Nahlén Bose Catarina
Department of Health Sciences, The Swedish Red Cross University, Huddinge, Sweden.
Front Psychiatry. 2023 Mar 10;14:1095665. doi: 10.3389/fpsyt.2023.1095665. eCollection 2023.
Chronic heart failure is a severe condition that influences not just the physical dimension but also the mental dimension in patients. Comorbidity of depression and anxiety are prevalent and the quality of life is reduced. Despite the psychological impact there are no recommendations in the guidelines for psychosocial interventions for people with heart failure. The aim of this meta-review is to synthesize results of systematic reviews and meta-analyses on the outcomes of psychosocial interventions in heart failure.
Searches were conducted in PubMed, PsychInfo, Cinahl and the Cochrane Library. In total, seven articles were included after screening 259 studies for eligibility.
The included reviews had, in total, 67 original studies included. The measured outcomes in the systematic reviews and meta-analyses were; depression, anxiety, quality of life, hospitalization, mortality, self-care and physical capacity. The results are inconsistent but show some short-term benefit of psychosocial interventions for reduced depression and anxiety and improved quality of life. However, the long-term effects were sparsely followed up.
This meta-review appears to be the first in the field of the efficacy of psychosocial interventions in chronic heart failure. This meta-review identifies gaps in the current available evidence that need to be further explored, such as booster sessions, longer follow-up time for evaluation and incorporating clinical outcomes and measures of stress processes.
慢性心力衰竭是一种严重的疾病，不仅会影响患者的身体状况，还会影响其心理状态。抑郁症和焦虑症的合并症很常见，生活质量会降低。尽管存在心理影响，但心力衰竭指南中并未针对心理社会干预提出建议。本荟萃综述的目的是综合关于心力衰竭心理社会干预结果的系统评价和荟萃分析的结果。
在PubMed、PsychInfo、Cinahl和Cochrane图书馆进行检索。在对259项研究进行资格筛选后，共纳入7篇文章。
纳入的综述总共包括67项原始研究。系统评价和荟萃分析中测量的结果包括：抑郁、焦虑、生活质量、住院、死亡率、自我护理和身体能力。结果不一致，但显示心理社会干预在减轻抑郁和焦虑以及改善生活质量方面有一些短期益处。然而，长期效果的随访很少。
本荟萃综述似乎是慢性心力衰竭心理社会干预疗效领域的首次综述。本荟萃综述指出了现有证据中的差距，需要进一步探索，例如强化治疗、更长的随访时间以进行评估以及纳入临床结果和压力过程的测量。
