Evidence-based practice for patients with Congestive Heart Failure is perceived to be one of the most effective forms of healthcare, leading to consistentlty positive outcomes. When evaluating the factors that contribute to the likelihood of a CHF patient developing an exacerbation, a range of independent and dependent variables may be identified. As with other research projects, independent variables then may be evaluated on their own, while dependent variables are generally shaped by circumstances and other data entries.
Interventions in the cases of CHF may be home-based or institutionalized, with the variables involved altering depending on the setting. In a clinical setting, the efficiency of such intervention relies on the state of medical equipment and the skill of a medical professional, including their experience with biventricular pacing therapy (Dionne-Odom, 2020). In a home setting, the success of an intervention correlates with whether a patient has been receiving guidance and advice from their doctor throughout the illness history. Other independent variables involve the factors affecting the general physical condition of a patient: their medical history, age, and gender, as well as lifestyle-related details.
When researching the likelihood of the CHF exacerbation emergencies, multiple studies have accounted for the predisposing factors in patient’s behaviours or conditions. These factors may be considered independent variables and include non-compliance with salt restrictions, use of study medications, and inappropriate reduction of CHF therapy. Additionally, existing chronic illnesses such as arrythmia may increase the likelihood of a CHF exacerbation incident (Crane et al., 2018). Scientists currently share the opinion that the majority of these triggers are easily avoidable in daily life. Yet when discussing the EBP for CHF one must take into account even some of the most unfortunate statistically significant sources.
Crane, C., Hertel, A., Hobza, C., & Menard, J. R. (2018). Does hypertonic saline infusion with furosemide improve outcomes for patients with acute CHF exacerbation?. Evidence-Based Practice, 21(2), E5-E6. doi: 10.1097/01.EBP.0000541983.39580.2f
Dionne-Odom, J. N., Ejem, D. B., Wells, R., Azuero, A., Stockdill, M. L., Keebler, K.,… & Bakitas, M. A. (2020). Effects of a telehealth early palliative care intervention for family caregivers of persons with advanced heart failure: the ENABLE CHF-PC randomized clinical trial. JAMA network open, 3(4), e202583-e202583. doi:10.1001/jamanetworkopen.2020.2583