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Effects of Nursing Interventions on Improving Patients With Heart Failure: A Systematic Review and Meta-Analysis
Wei Geng1, Hongping Jia2, Xianjing Zeng3
1VIP Health Management Center, Xi'an International Medical Center Hospital, Xi'an, China.
Research and Theory for Nursing Practice
|February 25, 2025
Summary
This systematic review found that various nursing interventions significantly improve heart failure patient outcomes. Comprehensive, evidence-based, and continuous nursing interventions were most effective, reducing complications and increasing satisfaction.
Area of Science:
- Cardiology
- Nursing Science
- Public Health
Background:
- Heart failure management requires effective nursing interventions.
- The comparative effectiveness of different nursing strategies for heart failure patients is not well-established.
- A comprehensive summary is needed to guide clinical practice.
Purpose of the Study:
- To systematically review and meta-analyze the effects of diverse nursing interventions on heart failure patient outcomes.
- To identify the most effective nursing interventions for improving heart failure treatment.
Main Methods:
- Systematic literature search across five databases using specific keywords.
- Quality appraisal of included studies using Joanna Briggs Institute critical appraisal tools.
- Descriptive analysis and case-control meta-analysis of compliance and satisfaction rates.
Main Results:
- Forty-nine studies were included, demonstrating the positive impact of nursing interventions on heart failure patients.
- Comprehensive, evidence-based, and continuous nursing interventions showed the highest efficacy.
- Motivational, telephone, educational, and self-care interventions also proved beneficial and cost-effective.
- Meta-analysis indicated nursing interventions significantly decreased complication rates (-11.22%) and increased satisfaction (2.46).
Conclusions:
- A multifaceted approach incorporating various nursing interventions can substantially enhance the physical and mental well-being of heart failure patients.
- Implementing evidence-based nursing strategies is crucial for optimizing heart failure care.
- Nursing interventions play a vital role in reducing complications and improving patient satisfaction in heart failure management.
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