心力衰竭患者出院回家后的抑郁和再住院:一项综合综述

IF 0.8 Q4 NURSING
Wanich Suksatan, T. Tankumpuan
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引用次数: 16

摘要

众所周知,心力衰竭患者特别容易受到抑郁症的影响,从而导致不良的健康结果。然而,目前尚无关于抑郁症与再住院之间关系的文献综述。本综述旨在探讨心力衰竭患者抑郁与再住院的关系。采用系统评价和荟萃分析首选报告项目(PRISMA)指南的系统评价包括2001年至2019年间发表的文章,这些文章来自Scopus、PubMed、CINAHL和PsycINFO数据库。我们确定了12项相关研究,参与者范围从115到160169名患者。患有抑郁症的心力衰竭患者比没有抑郁症的患者更有可能再次住院。为了解释这一点,人们提出了一些理由。首先,抑郁症会破坏自主神经系统的调节、神经激素的激活和身体的自然节律。其次,抑郁症患者往往对药物的依从性较差。医疗保健提供者不仅应注重药物和饮食管理,还应注重实施有效的干预措施来管理抑郁症,以降低再次住院的风险。此外,姑息治疗应从心力衰竭诊断阶段开始,以提高患者的生活质量,改善预后,降低护理成本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Depression and Rehospitalization in Patients With Heart Failure After Discharge From Hospital to Home: An Integrative Review
Patients with heart failure are known to be particularly vulnerable to depression resulting in adverse health outcomes. However, there has been no literature review on current evidence regarding the relationship between depression and rehospitalization. This review aims to explore the relationship between depression and rehospitalization in patients with heart failure. A systematic review employing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines included articles published between 2001 and 2019 taken from Scopus, PubMed, CINAHL, and PsycINFO databases. We identified 12 relevant studies with participants ranging from 115 to 160,169 patients. Heart failure patients with depression were more likely to be rehospitalized than those without. To explain this, few reasons have been proposed. First, depression could disrupt the regulation of autonomic nervous system, neurohormonal activation, and body’s natural rhythm. Second, depressed patients tend to have poor adherence to medication. Healthcare providers should not only focus on drug and dietary management but also on implementing effective interventions to manage depression, in order to reduce the risk of rehospitalization. Moreover, palliative care should start at the stage of heart failure diagnosis to improve quality of life, better outcomes, and lower cost of care for the patients.
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来源期刊
CiteScore
2.30
自引率
18.20%
发文量
29
期刊介绍: Home Health Care Management & Practice is a comprehensive resource for clinicians, case managers, and administrators providing home and community based health care. Articles address diverse issues, ranging from individual patient care and case management to the human resource management and organizational operations management and administration of organizations and agencies. Regular columns focus on research, legal issues, psychosocial perspectives, accreditation and licensing, compliance, management, and cultural diversity. Specific topics include treatment, care and therapeutic techniques, cultural competence, family caregivers, equipment management, human resources, home health center.
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