Symptom management experience in patients with acute decompensated heart failure: a Meta-synthesis of qualitative studies
10.3760/cma.j.cn115682-20241022-05762
- VernacularTitle:急性失代偿性心力衰竭患者症状管理体验质性研究的Meta整合
- Author:
Wenqing CAI
1
;
Baolin ZHANG
;
Yang CHEN
;
Yue HUO
;
Chen ZHANG
;
Yumeng ZHANG
;
Yajing SU
;
Wanjun CHEN
;
Keping ZHU
;
Qingyin LI
Author Information
1. 北京协和医学院/中国医学科学院/阜外医院/国家心血管病中心护理部，北京 100037
- Publication Type:Journal Article
- Keywords:
Acute decompensated heart failure;
Symptom management;
Experience;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2025;31(25):3381-3388
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To integrate the symptom management experiences of patients with acute decompensated heart failure (ADHF), so as to provide a basis for developing symptom management measures.Methods:Qualitative or mixed studies on the symptom management experience of ADHF patients included from establishment of the database to September 2024, were electronically retrieved in PubMed, CINAHL, Cochrane Library, Web of Science, Embase, EBSCO, China National Knowledge Infrastructure, WanFang Data, VIP, China Biomedical Database and other Chinese and English databases and gray literature databases. The quality of the literature was evaluated using the Critical Appraisal Skills Programme developed by the Center for Evidence-Based Medicine at the University of Oxford. The results were synthesized through the aggregative integration method.Results:A total of 14 papers were included. Thirty-four findings were distilled into eight categories and three integrative findings, namely, the multiple challenges posed by symptoms (complex and multiple symptomatic somatic experiences, symptom-induced mood changes, and reduced family and social engagement), the unmet needs of patients (insufficient healthcare resources, insufficient supply of discharge services provided by healthcare organizations, and lack of knowledge), and the co-existence of positive and negative coping styles (negative coping styles in symptomatic distress, positive debugging and diversified coping in symptomatic distress) .Conclusions:ADHF symptoms severely affect patients' physical, psychological, and social function. Healthcare professionals should focus on the unmet needs of patients with ADHF and explore patient-engaged models of active symptom management.
