart life: A randomized controlled trial of a mobile app for self-management in patients with heart failure. BMC Cardiovascular Disorders, 23, 7.
Cohen, R., Fernie, G., and Fekr, A. R. (2021). Fluid intake monitoring systems for the elderly: A review of the literature. Nutrients, 13(6), 2092.
Feijen, M., Egorova, A. D., Beeres, S. L. M. A., and Treskes, R. W. (2021). Early detection of fluid retention in patients with advanced heart failure: A review of a novel multisensory algorithm, HeartLogicTM. Sensors, 21(4), 1361.
Gwangwava, N. (2021). Learning design thinking through a hands-on learning model. International Journal of Innovative Teaching and Learning in Higher Education, 2(1), 1–19.
Heiney, S. P., Donevant, S. B., Adams, S. A., Parker, P. D., Chen, H., and Levkoff, S. (2020). A smartphone app for self-management of heart failure in older African Americans: Feasibility and usability study. JMIR Aging, 3(1), e17142.
Jaarsma, T., Hill, L., Bayes-Genis, A., Brunner La Rocca, H.-P., Castiello, T., Čelutkienė, J., Marques-Sule, E., Plymen, C. M., Piper, S. E., Riegel, B., Rutten, F. H., Ben Gal, T., Bauersachs, J., Coats, A. J. S., Chioncel, O., Lopatin, Y., Lund, L. H., Lainscak, M., Moura, B., . . . Strömberg, A. (2021). Self‐care of heart failure patients: Practical management recommendations from the heart failure association of the European society of cardiology. European Journal of Heart Failure, 23(1), 157–174.
Lefler, L. L., Rhoads, S. J., Harris, M., Funderburg, A. E., Lubin, S. A., Martel, I. D., Faulkner, J. L., Rooker, J. L., Bell, D. K., Marshall, H., and Beverly, C. J. (2018). Evaluating the use of mobile health technology in older adults with heart failure: Mixed-methods study. JMIR Aging, 1(2), e12178.
Lin, N., Chen, X., Huang, X., Liu, D., Wu, Z., Guo, Y., and Li, H. (2020). Evaluation of simplified fluid intake and output recording schemes for the self-management in patients with heart failure: A randomized controlled trial. Research Square, 1–18.
Luštrek, M., Bohanec, M., Cavero Barca, C., Ciancarelli, M. C., Clays, E., Dawodu, A. A., Derboven, J., De Smedt, D., Dovgan, E., Lampe, J., Marino, F., Mlakar, M., Pioggia, G., Puddu, P. E., Rodríguez, J. M., Schiariti, M., Slapničar, G., Tartarisco, G., Valič, J., and Vodopija, A. (2021). A personal health system for self-management of congestive heart failure (HeartMan): Development, technical evaluation, and proof-of-concept randomized controlled trial. JMIR Medical Informatics, 9(3), e24501.
McDonagh, T. A., Metra, M., Adamo, M., Gardner, R. S., Baumbach, A., Böhm, M., Burri, H., Butler, J., Čelutkienė, J., Chioncel, O., Cleland, J. G. F., Coats, A. J. S., Crespo-Leiro, M. G., Farmakis, D., Gilard, M., Heymans, S., Hoes, A. W., Jaarsma, T., Jankowska, E. A. J., . . . Skibelund, A. K. (2021). 2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the task force for the diagnosis and treatment of acute and chronic heart failure of the European society of cardiology (ESC) with the special contribution of the heart failure association (HFA) of the ESC. European Heart Journal, 42(36), 3599–3726.
Michelsen, C. F., Svendsen, M. B. S., Bagger, M. L., and Konradsen, H. (2022). A study on accuracy and precision of fluid volume measurements by nurses, patients, and healthy persons in a clinical setting. Nursing Open, 9(2), 1303–1310.
Promwong, W., and Meenongwah, J. (2019). Fluid self-management in heart failure patients. Vajira Medical Journal: Journal of Urban Medicine, 63(4), 297–304.
Roberts, J. P., Fisher, T. R., Trowbridge, M. J., and Bent, C. (2016). A design thinking framework for healthcare management and innovation. Healthcare (Amsterdam, Netherlands), 4(1), 11–14.
Simpson, D., and McIntosh, R. (2021). Measuring and monitoring fluid balance. British Journal of Nursing, 30(12), 706–710.
Srinivas, G. (2021). Healthcare innovation and design thinking. Karnataka Paediatric Journal, 36(2), 87–93.
Stickel, S., Gin-Sing, W., Wagenaar, M., and Gibbs, J. S. R. (2019). The practical management of fluid retention in adults with right heart failure due to pulmonary arterial hypertension. European Heart Journal Supplements, 21, K46–K53.
Tongdee, J., and Boongchieng, W. (2017). Healthcare service system for the elderly and Thailand 4.0 model. Nursing Journal CMU, 44(1), 138–150.
Woods, L. S., Walker, K. N., and Duff, J. S. (2018). Perceptions of fluid restriction self-care in heart failure. British Journal of Cardiac Nursing, 13(5), 236–242.
Wilson, J., Heinsch, M., Betts, D., Booth, D., and Kay-Lambkin, F. (2021). Barriers and facilitators to the use of e-health by older adults: A scoping review. BMC Public Health, 21, 1556.
