A scoping review of home-based palliative care for heart failure patients
10.3760/cma.j.cn115682-20240229-01029
- VernacularTitle:心力衰竭患者居家安宁疗护研究的范围综述
- Author:
Yun ZHAO
1
;
Jianghua XU
;
Liming ZHANG
;
Chunli XIAN
Author Information
1. 湖北医药学院护理学院，十堰 442000
- Keywords:
Review;
Heart failure;
Home-based;
Palliative care;
Scoping review
- From:
Chinese Journal of Modern Nursing
2024;30(21):2822-2829
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To conduct a scoping review of research on home-based palliative care for heart failure patients, explore its current development status, and provide a theoretical basis for future advancements in this field.Methods:A systematic search was performed in databases including CNKI, VIP, CBMdisc, Wanfang Data, PubMed, Web of Science, Embase, and Cochrane Library for literature related to home-based palliative care for heart failure patients. The search covered publications from the inception of each database until December 31, 2023. Literature was screened, and data were extracted, analyzed, and discussed.Results:A total of 19 studies were included, including randomized controlled trials, cohort studies, and qualitative research. The conceptual frameworks for home-based palliative care services for heart failure patients in these studies included the 6S model of palliative care, the 4C model of transitional care, the Omaha System, and chronic disease care models. The structure of these services was primarily nurse-led multidisciplinary team collaboration. Service forms included home visits and telephone follow-ups, with varying service frequencies. The content of the services included physical, psychological, social, and spiritual support. Outcome indicators mainly included patient readmission rates, quality of life, symptom burden, cost-effectiveness, and caregiver burden. Cohort study outcomes primarily focused on patient treatment preferences and place of death. Qualitative research explored the experiences of heart failure patients, caregivers, and healthcare providers with home-based palliative care.Conclusions:Home-based palliative care for heart failure patients has demonstrated positive effects in practice. It is recommended to standardize home-based palliative care models, clarify the needs of patients and their families, and identify barriers and facilitators to the development of home-based palliative care, thereby promoting its advancement for heart failure patients.
