护士主导的患者教育对心衰患者生活质量的影响

W. Nwosu, R. Rajani, T. McDonaugh, A. Goulder, Daniel J. Smith, Lyndsay D. Hughes
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引用次数: 0

摘要

心脏衰竭是一种复杂的疾病,由于结构或功能异常,心脏不能有效地泵血。这种情况与巨大的人力和经济负担有关,对患者的生活质量影响特别大。然而,先前的研究表明,患者教育(通常由护士提供)可以帮助减轻心力衰竭的负担,对患者和医疗服务都是如此。本综述旨在评估护士主导的患者教育计划对心力衰竭患者生活质量的影响。检索了从成立到2022年2月的主要电子数据库(MEDLINE, CINAHL, PsycINFO和Web of Science)。采用生活质量评估工具对接受护士亲自指导的患者教育的心力衰竭成人患者进行研究。在最初检索到的2225项研究中,有18项纳入了最终综述,总共包括2413名参与者。所有研究都对身体健康进行了评估,结果存在一些差异,特别是在患者教育对死亡率的影响方面。然而,在选定的研究中,干预组报告了积极的心理健康结果,其中一项研究报告在12个月时与对照组相比有显著改善(P=0.038)。这表明护士主导的患者教育可以改善患者生活质量的某些方面,加强了这方面的护理在心力衰竭管理中的重要性,同时也突出了需要进一步研究的领域。
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The impact of nurse-led patient education on quality of life in patients with heart failure
Heart failure is a complex condition where the heart is unable to pump blood effectively because of a structural or functional abnormality. This condition is associated with a substantial human and economic burden, with a particularly high impact on patients' quality of life. However, previous research suggests that patient education, which is often delivered by nurses, can help to reduce the burden of heart failure, both for patients and healthcare services. This review aimed to assess the impact of nurse-led patient education programmes on the quality of life among patients with heart failure. Key electronic databases (MEDLINE, CINAHL, PsycINFO and Web of Science) were searched from inception to February 2022. Studies of adults with heart failure who received in-person nurse-led patient education using a quality of life assessment tool were included. Of the 2225 studies retrieved in the initial search, 18 were included in the final review, including a total of 2413 participants. Physical health was assessed across all studies, with some variation in the findings, particularly in relation to the impact of patient education on mortality rates. However, positive mental health outcomes were reported in intervention groups across selected studies, with one study reporting significant improvement at 12 months compared to a control group (P=0.038). This indicates that nurse-led patient education can improve some aspects of patients' quality of life, reinforcing the importance of this aspect of nursing care in heart failure management, while also highlighting areas in need of further research.
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