APPROACHES TO OUTPATIENT MANAGEMENT OF PATIENTS WITH HEART FAILURE: FUNCTIONS AND TASKS OF A NURSE

2025

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DOI 10.59598/me-2305-6053-2025-116-3-142-147
Data confidence 70 medium
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Abstract

functions and responsibilities of nurses in a heart failure clinic, using the example of the Chronic heart failure unit at the The Heart Center of the University Medical Center Corporate Foundation. Materials and methods. This study is based on the practical experience of managing patients in the chronic heart failure clinic, which has been operating since 2014. Retrospective data from 2022 – 2024 were used, including quantitative indicators, frequency of decompensations, therapy adherence, and participation in postoperative follow-up. Results and discussion. From 2022 to 2024, more than 4,000 patients were consulted. The number of patients who achieved optimal pharmacotherapy was 765 in 2022, 1,153 in 2023, and 1,107 in the first 9 months of 2024. The implementation of remote monitoring and nurse-led self-management significantly reduced hospitalization rates and improved patient awareness. Key nursing responsibilities include monitoring, education, psychological support, and coordination of interdisciplinary care. Conclusion. Outpatient management of patients with chronic heart failure requires an interdisciplinary approach, with nurses playing a central role. The effectiveness of care increases through the integration of digital technologies, educational programs, and personalized care pathways.