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[医院环境中慢性心力衰竭的二元自我护理干预措施：系统评价]

[Dyadic self-care interventions in chronic heart failure in hospital settings: a systematic review].

作者信息

Villero-Jiménez A I, Martínez-Torregrosa N, Olano Lizarraga M, Garai-López J, Vázquez-Calatayud M

机构信息

Clínica Universidad de Navarra. Pamplona. Navarra. España.

Facultad de Enfermería. Universidad de Navarra. Pamplona. Navarra. España.

出版信息

An Sist Sanit Navar. 2022 Jul 1;45(2):e1001. doi: 10.23938/ASSN.1001.

DOI:10.23938/ASSN.1001
PMID:35786644
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10123527/
Abstract

Dyadic self-care in chronic heart failure (CHF) is key to ensure treatment continuity, reduce complications and readmissions, and minimise caregiver burden, but it requires specific strategies. The aim of the study was to identify dyadic self-management interventions in CHF in hospital settings by means of a systematic literature review conducted in the Pubmed, CINAHL and PsycInfo databases. Methodological quality was assessed according to CASPe and Joanna Briggs Institute tools. The main components of the interventions were identified: delivery format; dimensions and strategies used (cognitive-attitudinal, affective-emotional and behavioural); providers and recipients; measurement instruments used; and effectiveness. Most of the studies demonstrated improved outcomes, especially in depression and/or anxiety symptoms, adherence to treatment, diet and weight control. Innovative interventions that include components of the three dimensions identified and the use of valid, reliable and specific scales to measure outcomes are recommended.

摘要

慢性心力衰竭（CHF）中的二元自我护理是确保治疗连续性、减少并发症和再入院率以及减轻照顾者负担的关键，但这需要特定的策略。本研究的目的是通过在PubMed、CINAHL和PsycInfo数据库中进行系统的文献综述，确定医院环境中CHF的二元自我管理干预措施。根据CASPe和乔安娜·布里格斯研究所的工具评估方法学质量。确定了干预措施的主要组成部分：提供形式；所使用的维度和策略（认知-态度、情感-情绪和行为）；提供者和接受者；所使用的测量工具；以及有效性。大多数研究表明结果有所改善，尤其是在抑郁和/或焦虑症状、治疗依从性、饮食和体重控制方面。建议采用创新干预措施，包括已确定的三个维度的组成部分，并使用有效、可靠和特定的量表来衡量结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc20/10123527/e71a5d84092a/assn-45-02-e1001-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc20/10123527/7181ab89cdba/assn-45-02-e1001-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc20/10123527/295bb50262a5/assn-45-02-e1001-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc20/10123527/e71a5d84092a/assn-45-02-e1001-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc20/10123527/7181ab89cdba/assn-45-02-e1001-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc20/10123527/295bb50262a5/assn-45-02-e1001-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc20/10123527/e71a5d84092a/assn-45-02-e1001-g3.jpg

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本文引用的文献

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BMJ. 2021 Mar 29;372:n160. doi: 10.1136/bmj.n160.
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[A systematic review of interventions to empower patient with chronic heart failure in hospital environment].
An Sist Sanit Navar. 2020 Dec 22;43(3):393-403. doi: 10.23938/ASSN.0925.
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Self-care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology.心力衰竭患者的自我护理：欧洲心脏病学会心力衰竭协会的实用管理建议
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A multi-component, family-focused and literacy-sensitive intervention to improve medication adherence in patients with heart failure-A randomized controlled trial.多组分、以家庭为中心且注重读写能力的干预措施，以提高心力衰竭患者的药物依从性 - 一项随机对照试验。
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Nutrition, Obesity, and Cachexia in Patients With Heart Failure: A Consensus Statement from the Heart Failure Society of America Scientific Statements Committee.心力衰竭患者的营养、肥胖和恶病质：美国心力衰竭学会科学声明委员会的共识声明。
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