J Hosp Palliat Nurs. 2022 Aug 1;24(4):E151-E158. doi: 10.1097/NJH.0000000000000869. Epub 2022 Mar 30.
Palliative care should be integrated into routine disease management for all patients with serious illness, regardless of settings or prognosis. The purposes of this integrative review were to identify the features of randomized controlled trials for adult patients with heart failure and to provide basic references for the development of future trials. Using Whittemore and Knafl's integrative literature review method, comprehensive searches of the PubMed, Cochrane Library, CINAHL, EMBASE, and Korean databases were conducted, integrating keywords about heart failure and palliative care interventions. Quality appraisal was assessed using Cochrane risk-of-bias tools. In total, there were 6 trials providing palliative care interventions integrating team-based approaches between palliative care specialists and nonpalliative clinicians, such as a cardiologist, cardiac nurse, and advanced practice nurse across inpatient and outpatient settings. The different types of interventions included home visits, symptom management via phone calls or referral to a specialist team, and the establishment of treatment planning. Patient-reported outcome measures included positive effects of palliative interventions on symptom burden and quality of life. Given that most of the selected studies were conducted in Western countries, palliative care should be culturally tailored to assist heart failure patients worldwide.
姑息治疗应该整合到所有重病患者的常规疾病管理中，无论其所处环境或预后如何。本综合评价的目的是确定心力衰竭成年患者随机对照试验的特征，并为未来试验的发展提供基本参考。使用 Whittemore 和 Knafl 的综合文献评价方法，对 PubMed、Cochrane 图书馆、CINAHL、EMBASE 和韩国数据库进行了全面检索，整合了心力衰竭和姑息治疗干预的关键词。使用 Cochrane 偏倚风险工具评估了质量评估。共有 6 项试验提供了姑息治疗干预措施，将姑息治疗专家和非姑息治疗临床医生（如心脏病专家、心脏护士和高级执业护士）整合在住院和门诊环境中。不同类型的干预措施包括家访、通过电话进行症状管理或转介给专家团队，以及制定治疗计划。患者报告的结果指标包括姑息干预对症状负担和生活质量的积极影响。鉴于大多数选定的研究都是在西方国家进行的，姑息治疗应该根据文化进行调整，以帮助全球心力衰竭患者。
