Agho Awanwosa V, Disu Fatimot, Okorigba Efeturi M, Okobi Okelue E, Muhammad Safiyya, Bakare Toheeb, Ezuma-Ebong Chioma, Muoghalu Nneka
Internal Medicine, Mercy Catholic Medical Center, Darby, USA.
General Internal Medicine, Salisbury National Health Service (NHS) Foundation Trust, Salisbury, GBR.
Cureus. 2025 Mar 30;17(3):e81466. doi: 10.7759/cureus.81466. eCollection 2025 Mar.
Heart failure (HF) is a multifaceted, severe condition linked to significant emotional, physical, and social challenges that have an immense impact on the patient's quality of life. Notwithstanding the advancements in medical treatment, many HF patients experience recurrent hospitalizations, gradual functional decline, and various incapacitating symptoms. The integration of palliative care into the management of HF offers a holistic approach that addresses not only the physical symptoms but also the emotional, psychological, and spiritual needs of patients, their families, and caregivers. The integration of palliative care in HF management addresses the patients' holistic requirements, which enhances the quality-of-life outcomes for the patients through the provision of emotional and psychological support and aiding caregivers in managing the challenges associated with HF. Regardless of the acknowledged advantages of integrating PC into heart failure management, execution has largely remained poor in most healthcare services globally. The objective of this systematic review is to identify how the integration of palliative care into heart failure treatment interventions improves the quality of life for heart failure patients. To attain the set objective, we conducted an extensive search on references drawn from diverse online databases, such as Embase, PubMed, SCOPUS, Web of Science, and Google Scholar. Cross-over design studies randomized controlled trials (RCTs), systematic reviews and meta-analyses, and prospective cohort studies that focused on palliative care in heart failure patients were selected and subsequently included. From the search, 18 studies satisfied the inclusion criteria and were consequently included following evaluations using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. The review disclosed that PC is effective in improving the quality of life (QoL) of heart failure patients.
心力衰竭（HF）是一种多方面的严重病症，与重大的情感、身体和社会挑战相关联，对患者的生活质量产生巨大影响。尽管医疗治疗取得了进展，但许多HF患者仍经历反复住院、功能逐渐衰退以及各种使人丧失能力的症状。将姑息治疗纳入HF管理提供了一种整体方法，不仅解决身体症状，还满足患者、其家人和护理人员的情感、心理和精神需求。姑息治疗融入HF管理满足了患者的整体需求，通过提供情感和心理支持以及帮助护理人员应对与HF相关的挑战，提高了患者的生活质量结果。尽管将姑息治疗融入心力衰竭管理具有公认的优势，但在全球大多数医疗服务中，实施情况在很大程度上仍然不佳。本系统评价的目的是确定将姑息治疗融入心力衰竭治疗干预措施如何改善心力衰竭患者的生活质量。为了实现既定目标，我们对从不同在线数据库（如Embase、PubMed、SCOPUS、Web of Science和谷歌学术）中提取的参考文献进行了广泛搜索。选择并随后纳入了交叉设计研究、随机对照试验（RCT）、系统评价和荟萃分析以及关注心力衰竭患者姑息治疗的前瞻性队列研究。通过搜索，18项研究符合纳入标准，因此在使用系统评价和荟萃分析的首选报告项目（PRISMA）指南进行评估后被纳入。该评价表明，姑息治疗在改善心力衰竭患者的生活质量（QoL）方面是有效的。
