How to care for patients with heart failure – A systematic review of nursing interventions

Detalhes bibliográficos
Autor(a) principal: Sá, Maria do Sá
Data de Publicação: 2022
Outros Autores: Nabais, Ana Sofia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.36367/ntqr.11.2022.e557
Resumo: 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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spelling How to care for patients with heart failure – A systematic review of nursing interventionsHow to care for patients with heart failure – A systematic review of nursing interventionsNursing care;Nursing diagnosisHeart failureHospitalizationTransitional CareBackground: 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.Fundamento: La Insuficiencia Cardíaca (IC) ha demostrado ser una enfermedad altamente disfuncional, con impacto en las dimensiones biopsicosociales de los pacientes. El progresivo aumento mundial de la incidencia de IC, provocado por el aumento de la esperanza de vida, se traduce en mayores tasas de reingresos. El reingreso ocurre principalmente por causas evitables - deterioro del conocimiento en el autocuidado con IC y deterioro de la adherencia terapéutica, por lo tanto, la intervención del enfermero es fundamental. Objetivos: identificar las intervenciones de enfermería más comunes para satisfacer las Necesidades Humanas Fundamentales (NHF) deterioradas y promover la compensación de los síntomas, la transición del hospital al hogar y el seguimiento del paciente. Método: revisión sistemática de las bases de datos CINAHL y MEDLINE para responder a la pregunta de estudio: En pacientes con IC, ¿cuáles son las intervenciones de enfermería que promueven la satisfacción del NHF afectado, promueven la compensación de los síntomas y la transición del cuidado del hospital para el hogar? Resultados: Se incluyeron diez estudios. Las intervenciones de enfermería enfocadas a compensar los síntomas durante la hospitalización promueven el bienestar y el estado de salud del individuo. La preparación para la transición del paciente a casa desde la admisión permite una identificación temprana y una respuesta adecuada a las necesidades del paciente. La adaptación del lenguaje durante la educación para la salud y el seguimiento periódico demostraron ser medidas efectivas para promover la independencia en el autocuidado de la IC y reducir las tasas de mortalidad y reingreso. A pesar de presentar excelentes resultados, estas intervenciones no son tan frecuentes en la práctica clínica, justificado por la falta de conocimiento especializado sobre IC entre los profesionales de la salud, una cultura de empoderamiento y la incapacidad de mantener un seguimiento adecuado de los pacientes. Consideraciones finales: El enfermero es responsable de ayudar al paciente a desarrollar habilidades para el manejo de los síntomas (reconociendo los síntomas relevantes) y el régimen terapéutico, promoviendo el empoderamiento, reduciendo así los reingresos y promoviendo el bienestar. Palabras llave: Cuidado de enfermería; Diagnóstico de enfermería; Insuficiencia cardíaca; Hospitalización; atención de transiciónBackground: 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.Ludomedia2022-11-08info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.36367/ntqr.11.2022.e557https://doi.org/10.36367/ntqr.11.2022.e557New Trends in Qualitative Research; Vol. 11 (2022): Qualitative Research: Practices and Challenges; e557New Trends in Qualitative Research; Vol. 11 (2022): Qualitative Research: Practices and Challenges; e557New Trends in Qualitative Research; Vol. 11 (2022): Qualitative Research: Practices and Challenges; e5572184-777010.36367/ntqr.11.2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://publi.ludomedia.org/index.php/ntqr/article/view/557https://publi.ludomedia.org/index.php/ntqr/article/view/557/813Copyright (c) 2022 New Trends in Qualitative Researchinfo:eu-repo/semantics/openAccessSá, Maria do SáNabais, Ana Sofia2023-08-13T09:13:56Zoai:ojs.publi.ludomedia.org:article/557Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:14:36.891726Repositório 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
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 Sá
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 Sá
author_facet Sá, Maria do Sá
Nabais, Ana Sofia
author_role author
author2 Nabais, Ana Sofia
author2_role author
dc.contributor.author.fl_str_mv Sá, Maria do Sá
Nabais, Ana Sofia
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 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 2022-11-08
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dc.language.iso.fl_str_mv eng
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https://publi.ludomedia.org/index.php/ntqr/article/view/557/813
dc.rights.driver.fl_str_mv Copyright (c) 2022 New Trends in Qualitative Research
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 New Trends in Qualitative Research
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dc.source.none.fl_str_mv New Trends in Qualitative Research; Vol. 11 (2022): Qualitative Research: Practices and Challenges; e557
New Trends in Qualitative Research; Vol. 11 (2022): Qualitative Research: Practices and Challenges; e557
New Trends in Qualitative Research; Vol. 11 (2022): Qualitative Research: Practices and Challenges; e557
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10.36367/ntqr.11.2022
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