How to care for patients with heart failure - A systematic review of nursing interventions
Main Author: | |
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Publication Date: | 2022 |
Other Authors: | |
Format: | Article |
Language: | eng |
Source: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Download full: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-77702022000200013 |
Summary: | Abstract: Background: Heart Failure (HF) is a highly dysfunctional disease, with impact on the biopsychosocial dimensions of the patients. The worldwide progressive growth of HF incidence, caused by longer life expectancy, results in higher HF rehospitalization rates. HF patients’ rehospitalization is mostly a result of avoidable causes, including limitations in knowledge regarding HF self-care and impaired therapeutic adherence; therefore, the intervention of nurses is essential. Goals: To identify nursing interventions to address alterations in Basic Human Needs (BHN) and to promote relief of symptoms for HF patients as they transition from hospital to home, including follow-up care. Method: A systematic review in CINAHL and MEDLINE databases to answer the study question: In patients with HF, what nursing interventions help to improve BHN, promote relief of symptoms and aid the transition from hospital to home? Results: Nine studies were included. Nursing interventions focused on relief of symptoms during hospitalization to promote well-being and the individual’s health status. Preparing the patient’s transition from hospital to home earlier in their admission allows for the identification and adequate response to patient needs. Language adaptation during health education and a periodic follow-up were effective measures to promote independence in HF self-care and to reduce mortality and rehospitalization rates. Even though these interventions show positive results, they are not frequently used in clinical practice given a lack of specialized education about HF among healthcare professionals and empowerment culture, as well as an incapacity for adequate patient follow-up. Final Considerations: The nurse is responsible for helping the patient to develop skills to manage their symptoms (e.g., recognize relevant symptoms) and the therapeutic regimen; if successfully achieved, this promotes empowerment, thus reducing readmissions and promoting well-being. |
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How to care for patients with heart failure - A systematic review of nursing interventionsNursing careNursing diagnosisHeart failureHospitalizationTransitional Care.Abstract: Background: Heart Failure (HF) is a highly dysfunctional disease, with impact on the biopsychosocial dimensions of the patients. The worldwide progressive growth of HF incidence, caused by longer life expectancy, results in higher HF rehospitalization rates. HF patients’ rehospitalization is mostly a result of avoidable causes, including limitations in knowledge regarding HF self-care and impaired therapeutic adherence; therefore, the intervention of nurses is essential. Goals: To identify nursing interventions to address alterations in Basic Human Needs (BHN) and to promote relief of symptoms for HF patients as they transition from hospital to home, including follow-up care. Method: A systematic review in CINAHL and MEDLINE databases to answer the study question: In patients with HF, what nursing interventions help to improve BHN, promote relief of symptoms and aid the transition from hospital to home? Results: Nine studies were included. Nursing interventions focused on relief of symptoms during hospitalization to promote well-being and the individual’s health status. Preparing the patient’s transition from hospital to home earlier in their admission allows for the identification and adequate response to patient needs. Language adaptation during health education and a periodic follow-up were effective measures to promote independence in HF self-care and to reduce mortality and rehospitalization rates. Even though these interventions show positive results, they are not frequently used in clinical practice given a lack of specialized education about HF among healthcare professionals and empowerment culture, as well as an incapacity for adequate patient follow-up. Final Considerations: The nurse is responsible for helping the patient to develop skills to manage their symptoms (e.g., recognize relevant symptoms) and the therapeutic regimen; if successfully achieved, this promotes empowerment, thus reducing readmissions and promoting well-being.Ludomedia2022-10-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-77702022000200013New Trends in Qualitative Research v.11 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-77702022000200013Sá,Maria do CéuNabais,Anainfo:eu-repo/semantics/openAccess2024-02-06T17:33:19Zoai:scielo:S2184-77702022000200013Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:35:43.452323Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
How to care for patients with heart failure - A systematic review of nursing interventions |
title |
How to care for patients with heart failure - A systematic review of nursing interventions |
spellingShingle |
How to care for patients with heart failure - A systematic review of nursing interventions Sá,Maria do Céu Nursing care Nursing diagnosis Heart failure Hospitalization Transitional Care. |
title_short |
How to care for patients with heart failure - A systematic review of nursing interventions |
title_full |
How to care for patients with heart failure - A systematic review of nursing interventions |
title_fullStr |
How to care for patients with heart failure - A systematic review of nursing interventions |
title_full_unstemmed |
How to care for patients with heart failure - A systematic review of nursing interventions |
title_sort |
How to care for patients with heart failure - A systematic review of nursing interventions |
author |
Sá,Maria do Céu |
author_facet |
Sá,Maria do Céu Nabais,Ana |
author_role |
author |
author2 |
Nabais,Ana |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Sá,Maria do Céu Nabais,Ana |
dc.subject.por.fl_str_mv |
Nursing care Nursing diagnosis Heart failure Hospitalization Transitional Care. |
topic |
Nursing care Nursing diagnosis Heart failure Hospitalization Transitional Care. |
description |
Abstract: Background: Heart Failure (HF) is a highly dysfunctional disease, with impact on the biopsychosocial dimensions of the patients. The worldwide progressive growth of HF incidence, caused by longer life expectancy, results in higher HF rehospitalization rates. HF patients’ rehospitalization is mostly a result of avoidable causes, including limitations in knowledge regarding HF self-care and impaired therapeutic adherence; therefore, the intervention of nurses is essential. Goals: To identify nursing interventions to address alterations in Basic Human Needs (BHN) and to promote relief of symptoms for HF patients as they transition from hospital to home, including follow-up care. Method: A systematic review in CINAHL and MEDLINE databases to answer the study question: In patients with HF, what nursing interventions help to improve BHN, promote relief of symptoms and aid the transition from hospital to home? Results: Nine studies were included. Nursing interventions focused on relief of symptoms during hospitalization to promote well-being and the individual’s health status. Preparing the patient’s transition from hospital to home earlier in their admission allows for the identification and adequate response to patient needs. Language adaptation during health education and a periodic follow-up were effective measures to promote independence in HF self-care and to reduce mortality and rehospitalization rates. Even though these interventions show positive results, they are not frequently used in clinical practice given a lack of specialized education about HF among healthcare professionals and empowerment culture, as well as an incapacity for adequate patient follow-up. Final Considerations: The nurse is responsible for helping the patient to develop skills to manage their symptoms (e.g., recognize relevant symptoms) and the therapeutic regimen; if successfully achieved, this promotes empowerment, thus reducing readmissions and promoting well-being. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-10-01 |
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info:eu-repo/semantics/article |
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http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-77702022000200013 |
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http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-77702022000200013 |
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eng |
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eng |
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http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-77702022000200013 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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text/html |
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Ludomedia |
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New Trends in Qualitative Research v.11 2022 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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