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Background: Several chronic diseases are highly associated with disability, requiring a high level of health-care service. Congestive Heart Failure (CHF) represents one of the most frequent chronic diseases associated with poor quality of life, reduced social activity and patient mobility, especially in old patients. During CHF management, both the patient and caregivers should hold an active role in the type of necessary care need. Considering that the majority of patients (or caregivers) are not completely aware of the necessary care plan, direct medical supervision is crucial. According to the recent national guidelines on tele-homecare, an in-depth reorganization of health care is necessary to identify needs from the hospital setting to homecare management in urban area, which in turn will play an important role on improving personal independency levels and quality of life. Aim of our study: In contemporary literature there is a lack of clinical trials for evaluating the impact of telemedicine on quality of life in elderly population affected by cardiovascular disease. The aim is to identify variables associated with improved quality of life of older people with CHF who lives in urban area of medium sized city, (Ancona, Italy). Methods: Tele-homecare for CHF combined with health education courses, addressed to both the patient and caregiver, followed by weekly tele-monitoring of patient vitals. A web-based patient interface technology using medical devices equipped with a software platform, capable of monitoring, recording and sending to cardiology department. The study started in June 2014 and lasted for 12 months. Results: This is a pilot study with patients undergoing training sessions to recognize acute signs and symptoms of heart failure including feedback on learning and self-management skills of the disease. By using Kansas city Cardiomyopathy questionnaire before and after intervention, we obtain improvement in symptom frequency, stability and symptom burden score, as well as in self efficacy and quality of life score.

journal of clinical trials in cardiology

Cardiology Tele-Homecare Monitoring In Older Patients with Congestive Heart Failure Enhances the Quality of Care in Chronic Disease Management- Pilot Project