Luttik Marie Louise, Jaarsma Tiny, Moser Debra, Sanderman Robbert, van Veldhuisen Dirk J
Department of Cardiology, University Hospital, Groningen, The Netherlands.
J Cardiovasc Nurs. 2005 May-Jun;20(3):162-9. doi: 10.1097/00005082-200505000-00007.
As advances in medical treatment of heart failure (HF) become limited, other factors are being studied to improve outcomes. There is much evidence that supportive social relations have a major impact on health outcomes and that social support is essential for adjustment to illness. This article describes current research on the influence of social support on outcomes in patients with HF. A computerized literature search in Medline, CINAHL, and PsychLit was performed on each of the different outcomes in relation to social support, covering the period 1993 to 2003. Seventeen studies were found that investigated the relationship between social support and different outcome measures in HF. Four studies found clear relationships between social support and rehospitalizations and mortality; the relationship between quality of life and depression was less clear. Up to now, limited research has been done on the impact of social support on outcomes in patients with HF. The available studies suggest that social support has an impact on HF outcomes but further research is necessary before firm conclusions about the nature of these relationships can be reached.
随着心力衰竭（HF）医学治疗进展受限，人们开始研究其他因素以改善治疗效果。有大量证据表明，支持性的社会关系对健康结果有重大影响，且社会支持对于适应疾病至关重要。本文描述了当前关于社会支持对HF患者治疗效果影响的研究。利用计算机在Medline、CINAHL和PsychLit数据库中检索了1993年至2003年期间与社会支持相关的不同治疗效果的文献。共发现17项研究探讨了社会支持与HF不同治疗效果指标之间的关系。4项研究发现社会支持与再次住院和死亡率之间存在明确关系；社会支持与生活质量和抑郁之间的关系则不太明确。到目前为止，关于社会支持对HF患者治疗效果影响的研究有限。现有研究表明社会支持对HF治疗效果有影响，但在得出关于这些关系本质的确切结论之前，还需要进一步研究。
