Effect of Self- monitorin Program on Outcomes of Heart Failure: a Literature Review

Heart Failure (HF) is a chronic, and progressive disease with increasing prevalence. Self-monitoring program leads to recognize of decompensated HF symptoms and taking early proper action. However, its potential for improvement of HF outcomes has remained as a question. The aim of this literature review was to study the effect of self- monitoring program on outcomes of HF.Materials and Methods: In this narrative review, databases such as Pubmed, Scopus, Web of science, Embase, Cochrane library was used to data collection. Searching was conducted in 27 Feb. 2017 for published articles between 1961- 2017 by the keywords self-monitoring , heart failure , outcome , and their English synonyms without language limitation. Inclusion criteria were content similarity to subject understudy, clinical trial study design, and self-monitoring of weight and recording it in a diary by patient with HF.Results: Out of 13924 retrieved articles, title and abstract of 8384 paper were screened for inclusion criteria. Full- text of 20 related paper were downloaded. Finally, data related to 12 paper published between 1998 to 2014 were reviewed. Outcomes of self-monitoring program included HF- related hospitalization and Emergency Department (ED) visit, mortality, self-care, quality of life and other outcomes such as disease knowledge, phone call to health cate provider, Ejection Fraction (EF), HF NYHA function class, BNP, and care cost.Conclusion: Self- monitoring program has led to improve in HF outcomes. Therefore, giving weight and other symptoms self-monitoring diary beside self-care education will be recommended in order to increase patient s engagement in his/ her care.

Keywords:

Self-monitoring , Outcomes , Heart Failure