Liu Ping, Liao Xueyan
J Hosp Palliat Nurs. 2025 Feb 1;27(1):E10-E16. doi: 10.1097/NJH.0000000000001080. Epub 2024 Dec 6.
Chronic heart failure (CHF) represents a substantial public health challenge, impacting patients' emotional well-being, quality of life, and overall prognosis. Palliative care and hospice services are increasingly recognized in managing advanced CHF, yet their evidence-based benefits remain underexplored. This study aimed to assess the influence of hospice care on CHF patient outcomes. A total of 120 inpatients with CHF were randomly assigned to receive either hospice care in addition to standard treatment (experimental group) or standard care alone (control group). Patient assessments included heart function classification, activities of daily living, Minnesota Living With Heart Failure Questionnaire, anxiety scale, and pain assessment. Results demonstrated significant improvements in cardiac function, activities of daily living, anxiety levels, pain scores, and heart failure-related quality of life in the experimental group compared with controls. Reduced anxiety, enhanced emotional well-being, and overall health status improvements were particularly notable postintervention. Hospice care was associated with enhanced functional abilities, emotional well-being, pain management, and overall quality of life for CHF patients. In conclusion, this study underscores hospice care's positive impact on prognosis, quality of life, and emotional well-being in CHF, emphasizing its potential as a critical component in comprehensive CHF management strategies.
慢性心力衰竭（CHF）是一项重大的公共卫生挑战，影响着患者的情绪健康、生活质量和总体预后。姑息治疗和临终关怀服务在晚期CHF的管理中越来越受到认可，但其循证益处仍未得到充分探索。本研究旨在评估临终关怀对CHF患者预后的影响。总共120名CHF住院患者被随机分配，分别接受标准治疗加临终关怀（实验组）或仅接受标准治疗（对照组）。患者评估包括心功能分级、日常生活活动、明尼苏达心力衰竭生活问卷、焦虑量表和疼痛评估。结果表明，与对照组相比，实验组在心脏功能、日常生活活动、焦虑水平、疼痛评分和心力衰竭相关生活质量方面有显著改善。干预后，焦虑减轻、情绪健康增强和整体健康状况改善尤为明显。临终关怀与CHF患者功能能力增强、情绪健康改善、疼痛管理和整体生活质量提高相关。总之，本研究强调了临终关怀对CHF预后、生活质量和情绪健康的积极影响，凸显了其作为CHF综合管理策略关键组成部分的潜力。
