Caregivers' contributions to heart failure self-care: A systematic review
Caregivers' contributions to heart failure self-care: A systematic review
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DOI：
10.1177/1474515113518434
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发表时间：
2015-02-01
影响因子：
2.9
通讯作者：
Arthur, Heather M.
中科院分区：
文献类型：
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作者：
Buck, Harleah G.;Harkness, Karen;Arthur, Heather M.
目的：本研究的目的是进行系统评价，回答以下问题：(a) 护理人员 (CG) 为心力衰竭 (HF) 患者的自我护理做出哪些具体活动？； (b) CG 对自我保健的科学贡献有多成熟（或发达）？方法：使用术语心力衰竭和护理*以及关键词“职业”、“家庭成员”和“非专业人士”对 1948 年至 2012 年 9 月之间发表的研究进行搜索，包括 MEDLINE、EMBASE、护理和联合健康文献累积指数 (CINAHL)、Cochrane 图书馆和 ClinicalTrials.gov。 研究纳入标准是：成年心力衰竭患者的非正式 CG——作为定量研究中的因/自变量或定性研究中的参与者；英语。研究的排除标准是： 正式的 CG；儿科、成人先天性或设备或移植 CG；混合诊断；非经验报告或发布重复结果的报告。每项研究均由两位作者进行摘要和确认。在确定 CG 活动并进行理论上分类后，进行了跨研究分析。结果：从 283 篇论文中审查了 40 篇论文。 CG 对心力衰竭患者的自我护理做出了实质性贡献，其特点是从具体（称量患者体重）到人际交往（提供理解）。只有两项研究试图量化 CG 活动对患者自我护理的影响，并报告了积极影响。我们的分析为快速发展的科学提供了证据，该科学主要基于观察研究。主要发现的结论和含义：据我们所知，这是第一个深入研究 CG 贡献的系统综述。非正式护理人员在心力衰竭自我护理中发挥着重要作用。需要进行纵向研究来检验 CG 对患者自我护理结果的影响。
Aims: The purpose of this study was to conduct a systematic review answering the following questions: (a) what specific activities do caregivers (CGs) contribute to patients' self-care in heart failure (HF)?; and (b) how mature (or developed) is the science of the CG contribution to self-care?Methods: MEDLINE, EMBASE, Cumulative Index of Nursing and Allied Health Literature (CINAHL), the Cochrane Library and ClinicalTrials.gov were searched using the terms heart failure and caregiv* as well as the keywords careers', family members' and lay persons' for studies published between 1948 and September 2012. Inclusion criteria for studies were: informal CGs of adult HF patients-either as dependent/independent variable in quantitative studies or participant in qualitative studies; English language. Exclusion criteria for studies were: formal CGs; pediatric, adult congenital, or devices or transplant CGs; mixed diagnosis; non-empiric reports or reports publishing duplicate results. Each study was abstracted and confirmed by two authors. After CG activities were identified and theoretically categorized, an analysis across studies was conducted.Results: Forty papers were reviewed from a pool of 283 papers. CGs contribute substantively to HF patients' self-care characterized from concrete (weighing the patient) to interpersonal (providing understanding). Only two studies attempted to quantify the impact of CGs' activities on patients' self-care reporting a positive impact. Our analysis provides evidence for a rapidly developing science that is based largely on observational research.Conclusions and implications of key findings: To our knowledge, this is the first systematic review to examine CGs' contributions in depth. Informal caregivers play a major role in HF self-care. Longitudinal research is needed to examine the impact of CGs' contributions on patient self-care outcomes.