Development of a digital tool focused on self-care for patients with heart failure in a tertiary hospital
V Diaz, E Zamora, M Davins, M Verges, A Pulido, B Gonzalez, E Crespo, P Velayos, A Ros, S OrtizAbstract
Background
Digital health tools are increasingly integrated into healthcare, particularly in the management of patients with heart failure (HF). HF represents a major public health challenge due to high mortality, frequent hospitalisations and reduced quality of life. Although digital solutions for HF exist, few focus specifically on patient self-care, a key component of nursing-led management and prognostic improvement.
Aim
To develop a digital self-care tool for patients treated at the specialised Heart Failure Unit of our centre and to evaluate its preliminary implementation.
Methods
The digital tool was developed in collaboration with the Digital Transformation Department. The current care model and patient journey were analysed to identify patient needs and opportunities for improvement from a nursing perspective. Content, questionnaires, advice and exercises focused on self-care were designed in accordance with the European Society of Cardiology guidelines for HF. Patient feedback was collected through interviews and incorporated into the final version.
Results
The tool includes general and disease-specific information, educational nursing advice, learning games, challenges, daily self-care tasks and HF warning signs with recommended actions. A pilot study involving 32 patients identified areas for improvement, leading to the implementation of 10 modifications. A clinical trial is currently ongoing to assess the impact of the tool on patient health outcomes. To date, 156 patients have been recruited, 69 allocated to the intervention group. Recruitment is increasing steadily, and adherence to application use is high (94%).
Conclusion
Digital health tools support nursing-led care by promoting patient education, self-care and early detection of clinical deterioration in HF patients. Careful design, patient involvement and continuous evaluation are essential to maximise their impact on clinical outcomes and quality of care.