S'abonner

Supportive Care Interventions to Promote Health-Related Quality of Life in Patients Living With Heart Failure: A Systematic Review and Meta-Analysis - 30/10/20

Doi : 10.1016/j.hlc.2020.04.019 
Martha Kyriakou, BSc, MSc a, b, , Nicos Middleton, MSc, PhD b, Sofia Ktisti, BSc, MSc a, Katerina Philippou, BSc, MSc b, Ekaterini Lambrinou, BSc, MSc, PhD b
a Nicosia General Hospital, Nicosia, Cyprus 
b Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus 

Corresponding author at: Cyprus University of Technology, 15, Vragadinou Str, 3041 Limassol, Cyprus.Cyprus University of Technology, 15, Vragadinou Str3041 LimassolCyprus

Abstract

Supportive care (physical, psychosocial, and spiritual) may be beneficial as a coping resource in the care of patients with heart failure (HF). Nurses may provide individualised supportive care to offer positive emotional support, enhance the patients' knowledge of self-management, and meet the physical and psychosocial needs of patients with HF. The aim of this study was to examine the potential effectiveness of supportive care interventions in improving the health- related quality of life (HRQoL) of patients with HF. Related outcomes of depression and anxiety were also examined. A systematic search of PubMed, CINAHL, and the Cochrane Library was performed to locate randomised controlled trials (RCTs) that implemented any supportive care interventions in patients with HF published in the English language. Identified articles were further screened for additional studies. Ten (10) RCTs were selected for the meta-analysis. Effect sizes were estimated between the comparison groups over the overall follow-up period, and presented along with confidence intervals (CIs). Statistical heterogeneity for each comparison was estimated using Q (chi square test) and I2 statistics with 95% CIs. Statistical heterogeneity was observed in all study variables (i.e., HRQoL and dimensions). There was a positive, but not statistically significant, effect of social support on HRQoL (mean difference [MD], 5.31; 95% CI, −8.93 to 19.55 [p=0.46]). The results of the two dimensions suggested a positive and statistically significant effect of the supportive care interventions (physical: MD, 7.90; 95% CI, 11.31–4.50 [p=0.00]; emotional dimension: MD, 4.10; 95% CI, 6.14–2.06; [p=0.00]). The findings of the current study highlight the need to incorporate supportive care to meet the needs of patients with HF. Patients with HF have care needs that change continuously and rapidly, and there is a need of a continuous process in order to address the holistic needs of patients with HF at all times and not just in a cardiology department or an acute care setting. Patients with HF have multiple needs, which remain unmet. Supportive care is a holistic, ongoing approach that may be effective in identifying and meeting the care needs of patients with HF along with the patient. This review includes all interventions provided in individuals with HF, giving clinicians the opportunity to choose the most suitable ones in improving the clinical outcomes of their patients with HF.

Le texte complet de cet article est disponible en PDF.

Keywords : Cardiovascular nursing, Heart failure, Meta-analysis, Quality of life, Supportive care


Plan


© 2020  Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Publié par Elsevier Masson SAS. Tous droits réservés.
Ajouter à ma bibliothèque Retirer de ma bibliothèque Imprimer
Export

    Export citations

  • Fichier

  • Contenu

Vol 29 - N° 11

P. 1633-1647 - novembre 2020 Retour au numéro
Article précédent Article précédent
  • CT-Derived Fractional Flow Reserve (CT-FFR) in the Evaluation of Coronary Artery Disease
  • Nancy Khav, Abdul Rahman Ihdayhid, Brian Ko
| Article suivant Article suivant
  • Age and Clinical Presentation for Primary Spontaneous Pneumothorax
  • Marco Ghisalberti, Francesco Guerrera, Andrea De Vico, Luca Bertolaccini, Angela De Palma, Alfonso Fiorelli, Piero Paladini, Enrico Ruffini, Roberto Crisci, Mario Nosotti, Paolo Mendogni

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

Mon compte


Plateformes Elsevier Masson

Déclaration CNIL

EM-CONSULTE.COM est déclaré à la CNIL, déclaration n° 1286925.

En application de la loi nº78-17 du 6 janvier 1978 relative à l'informatique, aux fichiers et aux libertés, vous disposez des droits d'opposition (art.26 de la loi), d'accès (art.34 à 38 de la loi), et de rectification (art.36 de la loi) des données vous concernant. Ainsi, vous pouvez exiger que soient rectifiées, complétées, clarifiées, mises à jour ou effacées les informations vous concernant qui sont inexactes, incomplètes, équivoques, périmées ou dont la collecte ou l'utilisation ou la conservation est interdite.
Les informations personnelles concernant les visiteurs de notre site, y compris leur identité, sont confidentielles.
Le responsable du site s'engage sur l'honneur à respecter les conditions légales de confidentialité applicables en France et à ne pas divulguer ces informations à des tiers.


Tout le contenu de ce site: Copyright © 2024 Elsevier, ses concédants de licence et ses contributeurs. Tout les droits sont réservés, y compris ceux relatifs à l'exploration de textes et de données, a la formation en IA et aux technologies similaires. Pour tout contenu en libre accès, les conditions de licence Creative Commons s'appliquent.