Home-based volume management in patients with heart failure: a scoping review
10.3760/cma.j.cn115682-20250225-00870
- VernacularTitle:心力衰竭患者居家容量管理的范围综述
- Author:
Meng JIAO
1
;
Ming QI
1
;
Yajing LI
1
;
Hongmei LI
1
;
Jian WANG
1
Author Information
1. 中日友好医院心脏科重症监护室护理单元，北京 100029
- Publication Type:Journal Article
- Keywords:
Review;
Heart failure;
Home care;
Volume management;
Fluid retention
- From:
Chinese Journal of Modern Nursing
2025;31(20):2792-2800
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To conduct a scoping review of current research on home-based volume management in patients with heart failure, in order to provide evidence for future research and nursing practice.Methods:A systematic search was performed in China National Knowledge Infrastructure, Wanfang Data, VIP, China Biology Medicine disc, PubMed, Web of Science, Cochrane Library, CINAHL, and Embase for studies related to home-based volume management in patients with heart failure. The search covered literature published from the inception of each database to January 5, 2024. The included studies were synthesized and analyzed.Results:A total of 26 studies were included. The results indicated that the ability of patients with heart failure to manage volume at home is relatively weak, and they often have negative experiences with volume management. Volume management is influenced by individual factors, social support, and environmental and resource-related factors. Relevant interventions were mainly carried out at home or through a combination of home and outpatient settings. Intervention formats included remote and in-person volume management. Core components of the interventions included information support and guidance, monitoring of volume-related signs and indicators, and peer support. Evaluation indicators covered six aspects: volume and cardiac function indicators, self-care ability and behavior, diet and nutrition, clinical outcomes, psychological status, and self-efficacy. A total of three different integrated assessment tools for home-based volume management were identified.Conclusions:The ability and experience of home-based volume management in patients with heart failure still require improvement. In the future, appropriate behavior change interventions should be adopted to enhance patients' adherence to and satisfaction with home-based volume management. Furthermore, enriching the content and formats of interventions and improving the evaluation system will help enhance the quality of volume management and stabilize the disease condition.
