Caring experiences of family caregivers of patients with heart failure: A meta-ethnographic review of the past 10 years

2020 ◽  
Vol 19 (6) ◽  
pp. 473-485 ◽  
Author(s):  
Eun Young Kim ◽  
Seieun Oh ◽  
Youn-Jung Son

Background: Living with heart failure, a debilitating disease with an unpredictable course, requires ongoing adaptation and management not only from patients but also from their families. Family caregivers have been known to be key facilitators of self-management of heart failure. An integrative understanding of the experiences of family caregivers will provide essential information for improving the quality of life of persons with heart failure and their families. Aims: This study aimed to integrate and synthesize the findings of qualitative studies on family members’ experiences of caring for patients with heart failure. Methods: We employed the meta-ethnography methodology. Five electronic bibliographic databases were used to retrieve studies published from April 2009–March 2019 that explored family caregivers’ experiences of caring for patients with heart failure. Twelve qualitative studies were finally included for the synthesis, based on the eligibility criteria. Results: Three themes were identified: “shouldering the entire burden,” “starting a new life,” and “balancing caregiving and everyday life.” These three themes illustrate how family caregivers fulfilled caregiving roles, what helped them juggle their multiple responsibilities, and how they struck a balance between life as caregivers and individuals in their own right. Conclusion: This review provides a deeper understanding of family caregivers’ experiences of caring for patients with heart failure. The findings can help healthcare providers in the development and implementation of tailored interventions for both patients and family caregivers.

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Nurlaeli Qadrianti ◽  
Kusrini S. Kadar ◽  
Elly L. Sjattar

The prevalence of heart failure is high. More than 23 million patients worldwide and is believed to continue to increase to 46% in 2030. In America, the prevalence of heart failure is around 6 million patients per year. Meanwhile, heart failure in Asia is the highest in the world. To identify instruments for assessing patients with heart failure that used in Asia. This is a scoping review that follows the methodology of Arksey and O'Malley. We use 6 databases, namely Proquest, PubMed, EBSCO, Science Direct, ClinicalKey For Nursing, and Garuda. Articles in English and Indonesian were published between 2015 and 2020. We also did additional searches that met the inclusion criteria. Based on duplication, 2037 articles were left, then 1981 articles were screened. Then, 56 full-text articles were selected in the eligibility criteria, and the last 29 articles were selected for the synthesis. A total of 6 instruments were identified. We discussed the method, domain, and duration of assessments. The selection of instruments needs to be adapted to the epidemiological characteristics of the population. Keywords: quality of life; heart failure; scoping review; nursing care


2020 ◽  
Vol 35 (2) ◽  
pp. 101-106
Author(s):  
Misook L. Chung ◽  
Suk Jeong Lee ◽  
Debra K. Moser ◽  
JungHee Kang ◽  
Terry A. Lennie

2011 ◽  
Vol 7 (1) ◽  
pp. 66 ◽  
Author(s):  
Ewa Piotrowicz ◽  
Ryszard Piotrowicz ◽  
◽  

Exercise training (ET) is now recommended as an important component of a comprehensive approach to patients with heart failure (HF). Despite the existence of proven benefits of ET, many HF patients remain physically inactive. Introducing telerehabilitation (TR) may eliminate most of the factors that result in the currently low number of patients undergoing outpatient-based rehabilitation programmes and thus increase the percentage of those who will undergo cardiac rehabilitation. Despite the fact that TR is highly applicable and effective, there are few papers dedicated to the study of TR in HF patients. Until recently, only a couple of home rehabilitation-monitoring models have been presented, from the simplest, i.e. heart rate monitoring and transtelephonic electrocardiographic monitoring, through to the more advanced tele-electocardiogram (tele-ECG) monitoring (via a remote device) and realtime electrocardiographic and voice transtelephonic monitoring. It seems the last two are the most useful and reliable. Based on published studies, TR in HF patients could be equally effective as and provide similar improvements in health-related quality of life to standard outpatient cardiac rehabilitation. In addition, adherence to cardiac rehabilitation seems to be better during TR. Due to disease-related limitations, TR seems to be a viable alternative for comprehensive cardiac rehabilitation in HF patients. Further studies are needed to confirm the utility of this type of rehabilitation in routine clinical practice, including its cost-effectiveness. Because of the diversity of technological systems, it is necessary to create a platform to ensure compatibility between the devices used in telemedicine.


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