Linköping University, Norrköping, Sweden.
Eur J Cardiovasc Nurs. 2013 Jun;12(3):230-41. doi: 10.1177/1474515112449539. Epub 2012 Jun 15.
Patients with heart failure (HF) need long-term and complex care delivered by healthcare professionals in primary and secondary care. Although guidelines on optimal HF care exist, no specific description of components that are applied for optimal HF care at home exist. The objective of this review was to describe which components of HF (home) care are found in research studies addressing homecare interventions in the HF population.
The Pubmed, Embase, Cinahl, and Cochrane databases were searched using HF-, homecare services-, and clinical trial-related search terms.
The literature search identified 703 potentially relevant publications, out of which 70 articles were included. All articles described interventions with two or more of the following components: multidisciplinary team, continuity of care and care plans, optimized treatment according to guidelines, educational and counselling of patients and caregivers, and increased accessibility to care. Most studies (n=65, 93%) tested interventions with three components or more and 20 studies (29%) used interventions including all five components.
There a several studies on HF care at home, testing interventions with a variety in number of components. Comparing the results to current standards, aspects such as collaboration between primary care and hospital care, titration of medication, and patient education can be improved.
心力衰竭（HF）患者需要初级和二级保健医护人员提供长期和复杂的护理。尽管存在关于最佳 HF 护理的指南，但在家中进行最佳 HF 护理的具体描述尚未明确。本研究旨在描述在针对 HF 人群的家庭护理干预研究中，HF（家庭）护理的哪些部分。
使用 HF、家庭护理服务和临床试验相关的搜索词在 Pubmed、Embase、Cinahl 和 Cochrane 数据库中进行检索。
文献检索确定了 703 篇可能相关的出版物，其中 70 篇文章被纳入。所有文章均描述了具有以下两个或更多部分的干预措施：多学科团队、护理连续性和护理计划、根据指南优化治疗、对患者和护理人员的教育和咨询，以及增加获得护理的机会。大多数研究（n=65，93%）测试了具有三个或更多部分的干预措施，20 项研究（29%）使用了包括所有五个部分的干预措施。
有几项关于 HF 家庭护理的研究，测试了具有不同数量部分的干预措施。将这些结果与当前标准进行比较，可以改进诸如初级保健和医院保健之间的协作、药物滴定和患者教育等方面。
