G Suthershinii, Tan Weiling Amanda, Lee Ainsley Ryan Yan Bin, Chen Matthew Zhixuan
Department of Biological Sciences, National University of Singapore, Singapore, Singapore.
Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
J Multidiscip Healthc. 2022 Apr 29;15:921-939. doi: 10.2147/JMDH.S357179. eCollection 2022.
Chronic heart failure (CHF) is a debilitating condition that affects millions worldwide. It is accompanied by a myriad of adverse consequences, such asdiminishing of quality of life and deterioration of mental health. Caregivers play a pivotal role in helping CHF patients manage their conditions and symptoms, as a result the physical, mental and emotional state of caregivers have a direct impact on CHF patients and the management of this condition.
This systematic review aims to synthesize data about the effectiveness of behavioral interventions targeted at patients with chronic heart failure (CHF) and/or informal caregivers of CHF patients to improve overall management and treatment of CHF in the population.
Three databases were searched for published studies and studies that included evaluated outcomes of interventions that targeted CHF patients or informal caregivers. All randomized controlled trials, trials of either experimental or quasi-experimental design were included. Studies that only involved formal caregivers, patient populations of adolescents/young adults and patients with non-chronic conditions were excluded.
Across the 21 included studies, no study reported a significant improvement in all three domains of quality of life (QoL), depression and loneliness of caregivers while only three studies reported a significant improvement in two outcomes. Within each domain, heterogeneity in measures limited quantitative pooling.
This review provides data on the efficacy of interventions targeted at CHF patients and/or informal caregivers. It also highlights successful interventions and its features. Following this, additional resources need to be invested and directed towards implementing these interventions.
慢性心力衰竭（CHF）是一种使人衰弱的疾病，影响着全球数百万人。它伴随着无数不良后果，如生活质量下降和心理健康恶化。照顾者在帮助CHF患者控制病情和症状方面发挥着关键作用，因此照顾者的身体、心理和情绪状态直接影响CHF患者及该疾病的管理。
本系统评价旨在综合有关针对慢性心力衰竭（CHF）患者和/或CHF患者非正式照顾者的行为干预措施有效性的数据，以改善人群中CHF的整体管理和治疗。
检索了三个数据库，以查找已发表的研究以及包含针对CHF患者或非正式照顾者的干预措施评估结果的研究。纳入所有随机对照试验、实验性或准实验性设计的试验。排除仅涉及正式照顾者、青少年/青年患者群体以及非慢性疾病患者的研究。
在纳入的21项研究中，没有一项研究报告照顾者的生活质量（QoL）、抑郁和孤独感这三个领域均有显著改善，只有三项研究报告两项结果有显著改善。在每个领域内，测量方法的异质性限制了定量汇总。
本评价提供了针对CHF患者和/或非正式照顾者的干预措施疗效的数据。它还突出了成功的干预措施及其特点。在此之后，需要投入更多资源并致力于实施这些干预措施。
