Supportive Care Interventions to Promote Health-Related Quality of Life in Patients Living With Heart Failure: A Systematic Review and Meta-Analysis

Kyriakou, Martha; Middleton, Nicos; Ktisti, Sofia; Philippou, Katerina; Lambrinou, Ekaterini

doi:10.1016/j.hlc.2020.04.019

Cited by 31 publications

(25 citation statements)

References 49 publications

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“…Importantly, the research areas are mainly concentrated in self-care, physical activity, outcomes, meta-analysis, etc. (14)(15)(16), and there is a lack of mechanism research and interdisciplinary cooperation. As a result, some important mechanisms in related fields cannot be applied in this study.…”

Section: Discussionmentioning

confidence: 99%

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Hotspot and Frontier Analysis of Exercise Training Therapy for Heart Failure Complicated With Depression Based on Web of Science Database and Big Data Analysis

Wang

Jia

et al. 2021

Front. Cardiovasc. Med.

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Background: Exercise training has been extensively studied in heart failure (HF) and psychological disorders, which has been shown to worsen each other. However, our understanding of how exercise simultaneously protect heart and brain of HF patients is still in its infancy. The purpose of this study was to take advantage of big data techniques to explore hotspots and frontiers of mechanisms that protect the heart and brain simultaneously through exercise training.Methods: We studied the scientific publications on related research between January 1, 2003 to December 31, 2020 from the WoS Core Collection. Research hotspots were assessed through open-source software, CiteSpace, Pajek, and VOSviewer. Big data analysis and visualization were carried out using R, Cytoscape and Origin.Results: From 2003 to 2020, the study on HF, depression, and exercise simultaneously was the lowest of all research sequences (two-way ANOVAs, p < 0.0001). Its linear regression coefficient r was 0.7641. The result of hotspot analysis of related keyword-driven research showed that inflammation and stress (including oxidative stress) were the common mechanisms. Through the further analyses, we noted that inflammation, stress, oxidative stress, apoptosis, reactive oxygen species, cell death, and the mechanisms related to mitochondrial biogenesis/homeostasis, could be regarded as the primary mechanism targets to study the simultaneous intervention of exercise on the heart and brain of HF patients with depression.Conclusions: Our findings demonstrate the potential mechanism targets by which exercise interferes with both the heart and brain for HF patients with depression. We hope that they can boost the attention of other researchers and clinicians, and open up new avenues for designing more novel potential drugs to block heart-brain axis vicious circle.

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Section: Discussionmentioning

confidence: 99%

“…On the other hand, we have also noticed that some studies have combined these factors, but the new research area mainly focused on self-care, physical activity, outcomes, metaanalysis, etc. (14)(15)(16). Mechanism research is relatively weak, and interdisciplinary cooperation is also lacking.…”

Section: Introductionmentioning

confidence: 99%

Hotspot and Frontier Analysis of Exercise Training Therapy for Heart Failure Complicated With Depression Based on Web of Science Database and Big Data Analysis

Wang

Jia

et al. 2021

Front. Cardiovasc. Med.

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“…The goals of palliative and supportive care are to reaffirm positive and life-transforming change, allowing individuals affected by serious or life-threatening diseases to have improved health-related quality of life [ 8 ]. This multidisciplinary holistic form of support encompasses good communication and assessment of palliative care needs to enhance quality of life and optimise symptom management, with interventions to address psychosocial issues and any spiritual or existential distress.…”

Section: Palliative Care and The Covid-19 Pandemicmentioning

confidence: 99%

“…This multidisciplinary holistic form of support encompasses good communication and assessment of palliative care needs to enhance quality of life and optimise symptom management, with interventions to address psychosocial issues and any spiritual or existential distress. Shared decision-making should consider the appropriateness of some treatment options, including those incorporated in contemporary guideline-directed advanced heart failure therapy, which may become burdensome [ 8 , 9 ]. As palliative care is applicable to both patients and their families from the time of diagnosis and throughout the disease trajectory to the end of life, including bereavement support, provision should be concurrent with the co-prescription of life-prolonging therapies [ 10 ] (see Fig.…”

Section: Palliative Care and The Covid-19 Pandemicmentioning

confidence: 99%

The COVID-19 pandemic: challenges in providing supportive care to those with cardiovascular disease in a time of plague

