Bernard Tamara L, Hetland Breanna, Schmaderer Myra, Zolty Ronald, Pozehl Bunny
College of Nursing, University of Nebraska Medical Center, Omaha, Nebraska, 985330 Nebraska Medical Center Omaha, NE USA, 68198-5330.
College of Nursing, University of Nebraska Medical Center, Omaha, Nebraska, 985330 Nebraska Medical Center Omaha, NE USA, 68198-5330.
Heart Lung. 2023 May-Jun;59:44-51. doi: 10.1016/j.hrtlng.2023.01.014. Epub 2023 Jan 30.
Heart failure is a major health problem with significant economic burden in the United States. Educating heart failure dyads (heart failure patient and informal caregiver) is a relatively new domain and is being proposed by providers, policy makers, and third-party payors. Nurse-led dyad education can improve quality of life and reduce hospital admissions in the heart failure population.
This integrative literature review focused on evaluating design, delivery content, and outcomes of nurse-led dyadic educational interventions.
PubMed, CINAHL, Cochrane, and Google Scholar databases (1999 -2022) were searched for quantitative and qualitative studies that included these search terms: heart failure, dyads, nonmedical caregivers, caregivers, randomized controlled trials, nurse-led education, education.
The search yielded 92 articles. The results included seven randomized controlled trials and one pilot study conducted from 2005 to 2017. Sample sizes ranged from 20 to 155 dyads. Dyads who received education interventions had positive outcomes. Face-to-face coaching provided stronger outcomes. Interventions varied in length from baseline to three months, with post-intervention follow-ups from one to 12 months.
A paucity of studies of nurse-led heart failure dyadic educational interventions have been reported in the literature. To advance the science and decrease heart failure readmissions, greater efforts to study and incorporate education and support for heart failure dyads is needed, along with assessment of both patient and caregiver outcomes.
心力衰竭是美国一个重大的健康问题，带来了巨大的经济负担。对心力衰竭二元组（心力衰竭患者和非正式护理人员）进行教育是一个相对较新的领域，正由医疗服务提供者、政策制定者和第三方支付方提出。由护士主导的二元组教育可以改善心力衰竭患者群体的生活质量并减少住院次数。
本整合文献综述聚焦于评估由护士主导的二元组教育干预的设计、实施内容和结果。
检索了PubMed、CINAHL、Cochrane和谷歌学术数据库（1999 - 2022年），以查找包含以下检索词的定量和定性研究：心力衰竭、二元组、非医疗护理人员、护理人员、随机对照试验、护士主导的教育、教育。
检索共得到92篇文章。结果包括2005年至2017年进行的7项随机对照试验和1项试点研究。样本量从20个二元组到155个二元组不等。接受教育干预的二元组取得了积极的结果。面对面指导产生的效果更强。干预时间从基线到三个月不等，干预后随访时间为1到12个月。
文献中报道的由护士主导的心力衰竭二元组教育干预研究较少。为了推动这一科学领域的发展并减少心力衰竭患者的再入院率，需要做出更大努力来研究并纳入针对心力衰竭二元组的教育和支持，同时评估患者和护理人员的结果。
