Systematic review on the application of home-based palliative care in patients with advanced chronic heart failure
10.3760/cma.j.cn115682-20241126-06496
- VernacularTitle:居家安宁疗护在晚期慢性心力衰竭患者中应用的系统评价
- Author:
Shule XIANG
1
;
Hui ZHANG
1
;
Yu SHENG
1
Author Information
1. 中国医学科学院北京协和医学院护理学院，北京 100730
- Publication Type:Journal Article
- Keywords:
Heart failure;
Palliative Care;
Systematic review
- From:
Chinese Journal of Modern Nursing
2025;31(15):2031-2038
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically summarize the current status and effects of home-based palliative care for patients with advanced chronic heart failure, providing reference for the implementation and development of palliative care in China..Methods:A systematic search was conducted in multiple databases, including China National Knowledge Infrastructure, Wanfang Data, China Biology Medicine disc, VIP, PubMed, Web of Science, EMBASE, CINAHL, and Cochrane Library, for relevant literature on home-based palliative care for patients with advanced chronic heart failure. Reference lists of included studies were also traced, and grey literature was supplemented by searching Baidu Scholar and Google Scholar. The search period was from the inception of each database to December 19, 2024. Two researchers independently evaluated the quality of the literature and extracted data.Results:A total of 11 studies were included. The interventions in home-based palliative care included symptom control, advance care planning, psychological and mental assessments and interventions, disease education, and self-management education. Most studies found that the experimental group had higher quality of life scores, lower healthcare resource usage, and reduced anxiety and depression compared to the control group.Conclusions:Home-based palliative care can improve symptom burden, enhance quality of life, alleviate anxiety and depression, and promote the implementation and discussion of advance care planning for patients with advanced chronic heart failure. It can also reduce healthcare costs and caregiver burden to some extent.
