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medRxiv PreprintsInternational10 November 2026

Nurse-Led Heart Failure Education and Patient Outcomes: A Mixed-Methods Prospective Registry Study

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Background Patient understanding of heart failure (HF) self-care varies widely and is inconsistently associated with clinical outcomes. We examined knowledge acquisition and patient experiences related to structured HF education using a patient handbook. Methods and Results Between April and December 2021, 56 patients hospitalized for acute HF (mean age 74 years, 35% women, 46% HFrEF) were enrolled from 176 screened patients at a single center. A 20-item knowledge assessment was administered before and after nurse led HF education and at first outpatient follow-up. Thirty patients met criteria
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