Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.
Training Institute of Ministry of Health, Sungai Buloh, Selangor, Malaysia.
Nurs Crit Care. 2022 Mar;27(2):172-186. doi: 10.1111/nicc.12758. Epub 2022 Feb 2.
The prevalence of heart failure is increasing, associated with high mortality and rehospitalization rate. The complexity and progressive clinical syndromes of heart failure have massively affected patients' quality of life. Heart failure self-care education provided by nurses seems to improve patients' knowledge and the clinical outcomes despite being in critical care or community settings. Nurses often gained heart failure self-care knowledge from formal and informal educational resources. However, the extent of knowledge acquired by nurses needs to be investigated before patient education could be successfully carried out.
This systematic review identified the nurses' knowledge of heart failure self-care education according to the topics and factors that would be substantial to increase their knowledge.
Literature resources from Medline, CINAHL, Ovid, Science Direct, Scopus and Google Scholar from 2002 to 2020 were studied and reviewed. This systematic review included nurses that take care of heart failure patients and studies that measured their knowledge score. The quality of all studies was determined using the JBI SUMARI Critical Appraisal tool, and a narrative approach was used to analyse the results.
15 studies were selected, involving 1644 nurses that had experience in taking care of heart failure patients. The overall mean ± SD score of nurses' knowledges was unsatisfactory with 12.1 ± 2.7 to 17.3 ± 1.4, respectively, and it showed a significant increase in the level of knowledge after attending a heart failure speciality course or educational intervention. The majority of the nurses were uncertain about the deteriorating symptoms and fluid management for heart failure patients.
The nurses' level of knowledge was unsatisfactory, and therefore they need more in-depth learning and understanding of the heart failure topic through educational interventional.
Critical care nurses needed to have in-depth knowledge to recognize symptoms of deterioration in heart failure patients, especially during the decompensated stage.
心力衰竭的患病率不断上升，与高死亡率和再住院率相关。心力衰竭的复杂性和进行性临床综合征极大地影响了患者的生活质量。尽管在重症监护或社区环境中，护士提供的心力衰竭自我护理教育似乎可以提高患者的知识水平和临床结局。护士通常从正式和非正式的教育资源中获得心力衰竭自我护理知识。然而，在成功开展患者教育之前，需要调查护士获得的知识程度。
本系统评价根据对增加护士知识具有重要意义的主题和因素，确定护士对心力衰竭自我护理教育的知识。
对 2002 年至 2020 年期间 Medline、CINAHL、Ovid、Science Direct、Scopus 和 Google Scholar 的文献资源进行了研究和综述。本系统评价包括照顾心力衰竭患者的护士和测量其知识得分的研究。所有研究的质量均使用 JBI SUMARI 批判性评价工具进行确定，并使用叙述方法对结果进行分析。
共选择了 15 项研究，涉及 1644 名有照顾心力衰竭患者经验的护士。护士知识的总体平均得分 ± 标准差为 12.1 ± 2.7 至 17.3 ± 1.4，分别在参加心力衰竭专业课程或教育干预后，知识水平显著提高。大多数护士对心力衰竭患者病情恶化的症状和液体管理不确定。
护士的知识水平令人不满意，因此他们需要通过教育干预对心力衰竭主题进行更深入的学习和理解。
重症监护护士需要深入了解心力衰竭患者恶化症状的知识，特别是在失代偿期。
