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Adult nursing
Multidisciplinary disease management programme with or without exercise training may reduce heart failure-related rehospitalisation
  1. Lesley Collier
  1. Nursing, University of Coventry, Scarborough, Scarborough, UK
  1. Correspondence to Dr Lesley Collier, Department of Nursing, University of Coventry, Scarborough YO11 2JW, UK; aa9804{at}

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Commentary on: Liu M, Wang C, Tung T, et al. Effects of a multidisciplinary disease management programme with or without exercise training for heart failure patients: secondary analysis of a randomized controlled trial. Int J Nursing 2018;8:94–102.

Implications for practice and research

  • The inclusion of exercise training within a multidisciplinary disease management programme (MDP) may reduce rates of heart failure (HF)-related rehospitalisation.

  • When exercise is contraindicated, an MDP may reduce HF-related rehospitalisation rates for 12 months after discharge for an HF-related hospital stay.


Advances in the management of HF mean survival rates for patients with HF are increasing.1 While management of HF is focused around medicine regimens, lifestyle changes such as weight maintenance, smoking cessation and exercise are encouraged so patients may manage their symptoms more effectively.1 MDPs with structured patient education are …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.