Hill

Lambrinou

Moser

et al. 2021

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of review COVID-19 has permeated the very essence of human existence and society and disrupted healthcare systems. The attrition stemming from this highly contagious disease particularly affects those rendered vulnerable by age and infirmity, including those with underlying cardiovascular disease. This article critically reviews how best to integrate supportive care into the management of those affected. Recent findings Numerous studies have described the pathophysiology of COVID-19, including that specifically arising in those with cardiovascular disease. Potential treatment strategies have emerged but there is limited guidance on the provision of palliative care. A framework for implementation of this service needs to be developed, perhaps involving the training of non-specialists to deliver primary palliative care in the community, bolstered by the use of telemedicine. The appropriate use of limited clinical resources has engendered many challenging discussions and complex ethical decisions. Prospective implementation of future policies requires the incorporation of measures to assuage moral distress, burnout and compassion fatigue in healthcare staff who are psychologically and physically exhausted. Summary Further research based on patient-centred decision making and advance care planning is required to ensure the supportive needs of COVID-19 patients with cardiovascular disease are adequately met. This research should focus on interventions applicable to daily healthcare practice and include strategies to safeguard staff well-being.

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“…Accordingly, they have a good opportunity to conduct patient education and evaluate its consequences. On the other hand, QOL is one of the concepts closely related to nursing and nurses have always striven to improve the patients' QOL through the provision of health care and participation in nursing research projects [ 17 ]. Despite that medical advances have improved patients' health outcomes, nurses still have to play their particular roles alongside [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of educational intervention based on Pender's health promotion model on quality of life and health promotion in patients with heart failure: an experimental study

Habibzadeh

Shariati

Mohammadi

et al. 2021

BMC Cardiovasc Disord

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Background Heart failure is a common and chronic heart condition with high prevalence and mortality rates. This debilitating disease as an important predictor of health outcomes is directly related to patients' quality of life. Given that one of the main goals of heart failure treatment is to promote patients' quality of life and health status, conducting effective nursing interventions seems to be necessary in this regard. Therefore, the present study aimed to determine the effect of educational intervention based on Pender's health promotion model on quality of life and health promotion in patients with heart failure. Methods This is an experimental study in which a total of 80 patients with heart failure were recruited and randomly allocated to two groups of intervention and control (n = 40 in each group). The educational program was designed based on Pender's health promotion model and then provided for the patients in the intervention four subgroups (10 person in each group) during six sessions. Data were collected at three time-points of before, immediately after, and three months after the intervention using a demographic questionnaire, the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and the Health-Promoting Lifestyle Profile II (HPLP-II). Data were then analyzed using SPSS Statistics for Windows, version 17.0 (SPSS Inc., Chicago, Ill., USA) and p value less than 0.05 was taken as statistically significant. Results Based on the results of the present study, no statistically significant difference was shown in terms of demographic characteristics between the two groups. It was also indicated that there was a statistically significant difference in the mean scores of all dimensions of quality of life (except in the physical dimension) between the two groups so that the overall mean score of quality of life increased significantly in the intervention group after the intervention (p < .05). Moreover, there were significant increases in the mean scores of health-promoting behaviors (except in the domain of physical activity) in the intervention group compared to the control group (p < .05) after intervention. Conclusions This study demonstrates a trend that Pender's health promotion model is effective in improving the quality of life of patients with heart failure except of the physical dimension, and strengthening their health-promoting behaviors in all dimensions except of the physical activity dimension.

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Supportive Care Interventions to Promote Health-Related Quality of Life in Patients Living With Heart Failure: A Systematic Review and Meta-Analysis

Cited by 31 publications

References 49 publications

Hotspot and Frontier Analysis of Exercise Training Therapy for Heart Failure Complicated With Depression Based on Web of Science Database and Big Data Analysis

Hotspot and Frontier Analysis of Exercise Training Therapy for Heart Failure Complicated With Depression Based on Web of Science Database and Big Data Analysis

The COVID-19 pandemic: challenges in providing supportive care to those with cardiovascular disease in a time of plague

The effect of educational intervention based on Pender's health promotion model on quality of life and health promotion in patients with heart failure: an experimental study

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