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

https://doi.org/10.59598/ME-2305-6053-2025-116-3-142-147

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.

About the Authors

A. Kushugulova
University Medical Center Corporate Fund; Microbiome Laboratory, Center for Life Sciences of the National Laboratory Astana
Kazakhstan

010000, Astana с., Turan ave., 38

010000, Astana c., Kabanbay Batyr ave., 53



M. Bekbosynova
University Medical Center Corporate Fund
Kazakhstan

010000, Astana с., Turan ave., 38



S. Jetybayeva
University Medical Center Corporate Fund
Kazakhstan

010000, Astana с., Turan ave., 38



M. Isupova
University Medical Center Corporate Fund
Kazakhstan

010000, Astana с., Turan ave., 38



A. Joldybayeva
University Medical Center Corporate Fund
Kazakhstan

010000, Astana с., Turan ave., 38



А. Sailybaeva
University Medical Center Corporate Fund
Kazakhstan

010000, Astana с., Turan ave., 38



A. Taukelova
University Medical Center Corporate Fund
Kazakhstan

010000, Astana с., Turan ave., 38



Zh. Duisenbina
University Medical Center Corporate Fund
Kazakhstan

Zhadyra Duisenbina  

010000, Astana с., Turan ave., 38



References

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3. Batra G., Aktaa S., Benson L., Dahlström U., Hage C., Savarese G., Vasko P., Gale C.P., Lund L.H. Association between heart failure quality of care and mortality: a population-based cohort study using nationwide registries. Eur. J. Heart Fail. 2022; 24: 2066-2077.

4. Schrage B., Lund L.H., Benson L., Braunschweig F., Ferreira J.P., Dahlström U., Metra M., Rosano G.M.C., Savarese G. Association between a hospitalization for heart failure and the initiation/discontinuation of guidelinerecommended treatments: An analysis from the Swedish Heart Failure Registry. Eur. J. Heart Fail. 2023; 25: 1132-1144.

5. Lambrinou E., Protopapas A., Paikousis L., Middleton N., Papathanassoglou E.D.E., Sourtzi P., Kaloyirou F. Effectiveness of a multicentre randomised controlled trial of three nursing interventions for the management of patients with heart failure: key findings from the MEETinCY study. Eur. J. Cardiovasc. Nurs. 2025; 24 (2): 290-300


Review

For citations:


Kushugulova A., Bekbosynova M., Jetybayeva S., Isupova M., Joldybayeva A., Sailybaeva А., Taukelova A., Duisenbina Zh. APPROACHES TO OUTPATIENT MANAGEMENT OF PATIENTS WITH HEART FAILURE: FUNCTIONS AND TASKS OF A NURSE. Medicine and ecology. 2025;(3):142-147. https://doi.org/10.59598/ME-2305-6053-2025-116-3-142-147

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ISSN 2305-6045 (Print)
ISSN 2305-6053 (Online)