School of Nursing, Adult Nursing Care, Universidad de Navarra, Pamplona, Spain.
Innovation for a Person-Centred Care Research Group (ICCP-UNAV), Universidad de Navarra, Pamplona, Spain.
Health Soc Care Community. 2022 Jul;30(4):e842-e858. doi: 10.1111/hsc.13680. Epub 2021 Dec 16.
Chronic heart failure (CHF) is a progressive and disabling condition that significantly impacts patients' daily lives. One of its effects is decreased opportunities to participate in social life, leading to reduced social interaction, loneliness, social isolation and lack of social support to continue with their daily life activities. This study aimed to explore the causes, experiences, and consequences of the impact of CHF on the social dimension of the person. According to the Arksey & O'Malley method, a scoping review of the literature was conducted to examine existing knowledge in the area, summarise existing evidence and identify gaps in the literature. The search was conducted in the PubMed, CINAHL, PsychINFO, Scopus, and Web of Science databases from January 2010 to November 2021. Twenty-six articles were identified. The reasons why CHF influences the social dimension of the person were multifactorial and related to physical aspects, sociodemographics, lifestyle changes and the feelings experienced by these patients. Social relationships play a key role, and the benefits of good social relationships and the impact of poor or inadequate social support were identified. Furthermore, the influence of alterations in the social dimension on the CHF patient's clinical outcomes was described. This approach will help to detect and better understand the bidirectional influence that exists in each person between social isolation, relationships, and support life experiences, self-care activities, and morbi-mortality rates. These findings have shown the importance of detecting higher-risk groups and systematically assessing factors related to the social dimension in all patients with CHF.
慢性心力衰竭(CHF)是一种进行性和致残性疾病,严重影响患者的日常生活。其影响之一是减少参与社交生活的机会,导致社交互动减少、孤独、社交孤立和缺乏社会支持来继续日常生活活动。本研究旨在探讨 CHF 对人的社会维度的影响的原因、经历和后果。根据 Arksey 和 O'Malley 方法,对文献进行了范围综述,以检查该领域现有的知识,总结现有证据并确定文献中的空白。从 2010 年 1 月到 2021 年 11 月,在 PubMed、CINAHL、PsychINFO、Scopus 和 Web of Science 数据库中进行了搜索。确定了 26 篇文章。CHF 影响人的社会维度的原因是多方面的,与身体方面、社会人口统计学、生活方式改变以及这些患者的感受有关。社会关系起着关键作用,确定了良好的社会关系的好处和不良或不足的社会支持的影响。此外,还描述了社会维度的改变对 CHF 患者临床结局的影响。这种方法将有助于发现和更好地理解每个人之间存在的社会隔离、关系和支持生活经历、自我护理活动以及发病率和死亡率的双向影响。这些发现表明,在所有 CHF 患者中,检测高风险人群并系统评估与社会维度相关的因素非常重要。