Heart failure: A challenging syndrome for health care professionals

Lambrinou, Ekaterini; Protopapas, Andreas; Kalogirou, Fotini

doi:10.15761/cdm.1000169

Cited by 6 publications

(10 citation statements)

References 53 publications

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“…Heart failure (HF) is an important healthcare problem, and is associated with high morbidity and mortality rates [1]. Patients experiencing HF frequently have poor health related quality of life (HR-QoL), even when treated with modern evidence-based therapies [2,3]; such as HF management programs, new pharmacotherapy approaches such as ACE-inhibitors and b-blockers, sacubitril/valsartran, and a comprehensive approach to patient care. HF often exists with other chronic diseases, especially in older patients, resulting in complex co-morbidity conditions [4].…”

Section: Introductionmentioning

confidence: 99%

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A qualitative meta-synthesis of patients with heart failure perceived needs

Kyriakou¹,

Samara²,

Philippou³

et al. 2021

Rev. Cardiovasc. Med.

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Supportive care may have significant input into the treatment of patients with heart failure (HF). Support, understanding and being treated as a whole and unique person are vital for patients with HF. In order to develop a person-centred program, it is important to know patients' needs from their perspectives. The aim of the current review and meta-synthesis was to explore the needs of patients with HF from their perspective. A qualitative review was conducted using the keywords: (''needs" OR "need") AND (''heart failure") AND (''qualitative") in four databases. Pre-defined inclusion and exclusion criteria were set. The 'Consolidated criteria for reporting qualitative studies' item checklist was used to assess the research methodologies of the included studies. A ''thematic synthesis'' methodological approach was used: (1) Line by line coding of the findings from primary studies. (2) The resulting codes were organized into related areas thus building descriptive themes. (3) Analytical themes were developed. Eleven articles were included in the present review. The results from the meta-synthesis extracted five different categories covering patents' needs: Self-management, palliative care, supportive care, social support and continuing person-centred care. The need for continuing empowerment and support to meet those needs was also identified, revealing the core theme: 'Wind beneath my wings' . The meta-synthesis quotations highlighted the necessity for dynamic and interactive continuing person-centred care focusing on the ongoing patients' needs through the HF trajectory. Giving more emphasis to the human dimension and holistic approach of patients with HF, along with cardiology medicine development might be a key factor in improving clinical outcomes and health related quality of life.

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Section: Introductionmentioning

confidence: 99%

“…HF affects 6-10% of the population aged 65 years old and over in the US, estimations have indicated with will increase to 25% of the population by 2030 [5][6][7]. It is also associated with high health care costs and reduced patient HR-QoL [2,7,8].…”

Section: Introductionmentioning

confidence: 99%

A qualitative meta-synthesis of patients with heart failure perceived needs

Kyriakou¹,

Samara²,

Philippou³

et al. 2021

Rev. Cardiovasc. Med.

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“…Current search yielded 987 articles. Finally, eight articles were used for the current systematic review 7, 12,24,27,28,29,30,31 . The study selection is shown in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

Adherence to the therapy of patients with Heart Failure and Diabetes Mellitus: A Systematic Review

Philippou,

Kyriakou,

Middleton

et al. 2023

MRAJ

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A comorbidity like diabetes mellitus (DM) complicates heart failure (HF) self-care management and adherence to the therapy and results poorer clinical outcomes. This study aims to examine the various factors influencing adherence to the therapy of patients with HF and DM. A systematic literature search was established in the electronic data basis PubMed, Cochrane Library and Cumulative Index to Nursing and Allied Health Literature (CINAHL) using inclusion and exclusion criteria. The search yielded eight articles. The introduction of empowerment models in the management of patients with HF and DM made patients more involved in their self-care management and their self-monitoring behavior and adherence were increased. Patients with HF and DM during their hospitalization, were less likely to receive smoking cessation counseling and blood pressure control and experienced longer length of stay. Patients with HF preserved ejection fraction (HFpEF) and DM were less likely to receive an angiotensin convertive enzyme (ACE) inhibitor or angiotensin receptor or beta-blockers and had worse blood pressure (BP) control compared with patients with reduced ejection fraction (HFrEF) and DM. Effective self-care management of patients with HF and DM seems to depend on the type and the severity of comorbid conditions and the availability of effective therapies. Adequate support to patients with HF and DM from health professionals (HPs) is important, in order to establish self-management and adherence to the therapy.

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“…12 Discussions regarding ceilings of care or withdrawal of treatment should take into account the HF patients’ current physiological status and pre-existing quality of life, any formally enacted advance directives or statements, and their personal wishes and values, including an exploration of their cultural norms and spiritual beliefs. 13 , 14 Unfortunately, as a consequence of the inordinate surge in demand for intensive care unit (ICU) beds for those requiring invasive ventilation, at times professionals have been compelled to make decisions on ICU access in the moment, based predominantly on the ethical concept of distributive justice, prioritizing allocation of this constrained resource to those considered most likely to survive. 15 , 16 An arbitrary assumption that HF patients exhibit a higher mortality risk, irrespective of their status on the disease trajectory, which renders them ineligible for this support, should be avoided.…”

Section: Communication Supportive and Palliative Carementioning

confidence: 99%