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Heart failure family-based education: a systematic review
Nittaya Srisuk1, Jan Cameron2, Chantal F Ski2
1Centre for the Heart and Mind, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia; Faculty of Nursing, Surat Thani Rajabhat University, Surat Thani, Thailand.
Patient Education and Counseling
|November 2, 2015
Summary
Family-based education modestly improves heart failure (HF) knowledge, self-care, and adherence for patients and carers. Further research is needed to confirm these benefits and develop tailored, sustainable strategies.
Area of Science:
- Cardiology
- Health Education
- Systematic Review
Background:
- Heart failure (HF) poses significant challenges for patients and their carers.
- Effective educational interventions are crucial for managing HF and improving patient outcomes.
- Family involvement in education can potentially enhance care and reduce healthcare burdens.
Purpose of the Study:
- To systematically review existing evidence on the efficacy of family-based education for heart failure (HF) patients and their carers.
- To assess the impact of such interventions on HF knowledge, self-care, adherence, quality of life, and carer burden.
Main Methods:
- A comprehensive systematic review of randomized controlled trials was conducted.
- Searches were performed across multiple major scientific databases (CINAHL, MEDLINE, Cochrane, PubMed, Web of Science, EMBASE, PsycINFO, Scopus) from January 2005 to May 2015.
- Included studies focused on HF patient and carer dyads or carers alone, with HF knowledge as the primary outcome.
Main Results:
- Six trials involving nine papers were analyzed, exhibiting considerable variation in study quality.
- Significant improvements were observed in HF knowledge for both patients and carers.
- Other positive outcomes included enhanced patient self-care, improved dietary and treatment adherence, better patient quality of life, and reduced carer burden.
Conclusions:
- Family-based education demonstrates modest efficacy for heart failure (HF) patients and carers.
- Methodological limitations in current trials highlight the necessity for more rigorous and empirically sound future research.
- Future interventions should incorporate tailored and sustainable strategies for both HF patients and their carers.
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